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Acute mastoiditis in infants aged six months or younger

P Zavras1, S Potamianos1, M-Z Psarommati2

  • 1Department of Otorhinolaryngology, 'G Gennimatas' General Hospital of Athens, Greece.

The Journal of Laryngology and Otology
|August 14, 2020
PubMed

Insights

Acute mastoiditis in infants under six months can be effectively managed with a standardized approach. This includes prompt diagnosis, parenteral antibiotics, and surgical interventions when necessary, leading to complete recovery without complications.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases in Infants

Background:

  • Limited data exists on acute mastoiditis management in infants under six months.
  • Understanding the specific challenges in this age group is crucial for effective treatment.

Purpose of the Study:

  • To investigate the clinical presentation, diagnostic methods, and treatment outcomes of acute mastoiditis in infants aged six months or less.
  • To evaluate the safety and efficacy of a standardized management protocol in this population.

Main Methods:

  • Retrospective review of infants aged six months or less diagnosed with acute mastoiditis between 2007 and 2017.
  • Analysis of presenting symptoms, diagnostic imaging, treatment strategies, and patient outcomes.

Main Results:

  • Eleven infants were included; all presented with typical acute mastoiditis symptoms.
  • A high rate of subperiosteal abscesses was noted, with imaging used in only three cases.
  • All infants received parenteral antibiotics and myringotomy; abscess drainage and antrotomy were used as needed, with no intracranial complications observed.

Conclusions:

  • Acute mastoiditis in young infants can be safely and effectively managed using a standardized algorithmic approach.
  • The treatment protocol, similar to that for older children, resulted in complete cure without sequelae.
Abstract

Keywords:
InfantsMastoiditisOtitis Media

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