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Retroauricular Abscess in Adults.

Meni Holcberg1, Sabri El-Saied1, Mordechai Kraus1

  • 1Department of Otolaryngology-Head - Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

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This summary is machine-generated.

Subperiosteal abscess (SPA) in adults is rare, often linked to neglected chronic otitis media (COM). Management involves surgery, antibiotics, and sometimes immediate drainage for comorbid patients.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Subperiosteal abscess (SPA) is an uncommon complication of otitis media.
  • Adult presentations of SPA are particularly rare, necessitating a review of clinical characteristics and outcomes.

Purpose of the Study:

  • To delineate the clinical course and outcomes of adult patients diagnosed with subperiosteal abscess (SPA).

Main Methods:

  • A retrospective chart review was conducted on adult patients presenting with SPA.
  • Data collected included patient demographics, medical history, clinical presentation, management strategies, and outcomes.

Main Results:

  • Seven adult patients with SPA were identified between 2001 and 2015, predominantly associated with chronic otitis media (COM).
  • Common symptoms included otalgia, pain, and mastoid swelling; five patients had prior mastoidectomy for cholesteatoma.
  • Management involved mastoidectomy, abscess drainage, and antibiotics; one patient with comorbidities required delayed surgery and initial incision and drainage.

Conclusions:

  • SPA in adults, though rare, can arise from neglected COM, even after surgery.
  • Comorbidities may necessitate delayed surgical intervention and prompt abscess drainage.
  • Post-operative intensive care is crucial for managing complex cases.