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Subperiosteal mastoid abscesses in chronic suppurative otitis media

A O Ibekwe1, B C Okoye

  • 1Department of Otolaryngology, College of Medicine, University of Nigeria.

The Annals of Otology, Rhinology, and Laryngology
|July 1, 1988
PubMed

Insights

In Nigeria, subperiosteal mastoid abscesses often stem from chronic otitis media with cholesteatoma, unlike in Europe and America. Modified radical mastoidectomy is the recommended treatment for these cases.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Acute mastoiditis is a common complication of acute otitis media in Europe and America.
  • Subperiosteal mastoid abscesses (SMA) are a known complication of otitis media.
  • In Nigeria, SMA presentation differs, frequently arising from chronic otitis media with cholesteatoma.

Purpose of the Study:

  • To investigate the etiology and management of subperiosteal mastoid abscesses in a Nigerian population.
  • To highlight the association between cholesteatoma and SMA in Nigeria.
  • To evaluate the role of radiographic imaging in diagnosing cholesteatoma within SMA.

Main Methods:

  • Retrospective analysis of 16 patients diagnosed with subperiosteal mastoid abscesses.
  • Review of clinical presentations, surgical findings, and treatment outcomes.
  • Correlation of radiographic findings with intraoperative diagnosis of cholesteatoma.

Main Results:

  • 11 out of 16 patients (69%) with SMA had cholesteatoma.
  • Five patients (31%) had granulation tissue without cholesteatoma.
  • Modified radical mastoidectomy was identified as the preferred surgical intervention.

Conclusions:

  • Subperiosteal mastoid abscesses in Nigeria are predominantly associated with chronic otitis media and cholesteatoma.
  • Early diagnosis of cholesteatoma via radiographic investigation is crucial for effective management of SMA.
  • Modified radical mastoidectomy offers an effective treatment approach for SMA in this demographic.

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