Related Experiment Video

Updated: Aug 2, 2025

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
07:06

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

3.9K

Acute mastoiditis in children: A tertiary care center experience in 2015-2021

A Karaaslan1, C Cetin1, M T Ko le2

  • 1Department of Pediatric Infectious Diseases, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey.

Nigerian Journal of Clinical Practice
|April 14, 2023
PubMed

Insights

Acute mastoiditis (AM) in children often presents with postauricular symptoms and fever. Early identification of high ESR and prior antibiotic use can predict complications, guiding treatment with antibiotics and surgery.

Area of Science:

  • Pediatric infectious diseases
  • Otolaryngology
  • Medical microbiology

Background:

  • Acute mastoiditis (AM) is a common intratemporal complication of otitis media.
  • It involves a suppurative infection of the mastoid air cells.

Purpose of the Study:

  • To evaluate the demographic and clinical characteristics of children diagnosed with acute mastoiditis.
  • To assess treatment outcomes for pediatric patients with AM.

Main Methods:

  • Retrospective review of medical records for hospitalized pediatric patients (1 month to 18 years).
  • Data collected from May 2015 to December 2021.
  • Analysis of clinical symptoms, complications, laboratory markers (ESR), and treatment interventions.

Main Results:

  • 28 children with AM were included; 78.6% were male.
  • Common symptoms: postauricular erythema (60.7%), tenderness (57.1%), swelling (50%), fever (50%).
  • Complications occurred in 35.7%, most commonly subperiosteal abscess (28.6%). Higher ESR and prior antibiotic use correlated with complications. Surgery was performed in 42.9% of patients, more often in those with complications.

Conclusions:

  • Acute mastoiditis remains a significant childhood illness.
  • Systemic antibiotic therapy and surgical intervention yield successful outcomes.
  • Careful evaluation of patients with high ESR and pre-hospitalization antibiotic use is crucial due to their correlation with complication risk.
Abstract

Keywords:
Acute mastoiditisantibiotic therapychildrensurgery

More Related Videos

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA12:18

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA

Published on: February 9, 2011

23.0K
Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma02:37

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Published on: December 15, 2023

759

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
149
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
389
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
22
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
25
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
10
Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
1.1K