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Acute coalescent mastoiditis.

G R Holt, W C Young

    Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
    |March 1, 1981
    PubMed
    Summary
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    Acute coalescent mastoiditis, often following untreated otitis media, presents with fever and postauricular abscesses. Prompt treatment including antibiotics and surgery ensures normal hearing outcomes.

    Area of Science:

    • Otolaryngology
    • Pediatric Infectious Diseases

    Background:

    • Acute coalescent mastoiditis is a severe complication of otitis media.
    • Incomplete antibiotic treatment of otitis media is a common precursor.

    Purpose of the Study:

    • To review historical cases of acute coalescent mastoiditis.
    • To identify clinical features, diagnostic findings, and treatment outcomes.

    Main Methods:

    • Retrospective review of 11 cases from 1974-1979.
    • Analysis of patient history, clinical examination, radiographic findings, and treatment records.

    Main Results:

    • Common symptoms included fever, lethargy, irritability, and postauricular abscess.
    • Radiographs showed mastoid cloudiness and air cell septa dissolution.

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  • All patients received paracentesis, parenteral antibiotics, and surgical mastoidectomy with normal postoperative hearing.

    • Conclusions:

    • Acute coalescent mastoiditis requires prompt diagnosis and aggressive management.
    • Combined medical and surgical therapy leads to favorable hearing outcomes.