Abstract
Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral facial nerve palsy, Bezold’s abscess, meningitis, subperiosteal abscess and brain abscess. Management of AC remains controversial raging from conservative treatment in the form of IV antibiotics to more aggressive interventions such as mastoidectomy. This retrospective study represents our experience in the management of AC in the pediatric population. Our purpose was to review and discuss clinical presentations and main treatment modalities of AM.
Highlights
Acute mastoiditis (AM) is an infectious process which involves the mastoid bone and cavities realizing a real osteitis. 0.24% of acute otitis media (AOM) are complicated by acute AM
We retrospectively reviewed the medical data of 62 children suffering from AM, who were admitted in the ENT and cervico facial surgery department of the RABTA hospital of Tunis between the years 1990 and 2013
In the other cases AM was a complication of Cholesteatoma in 9 cases (14.5%) and simple chronic otitis in 8 cases
Summary
Acute mastoiditis (AM) is an infectious process which involves the mastoid bone and cavities realizing a real osteitis. 0.24% of acute otitis media (AOM) are complicated by acute AM. Acute mastoiditis (AM) is an infectious process which involves the mastoid bone and cavities realizing a real osteitis. 0.24% of acute otitis media (AOM) are complicated by acute AM. Infants and younger children are more concerned by the disease. Diagnosis is usually evident in front of clinical facts, management, especially mastoidectomy, is still controversial
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