Abstract
Objectives: To test the hypothesis that subperiosteal abscess, a complication of acute mastoiditis, can be treated equally well by pus aspiration as by mastoidectomy. Methods: A retrospective analysis of 62 pediatric patients hospitalized between 1999–2003, and analysis of published data on types and outcomes of treatment approaches for acute mastoiditis. Results: Postauricular pus aspiration resolved the subperiosteal abscess in 13 of 16 patients. The length of hospital stay of patients who underwent aspiration was similar to that of patients who had uncomplicated acute mastoiditis. Conclusions: Postauricular pus aspiration, a simple and minimally invasive procedure, is an effective treatment modality for subperiosteal abscess. Mastoidectomy should be reserved for nonresponsive patients or those with more serious complications. Broad spectrum antibiotics, myringotomy with daily toilet of the ear, and postauricular aspiration, when required, minimize the indications for surgery and reduce hospital stay.
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