Bezold's abscess complicating acute otomastoiditis: transmastoid approach for surgical drainage with an exoscope (with video)

Correia-Rodrigues, Pedro; Levy, João Guilherme Marques Castello Branco; Luis, Leonel

doi:10.1016/j.anorl.2020.12.018

Cited by 3 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of manuscripts written in non-English language, three had no abstracts available, and five provided abstracts with insufficient data regarding baseline demographics, clinical presentation, and management. Finally, 45 studies were included in this systematic review, with 49 patients being pulled from case reports or series (1,3,8–50).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

View full text Add to dashboard Cite

ObjectiveThe objective for this systematic review is to characterize clinical presentations of Bezold’s abscesses to improve awareness and promote earlier diagnoses and prompt intervention in this increasingly rare otologic infection.Data sourcesPubmed/Medline, CINAHL (EBSCOhost), and Web of Science articles in all languages were searched.Study selectionInclusion criteria were that the article was either a case report, case series, or retrospective review with individual case data available. Non-English articles were excluded if they lacked an English language abstract and if that abstract lacked information on baseline demographics, clinical presentation, and management.Data extractionIncluded studies were evaluated using fulltext review and demographics, etiology, microbiology, antibiotic usage, and surgical variables were collected.Data synthesisData were qualitatively synthesized, with means and averages obtained for all continuous variables.ConclusionsBezold’s abscess remains a rare otologic infection, but they are relatively commonly associated with serious neurologic and systemic complications. Delay in diagnosis was a frequent commonality and diagnostic vigilance is tantamount in avoiding this sequelae. Aggressive surgical extirpation and long-term antibiotic treatment is recommended.

show abstract

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

View full text Add to dashboard Cite

show abstract

Osteomyelitis of the odontoid process complicated with acute mastoiditis in a 4-year-old child: Case report and literature review

Uchiyama¹,

Akeda²,

Takegami³

et al. 2023

JOS Case Reports

View full text Add to dashboard Cite

Clinical Characteristics and Treatment Experiences of Pediatric Acute Mastoiditis and Its Complications at the University Tertiary Care Center in the 10-Year Prevaccinal Period

Cvorovic,

Dudvarski,

Relic

et al. 2023

Ear Nose Throat J

View full text Add to dashboard Cite

Introduction: We aim to provide an overview of the clinical characteristics and treatment of pediatric acute mastoiditis (AM) and its complications in the prevaccinal pneumococcal period. Materials and methods: Retrospective case series. An analysis of pediatric patients with AM treated at a university tertiary care center from 2008 to 2018 was performed. Results: The research included 121 children, and 27.3% of them had some form of complication. The mean age at presentation of AM was 3.7 years (range = 0–18 years). The most common extracranial complication of AM was a subperiosteal abscess (n = 25, 75.8%) and the most common intracranial complication was meningoencephalitis (n = 2, 6%). The most common pathogen isolated in the complicated AM was Streptococcus pneumoniae (n = 17, 51.5%). A total of 60% of patients reported antibiotic use before hospital admission, mostly third-generation cephalosporins (37.5%). There was a statistically significant difference between age group and occurrence of complications ( P = .001). Females had complications more frequently than males ( P = .035). There were no statistically significant differences in levels of inflammatory parameters (C-reactive protein and leukocyte count) between patients with or without complications ( P = .373 and P = .124; respectively). All patients with complications of AM were surgically treated. Mortality was 0% and all children completely recovered. Conclusion: Extracranial and intracranial complications of AM required surgical treatment and extended antibiotic therapy. Inflammation parameters did not have a predictive role in identifying children with complications of AM. Further investigations will determine whether the introduction of the mandatory pneumococcal vaccine in our country has led to a reduction in the incidence of AM and its complications.

show abstract

Bezold's abscess complicating acute otomastoiditis: transmastoid approach for surgical drainage with an exoscope (with video)

Cited by 3 publications

References 4 publications

A Systematic Review of Cases with Bezold’s Abscess

A Systematic Review of Cases with Bezold’s Abscess

Osteomyelitis of the odontoid process complicated with acute mastoiditis in a 4-year-old child: Case report and literature review

Clinical Characteristics and Treatment Experiences of Pediatric Acute Mastoiditis and Its Complications at the University Tertiary Care Center in the 10-Year Prevaccinal Period

Contact Info

Product

Resources

About