Management of paediatric acute mastoiditis: systematic review

Loh, R.L.C.; Phua, Malvine; Shaw, C-K L

doi:10.1017/s0022215117001840

Cited by 61 publications

(42 citation statements)

References 36 publications

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“…Numerous studies on paediatric acute mastoiditis can be found in literature, while currently there is no consensus regarding the proper management options or treatment protocols. 9,10 To the best of our knowledge, there is only one study concerning acute mastoiditis exclusively in infants aged under six months, to which our results can be compared. 11 The very young age of the patients, the variability in their general health status, the total lack of patient co-operation, the potential absence of specific symptomatology and the possible dominance of systemic symptoms, render the management of acute mastoiditis in this age group challenging.…”

Section: Discussionmentioning

confidence: 99%

Acute mastoiditis in infants aged six months or younger

et al. 2020

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Objective Bibliographic data for the management of acute mastoiditis in infants aged six months or less are very limited. This study investigated the presenting symptomatology, diagnostic and treatment options, and final outcomes in this age group. Method A retrospective review was conducted of all infants aged six months or less suffering from acute mastoiditis, admitted to our department between 2007 and 2017. Results Eleven infants were identified. All of them developed the typical symptomatology of acute mastoiditis, while a higher rate of subperiosteal abscess formation was observed. Imaging was necessary in three cases only. Parenteral antibiotics and myringotomy were applied in all infants. A drainage procedure was also included in the infants with a subperiosteal abscess. Antrotomy was reserved for non-responsive cases. No intracranial complications were observed. All infants were cured without further complications or sequelae. Conclusion Acute mastoiditis in infants aged six months or less can be safely diagnosed and treated using a standardised algorithmic approach, similar to that used for older children.

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Section: Discussionmentioning

confidence: 99%

Acute mastoiditis in infants aged six months or younger

et al. 2020

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“…3 Una vez establecida, la infección puede avanzar hacia estructuras vecinas, por vía sanguínea o por contigüidad, y producir complicaciones intra-o extracraneales, las cuales aparecen en un 5-29 % de las mastoiditis. 4 Dentro de la afectación intracraneal, se incluye la meningitis, el absceso del lóbulo temporal o cerebelo, el absceso epidural o subdural y la trombosis de seno venoso. Las posibles complicaciones extracraneales son el absceso subperióstico, la parálisis del nervio facial, la pérdida auditiva, la laberintitis, la osteomielitis y el absceso de Bezold.…”

Section: Discussionunclassified

“…Una revisión sistemática muestra que, en los casos de MA no complicada, la actitud terapéutica adoptada con mayor frecuencia es la conservadora frente a la cirugía agresiva (el 93,2 % vs. el 6,8 %); mientras que los casos complicados con absceso subperióstico son tratados con cirugía agresiva con mayor frecuencia que con cirugía conservadora. 4 El absceso epidural intracraneal en la edad pediátrica puede ser tratado de forma conservadora con tratamiento antibiótico de amplio espectro prolongado y drenaje del foco infeccioso, sin necesidad de realizar un procedimiento neuroquirúrgico. En cuanto a la trombosis de seno venoso, el tratamiento debe ir dirigido a recanalizar el seno y a evitar la progresión del trombo.…”

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Mastoiditis aguda con complicación intracraneal. Reporte de un caso pediátrico

Aznar

Martínez²,

Fonz

et al. 2020

Arch Argent Pediat

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Presentación de casos clínicos RESUMEN La mastoiditis aguda es una infección de las celdillas mastoideas, generalmente, secundaria a la progresión de una otitis media aguda. Las bacterias aisladas con más frecuencia en las mastoiditis son Streptococcus pneumoniae, Streptococcus pyogenes y Staphylococcus aureus. La infección mastoidea puede extenderse por contigüidad, afectar a estructuras vecinas y dar lugar a complicaciones intra-o extracraneales. Las más frecuentes son las intracraneales, entre las que se incluyen la meningitis, el absceso cerebeloso o del lóbulo temporal, el absceso epi-o subdural y la trombosis de senos venosos. Se presenta el caso de una niña de 4 años que desarrolló dos complicaciones intracraneales (absceso epidural y trombosis de senos venosos transverso y sigmoideo) a partir de una mastoiditis aguda producida por Streptococus pyogenes.

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“…the most common, but still rarely occurring complication of AoM is mastoiditis [7,8]. the cause of mastoiditis is the spread of the inflammatory process in the temporal bone.…”

Section: Discussionmentioning

confidence: 99%

“…this is the final procedure for patients whose condition is not improving. in some patients, paracentesis combined with antibiotic therapy results in satisfactory outcome [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Acute mastoiditis, a severe complication of acute otitis media in children – prevalence, diagnosis and treatment

Kałużna-Młynarczyk¹,

Pucher²,

Nurczyk³

et al. 2018

fmpcr

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Background. Acute otitis media in children is one of the most common causes of patients reporting to the family doctor and pediatrician. in rare cases, the inflammatory process spreads deeper into the temporal bone despite proper treatment, resulting in mastoiditis. Objectives. the aim of this article is to present the most common complication of inflammation of the middle ear. this is mastoiditis. the authors describe mastoiditis by means of its characteristics, the most common symptoms, incidence and treatment. Material and methods. data about the patients hospitalized in the Pediatric otolaryngology department of the Poznan university of Medical sciences from January 2017 to April 2018 was analyzed and subjected to a retrospective study. statistical analysis of the results was performed. Results. Based on the analyzed medical documentation, the incidence of mastoiditis was evaluated. in addition, the parameters characterizing the diagnostic procedure, along with the treatment methods and the effectiveness of the applied therapies in the hospital conditions, were assessed. the number of outpatient ambulatory visits and the frequency of necessary hospitalizations for patients with uncomplicated otitis media were additionally subjected to evaluation. Conclusions. the number of cases of inflammation of the middle ear requiring hospitalization in the Pediatric otolaryngology department Poznan university of Medical sciences is minimal, although the complications may present severe health consequences. uncomplicated acute otitis media may be successfully treated in ambulatory conditions by family physicians and pediatricians. early detection of the potential complication is essential in the practice of the family doctor. Summary ISSN 1734-3402, eISSN 2449-8580this is an open Access article distributed under the terms of the creative commons Attribution-noncommercial-shareAlike 4.0 international (cc By-nc-sA 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/).

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Management of paediatric acute mastoiditis: systematic review

Cited by 61 publications

References 36 publications

Acute mastoiditis in infants aged six months or younger

Acute mastoiditis in infants aged six months or younger

Mastoiditis aguda con complicación intracraneal. Reporte de un caso pediátrico

Acute mastoiditis, a severe complication of acute otitis media in children – prevalence, diagnosis and treatment

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