Acute mastoiditis in pediatric age

Magliulo, Giuseppe; Vingolo, Gianluca Maria; Petti, R.; Ronzoni, R.; Cristofari, P

doi:10.1016/0165-5876(94)01079-d

Cited by 11 publications

(3 citation statements)

References 6 publications

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“…We have considered acute cortical mastoidectomy a safe and effective treatment of this disease and operated when the abovementioned symptoms were present, whereas other ENT departments may be more reluctant to do so (1,2,(8)(9)(10). This operation has a tradition of more than 100 years, because its rationale is still valid: evacuation of purulent material from a preformed cavity.…”

Section: Discussionmentioning

confidence: 95%

Acute mastoidectomy in a Danish county from 1977 to 1997 - operative findings and long-term results

Petersen

2000

Acta Oto-Laryngologica

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Petersen CG, Ovesen T, Pedersen CB. Acute mastoidectomy in a Danish county from 1977 to 1997-operati6e findings and long-term results. Acta Otolaryngol 2000; Suppl 543: 122-126.Data from patients undergoing acute mastoidectomy were examined retrospectively to evaluate if the nature of acute mastoiditis (AM) treated surgically has changed during the last 20 years (1977 -97). Moreover, a prevalence study was conducted to clarify the otological and audiological course following acute mastoidectomy. Patients with cholesteatoma and intracranial complications were excluded. Thus, 79 patients with a median age of 16 months were included. Thirty-seven percent had a history of middle ear disease, and the mean duration from onset of symptoms to admission was 9 days. Well-being was affected in 46%, and 82% had fever. The clinical picture was dominated by auricular protrusion (77%) and pathological tympanic membrane (94%). Postauricular oedema, hyperaemia and tenderness were demonstrated in 89%, 78% and 49% of cases, respectively. Peroperatively, purulent middle ear effusion was recognized in 92%, subperiosteal abscess in 66% and pus in the mastoid in 90%. Specimens revealed growth of pathogens in 58%, predominantly Gram-positive bacteria. The observation period was 1 -20 years. The findings in operated ears were not significantly different from the contralateral non-operated ears concerning incidence of otitis media, hearing and ear canal volume. Conclusively, acute mastoidectomy is a safe and effective treatment to eliminate infection. The operation can be done with negligible risk and does not leave long-term sequelae. Key words: acute mastoidectomy, long-term results, operati6e findings.

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Section: Discussionmentioning

confidence: 95%

Acute mastoidectomy in a Danish county from 1977 to 1997 - operative findings and long-term results

Petersen

2000

Acta Oto-Laryngologica

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“…[1][2][3][4][5][6][7] Other reported diagnostic criteria [7][8][9] are radiographic evidence 8 and compatible pathologic findings in surgery. [10][11][12] In the pre-antibiotic era, up to 20% of cases of acute otitis media (AOM) evolved into acute mastoiditis and were frequently associated with more severe intracranial complications. 13 The reported incidence decreased from 0.4% in 1959 14 to 0.004% in the 1980s.…”

Section: Introductionmentioning

confidence: 99%

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Nussinovitch

Yoeli

Elishkevitz

et al. 2004

Clin Pediatr (Phila)

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Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic historic, clinical, and laboratory data were collected. Eighty-six children (88 episodes of acute mastoiditis) were identified (1 month-16 years) (median 3.3 years). Almost half had a history of middle ear disease; 8% recurrent episodes and 68.2% received antibiotics preadmission, 91.2% for acute otitis media. Bacterial etiology was established in 43 patients (68.2% isolation rate). Pseudomonas aeruginosa and Streptococcus pneumoniae were the most frequently isolated agents. This review showed a significant increase (150%) in the number of patients with acute mastoiditis.

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“…Acute mastoiditis occurs without obvious abnormalities of tympanic membrane or middle ear in 10-20% of patients [2,5]. Some cases of acute mastoiditis incompletely treated with antibiotics may lead to the masked or latent mastoiditis [3,6,7]. Subclinical disease was often overlooked until a serious complication occurred.…”

mentioning

confidence: 96%

Zygomatic abscess with temporal myositis — a rare extracranial complication of acute otitis media

Kuczkowski

Narożny

Stankiewicz

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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Acute mastoiditis in pediatric age

Cited by 11 publications

References 6 publications

Acute mastoidectomy in a Danish county from 1977 to 1997 - operative findings and long-term results

Acute mastoidectomy in a Danish county from 1977 to 1997 - operative findings and long-term results

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Zygomatic abscess with temporal myositis — a rare extracranial complication of acute otitis media

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