Acute mastoiditis: predictors for surgery

Acute mastoiditis in children: A retrospective study of 188 patients

“…In accordance with literature data [13,28,29], in the present study, only 33% of cases required surgical drainage, which is closed from the literature data. The surgical indications are the lack of favorable outcome after 48 h of intravenous antibiotherapy, the presence of clinical complication (lateral sinus thrombosis), or a recurrence of subcutaneous abscess after puncture.…”

“…Retro auricular area: swelling/erythema/tenderness AND/OR Anteroinferior displacement of the auricle WITH OR WITHOUT Acute otitis media data: 9-54% [9,10,12,13,16,17,[18][19][20][21]. The culture negativity was not correlated to the failures but was more frequent in lateral sinus thrombosis cases.…”

Acute mastoiditis and osteomyelitis of the temporal bone

“…AM was initially considered an unusual occurrence in infancy because of the yet undeveloped mastoid. However, several recent articles have reported AM already in the first year of life, and even in infants as young as 2 months [7], in accordance with the prevalence findings for AOM [8].…”

Clinical, laboratory, and microbiological differences between children with simple or complicated mastoiditis

“…The only clinical or laboratory difference found between children with and without complications was a higher mean WBC count in the complicated-mastoiditis group [5]. Kvestad et al [11], in a small study of 38 children with mastoiditis, found that both elevated WBC count and CRP level were predictive of subsequent mastoidectomy (n = 13). The same markers were noted in other reports [12,13].…”