Conservative Management of Acute Mastoiditis in Children

Abstract

Antibiotic drug use combined with retroauricular puncture and grommet insertion is an effective alternative to mastoidectomy in the treatment of acute mastoiditis with SA in children.

Acute paediatric mastoiditis in the UK before and during the COVID‐19 pandemic: A national observational study

“…The reported complication rate for acute paediatric mastoiditis varies from 32.7% 17 to 1.9%, 11 with our figure of 15.7% falling in the middle. Complications in our population were largely due to intracranial sequelae (14.0%), similar to published series 2,17,20‐22 …”

Acute mastoiditis in children population

“…The most common incidence rate as reported in the literature is about 20% [12,17,18,31]. Intracranial complications were observed in 7.5% of patient population which was consistent with data most frequently encountered in the literature [12,18,20,31]. All cases of intracranial complications were observed in patients who also presented with subperiosteal abscesses.…”

Complications of acute mastoiditis in a paediatric population at a UK Tertiary Centre: A retrospective review

“…Patients undergoing mastoidectomy may have more severe disease and therefore higher complication rate. In our cohort and more recent studies, patients treated with grommet insertion and I&D of SPA compared to mastoidectomy had comparable outcomes with no increase in complications and a shorter hospital stay 3,7 . In our experience, cortical mastoidectomy can be reserved for instances of failure to respond to initial treatment with grommet/I&D and in cases with coalescent mastoiditis on imaging.…”