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Journal articles on the topic 'Mastoidite'

Author: Grafiati

Published: 4 June 2021

Last updated: 27 January 2023

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1

Araújo, Patrícia de Pinho Marques, Janini Oliveira Matos, Felipe Barbosa Madeira, Anderson de S. Araujo, Andréia Migueres Arruda, and Shiro Tomita. "Mastoidite escamozigomática." Revista Brasileira de Otorrinolaringologia 74, no. 4 (August 2008): 617–20. http://dx.doi.org/10.1590/s0034-72992008000400022.

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A mastoidite aguda que se apresenta de forma atípica, com edema temporal e/ou facial, é a chamada mastoidite escamozigomática. Existem poucos relatos sobre essa forma de mastoidite que ocorre devido à propagação do processo inflamatório à raiz da apófise zigomática, quando a pneumatização da mastóide atinge o zigoma ou a porção escamosa do osso temporal. O diagnostico é feito pela história, exame físico e tomografia computadorizada de mastóides. O tratamento é realizado com antibioticoterapia e cirurgia. OBJETIVO: Apresentar um caso de mastoidite escamozigomática e fazer revisão da literatura. PACIENTES E MÉTODOS: Relato de um caso avaliado em nosso hospital no ano de 2003 e revisão da literatura via internet; também foram usados livros de otorrinolaringologia de autores conhecidos. DISCUSSÃO: A mastoidite escamozigomática é uma das formas de apresentação atípica de mastoidite. Ocorre propagação do processo inflamatório até a apófise zigomática. A infecção atinge a escama do osso temporal e fistuliza-se entre esta e o músculo temporal, deslocando o pavilhão auricular para baixo e a podendo atingir face, olhos e pálpebra. O diagnóstico é feito através da historia, exame físico e tomografia computadorizada de mastóides. O tratamento é cirúrgico e associado à antibioticoterapia.

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2

Teissier, N., and T. Van Den Abbeele. "Mastoidite acuta infantile." EMC - Otorinolaringoiatria 15, no. 1 (March 2016): 1–11. http://dx.doi.org/10.1016/s1639-870x(16)76224-6.

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3

Teissier, N., and T. Van Den Abbeele. "Mastoidite acuta del bambino." EMC - Otorinolaringoiatria 21, no. 3 (August 2022): 1–12. http://dx.doi.org/10.1016/s1639-870x(22)46872-3.

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4

Guimarães, Valeriana de Castro, Valéria Barcelos Daher, Edson Junior de Melo Fernandes, Denise Sisterolli Diniz, Elisângela Castro Guimarães, Marcela Ibanhes Moya, João Victor Bomtempo De Castro, and João Pedro Rios Siqueira. "Mortalidade por mastoidite no Brasil: Série histórica (2004-2010) / Mortality from mastoiditis in Brazil: Historic series (2004 - 2010)." Brazilian Journal of Development 7, no. 7 (July 14, 2021): 71119–29. http://dx.doi.org/10.34117/bjdv7n7-337.

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5

Maranhão, André Souza de Albuquerque, Vitor Guo Chen, Bruno Almeida Antunes Rossini, José Ricardo Gurgel Testa, and Norma de Oliveira Penido. "Mastoidite e paralisia facial como manifestações iniciais de Granulomatose de Wegener." Brazilian Journal of Otorhinolaryngology 78, no. 2 (April 2012): 80–86. http://dx.doi.org/10.1590/s1808-86942012000200013.

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6

Brito, Adriana Rocha, Marcio M. Vasconcelos, Romeu Cortes Domingues, Lívia Esteves, Maria Cecília Domingues de Olivaes, L. Celso H. Cruz Jr, and Gesmar V. Haddad Herdy. "Pseudotumor cerebral secundário a trombose venosa dural: relato de caso pediátrico." Arquivos de Neuro-Psiquiatria 63, no. 3a (September 2005): 697–700. http://dx.doi.org/10.1590/s0004-282x2005000400029.

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O pseudotumor cerebral é uma síndrome neurológica relativamente comum na adolescência. Na maioria dos casos, a etiologia é idiopática, mas pode haver complicações graves, como cegueira, relacionadas com a hipertensão intracraniana. O objetivo deste artigo é enfatizar o diagnóstico diferencial do pseudotumor cerebral, com atenção especial às etiologias tratáveis. Relatamos o caso de um adolescente de 12 anos que se apresentou com diplopia e cefaléia 9 dias após otite média e mastoidite à direita. A tomografia computadorizada do crânio foi normal, mas a ressonância magnética do encéfalo detectou trombose dos seios transverso e sigmóideo ipsilaterais, a qual respondeu à anticoagulação precoce. A conclusão é que a ressonância magnética do encéfalo é essencial nos pacientes com diagnóstico clínico de pseudotumor cerebral para exclusão de causas tratáveis, como a trombose venosa dural.

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7

Campos, Carolina Monteiro, Allan Henrique Cordeiro da Silva, Flavia Cunha Gomide Capraro, Flávia Vargas de Oliveira, Maicon Ramos Pinto, and Núbia Leilane Barth Schierling. "OTITE NECROTIZANTE COM MASTOIDITE POR ASPERGILLUS EM PACIENTE PÓS-COVID 19: UM RELATO DE CASO." Brazilian Journal of Infectious Diseases 26 (January 2022): 101931. http://dx.doi.org/10.1016/j.bjid.2021.101931.

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8

Silveira, Flavia, Gabriel Bijos Faidiga, Tassiana do Lago, Camila Carrara Yassuda, Eduardo Tanaka Massuda, Miguel Angelo Hyppolito, and Lucas Rodrigues Carenzi. "Fungal Mastoiditis in AIDS Patients: Reported Cases." Arquivos Internacionais de Otorrinolaringologia 15, no. 02 (April 2011): 245–48. http://dx.doi.org/10.1590/s1809-48722011000200019.

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Summary Introduction: Fungal mastoidits by Aspergillus fumigates predominantly occurs in immunosuppressed patients. Diagnosis is usually hard and disease is potentially fatal. Treatment is comprised of antifungal therapy, surgical debridement and immunosuppression correction. Case Report: This article reports a case of fungal mastoiditis in a patient with acquired immunodeficiency syndrome (AIDS). The treatment performed was that of surgery associated with antifungal therapy. The patient's facial nerve was not affected, what does not exclude potentially fatal complications of mastoiditis.

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9

Bittencourt, Sérgio, Ulisses J. Ribeiro, Paulo A. S. Vichi Jr., Fabrícia D. Colombano, Lys M. A. Gondim, and Elaine M. Watanabe. "Flebite de seios sigmóide e tranverso & mastoidite de Bezold: relato de caso e revisão da literatura." Revista Brasileira de Otorrinolaringologia 68, no. 5 (October 2002): 744–48. http://dx.doi.org/10.1590/s0034-72992002000500022.

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Objetivo: descrever duas complicações raras de otite média aguda tratada inadequadamente. Método: descrição de um caso de duas complicações simultâneas de otite média aguda em um menino de 12 anos e realização de revisão da literatura. Resultados: Um paciente masculino, branco, de 12 anos, veio encaminhado de outro serviço por apresentar quadro de otite há dois meses, não responsivo ao tratamento clínico, evoluindo com massa cervical à direita. O exame clínico demonstrou membrana timpânica espessada e opacificada à direita, com discreto aumento da vascularização. O estudo radiológico evidenciou processo inflamatório/infeccioso, envolvendo região mastóidea direita, com aspecto de múltiplos abscessos, estendendo-se extracranialmente para região cervical e presença de alterações sugestivas de flebite, envolvendo seios transverso e sigmóide direitos. Após ser submetido à cirurgia e antibioticoterapia endovenosa, o paciente apresentou boa evolução, com baixa morbidade. Conclusão: Apesar da baixa incidência de complicações das otites médias, devido ao avanço e uma maior abrangência no espectro da antibioticoterapia, não podemos nos abster da sua existência.

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10

Silva Filho, Clelio Mendes da, Carolina Rocha Souza, Estela dos Santos Christo, Laura Pires Ligeiro, Raphael Costa Silva, Sarah Michalsky Martins, Felipe Alves de Oliveira, Noelle Satiro de Araújo, Riquelme Romero Leal Portela, and Ana Silvia Menezes Bastos. "O manejo clínico da otite média aguda em crianças: uma revisão bibliográfica." Revista Eletrônica Acervo Saúde 15, no. 8 (August 17, 2022): e10752. http://dx.doi.org/10.25248/reas.e10752.2022.

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Objetivo: Analisar através de uma revisão narrativa sobre as condutas clínicas da Otite Média Aguda (OMA) nas crianças. Revisão bibliográfica: A infância é caracterizada por Otite Média (OM), que é definida por infecção da orelha média que acomete principalmente a fase pré-escolar. Essa patologia se sub categoriza em: OMA, Otite Média aguda recorrente, Otite Média com efusão e Otite Média Crônica (OMC). A sintomatologia da OMA é marcada por febre, irritabilidade, otorreia, anorexia e vômitos. Anatomicamente, a criança apresenta a tuba auditiva mais horizontalizado que nos adultos, o que corrobora para o desenvolvimento da OMA. A doença costuma ser precedida por infecção viral do trato respiratório superior e provoca edema da tuba auditiva. A complicação mais comum da OMA é a mastoidite aguda que favorece o acúmulo de secreção purulenta e a colonização bacteriana, que obtém melhora com antibiótico. Considerações finais: A otite média é uma doença que atinge crianças de 2-6 anos juntamente com a sintomatologia característica. O diagnóstico se assemelha entre OME e OMC que dificulta um desfecho. A resolução pode ser espontânea em sua maioria com uso de sintomáticos. O antibiótico é reservado para a prevenção de possíveis complicações.

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11

Penido, Norma de Oliveira, Ronaldo Nunes Toledo, Paula Angélica Lorenzon Silveira, Mario Sérgio Lei Munhoz, José Ricardo Gurgel Testa, and Oswaldo Laércio Mendonça Cruz. "Trombose do seio sigmóide associada à otite média crônica." Revista Brasileira de Otorrinolaringologia 73, no. 2 (April 2007): 165–70. http://dx.doi.org/10.1590/s0034-72992007000200005.

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A trombose séptica do seio sigmóide (TSSS) é uma doença rara de tratamento controverso. OBJETIVO: Relatarmos nossa experiência, ressaltando os aspectos clínicos e terapêuticos. MATERIAL E MÉTODO: Estudo retrospectivo de seis casos de TSSS tratados nos últimos 10 anos. O diagnóstico foi confirmado através de angiorressonância com acompanhamento de seis meses a seis anos. RESULTADOS: O diagnóstico da TSSS só foi suspeitado durante a análise de imagem solicitada para avaliação de outras complicações de otite média crônica. Febre, cefaléia e paralisia facial foram as principais manifestações clínicas relacionadas aos diagnósticos de mastoidite, meningite e abscesso cerebelar. Não foi possível identificar nenhum sintoma específico de trombose do seio sigmóide. Em todos os pacientes foi realizado mastoidectomia com antibioticoterapia de largo espectro sendo mantido por três meses. Em três casos foi realizada anticoagulação e nos outros três não foi indicado este tipo de terapia. Todos os pacientes evoluíram bem sem seqüelas. CONCLUSÃO: O diagnóstico de TSSS tem sido realizado inesperadamente em pacientes com otites médias crônica com outras complicações associadas. Acreditamos que esta doença esteja sendo subdiagnosticada. Apesar de grave, o prognóstico clínico tem sido bom, apenas com mastoidectomia e antibioticoterapia.

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12

Polat, Cahit. "Prevalence of sinusitis and mastoiditis in headache." Journal of Medical Updates 3, no. 3 (December 1, 2013): 146–49. http://dx.doi.org/10.2399/jmu.2013003008.

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13

Faye-Lund, H. "Acute and latent mastoiditis." Journal of Laryngology & Otology 103, no. 12 (December 1989): 1158–60. http://dx.doi.org/10.1017/s0022215100111260.

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AbstractThe diagnosis ‘acute;’ mastoiditis is not an unambiguous entity. It contains both ‘classical’ and ‘latent’ mastoiditis. ‘Classical’ mastoiditis was often seen before the antibiotic era, had serious complications and was cured by mastoidectomy. After the introduction of antibiotics, the number of cases of ‘classical’ mastoiditis decreased and was replaced by a more prolonged condition called ‘latent’ mastoiditis. Lately in Oslo, we have seen an increase in numbers of ‘classical’ mastoiditis and at the same time a decrease in the incidence of ‘latent’ mastoiditis. A four year study of patients with ‘classical’ mastoiditis is described.

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14

Maffia, Gustavo Zeferino, Bruna Rocha Soares Almeida, Willian Zeferino Maffia, Thales Advíncula Barbosa Oliveira, Henrique Bartholomeu Trad Souza, and Isabele Gomides Ribeiro. "ABSCESSO PONTINO COMO COMPLICAÇÃO DE MASTOIDITE, A IMPORTÂNCIA DO TRATAMENTO DESSE TIPO DE INFECÇÃO COMO PREVENÇÃO DE CONVULSÕES NO PACIENTE PEDIÁTRICO- RELATO DE CASO / PONTINAL ABSCESS AS A COMPLICATION OF MASTOIDITIS, THE IMPORTANCE OF TREATMENT OF THIS TYPE OF INFECTION AS A PREVENTION OF SEIZURES IN PEDIATRIC PATIENTS - CASE REPORT." Brazilian Journal of Development 7, no. 2 (2021): 13646–49. http://dx.doi.org/10.34117/bjdv7n2-128.

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15

Spremo, Slobodan, and Biljana Udovčić. "Acute Mastoiditis in Children: Susceptibility Factors and Management." Bosnian Journal of Basic Medical Sciences 7, no. 2 (May 20, 2007): 129–33. http://dx.doi.org/10.17305/bjbms.2007.3066.

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The objective was to review our experience with clinical course, diagnostic and therapeutic profile of children treated for acute mastoiditis, and to investigate for possible susceptibility factors. Study was designed as retrospective review of pediatric patients presenting with acute mastoiditis secondary to acute otitis media over the last 6 years, from 2000 to 2006. The study involved children aged from 1 to 16 years treated for acute mastoiditis and subsequent intratemporal and intracranial complications in Clinic for otorhinolaryngology, Clinic Center Banja Luka. Selected clinical parameters, mastoid coalescence and risk factors for necessity of surgical intervention were analyzed. Medical history review of a total of 13 patients with acute mastoiditis was analyzed. Acute coalescent mastoiditis occurred 11 patients (84%) while noncoalescent form of acute mastoiditis occurred in 2 cases (16%). Intracranial complication occurred in 3 patients (2 meningitis and 1 peridural intracranial abscess), while 2 patients had intratemporal complication (subperiostal abscess) associated to coalescent mastoiditis. We observed clinical profile of acute mastoiditis in regard to pathology found on the tympanic membrane, middle ear mucosa and destructions on the bony wall of the middle ear and mastoid. The main signs of progressive infection were tympanic membrane perforation, pulsatile suppurative secretion from the mucosa, and intratemporal abscess. All patients with coalescent mastoiditis required mastoidectomy, while noncoalescent mastoiditis was treated conservatively with broad-spectrum intravenous antibiotics and myringotomy. In conclusion acute mastoiditis is uncommon but serious complication of acute otitis media in children associated with significant morbidity. Coalescent mastoiditis concomitant with subperiostal abscess, intracranial complications and mastoiditis not responsive after 48 hours to intravenous antibiotics should urge clinician to timely mastoid surgery.

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16

Platzek, Ivan, Hagen H. Kitzler, Volker Gudziol, Michael Laniado, and Gabriele Hahn. "Magnetic resonance imaging in acute mastoiditis." Acta Radiologica Short Reports 3, no. 2 (February 1, 2014): 204798161452341. http://dx.doi.org/10.1177/2047981614523415.

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Background In cases of suspected mastoiditis, imaging is used to evaluate the extent of mastoid destruction and possible complications. The role of magnetic resonance imaging (MRI) in mastoiditis has not been systematically evaluated. Purpose To assess the diagnostic performance of MRI in patients with suspected acute mastoiditis. Material and Methods Twenty-three patients with suspected acute mastoiditis were included in this retrospective study (15 boys, 8 girls; mean age, 2 years 11 months). All patients were examined on a 1.5 T MRI system. The MRI examination included both enhanced and non-enhanced turbo spin echo (TSE), diffusion-weighted images, and venous time-of-flight magnetic resonance angiography (TOF MRA) for the evaluation of the venous sinuses. Surgical findings, as well as clinical and imaging follow-up were used as the standard of reference. The sensitivity and accuracy of MRI for mastoiditis and subperiosteal abscesses was calculated. Results Twenty (87%) of 23 patients had mastoiditis, and 12 (52%) of 23 patients had a subperiosteal abscess in addition to mastoiditis. Mastoiditis and subperiosteal abscesses were identified by MRI in all cases. Sensitivity for mastoiditis was 100%, specificity was 66%, and accuracy was 86%. Sensitivity for subperiosteal abscesses was 100% and accuracy was 100%. Conclusion Multiparametric MRI has high accuracy for mastoiditis and subperiosteal abscesses.

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17

Çiftçi, Ergin, Adem Karbuz, Halil Özdemir, and Erdal ince. "Akut Mastoidit." Journal of Pediatric Infection 11, no. 1 (March 30, 2017): 61. http://dx.doi.org/10.5578/ced.201705.

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18

Cohen-Kerem, R., N. Uri, H. Rennert, N. Peled, E. Greenberg, and M. Efrat. "Acute mastoiditis in children: is surgical treatment necessary?" Journal of Laryngology & Otology 113, no. 12 (December 1999): 1081–85. http://dx.doi.org/10.1017/s0022215100157949.

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AbstractAcute mastoiditis in children remains an otological problem. Although the widespread use of antibiotics has reduced the need for surgical intervention, surgery is frequently used in the treatment of acute mastoiditis and its complications. The charts of 44 patients hospitalized with signs of acute mastoiditis were reviewed. In 43.2 per cent of all patients, acute mastoiditis was the presenting sign of acute middle-ear infection. Post-auricular erythema and protrusion of the auricle were the most frequent signs at presentation. All four signs (post-auricular erythema, oedema, tenderness, and protrusion of the auricle) were present in 40.9 per cent of patients. No bacterial pathogen was isolated in 45.5 per cent of ear cultures. Complicated acute mastoiditis was diagnosed in 13.7 per cent of the patients. Eighty-seven per cent of patients responded well to intravenous antibiotics and myringotomy, and in 11.4 per cent mastoidectomy or abscess drainage were performed. We conclude that nearly all patients with uncomplicated mastoiditis recover following intravenous antibiotics and myringotomy. Mastoidectomy should be perfonned in selected cases, such as cases of complicated acute mastoiditis.

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19

Voudouris, Charalampos, Ioannis Psarommatis, Ioannis Nikas, Dimitrios Kafouris, and Konstantina Chrysouli. "Pediatric Masked Mastoiditis Associated with Multiple Intracranial Complications." Case Reports in Otolaryngology 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/897239.

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Masked mastoiditis is a distinct form of mastoiditis with little or no symptomatology, characterized by its potential to generate severe otogenic complications. Therefore, suspected masked mastoiditis should be diagnosed and treated without delay. This study reports a rare case of masked mastoiditis, manifested by multiple intracranial complications in an immunocompetent girl. The child exhibited headache and neurological symptomatology. Imaging studies revealed an epidural and a large cerebellar abscess and the patient was immediately treated with a triple antibiotic therapy. Mastoid surgery and drainage of the epidural abscess took place after the stabilization of the patient’s neurologic status, on the 3rd hospitalization day. The cerebellar abscess was treated by craniectomy and ultrasound-guided needle aspiration in the 3rd week of hospitalization. The girl was finally discharged in excellent condition. Two years later, she is still in good health, without otological or neurological sequelae. Masked mastoiditis is an insidious disease which requires increased clinical awareness and adequate imaging. Should clinical and/or radiological findings be positive, mastoidectomy must follow in order to prevent severe otogenic complications that can be triggered by masked mastoiditis.

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20

Anderson, K. J., and H. M. Adam. "Mastoiditis." Pediatrics in Review 30, no. 6 (June 1, 2009): 233–34. http://dx.doi.org/10.1542/pir.30-6-233.

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21

Bunik, M. "Mastoiditis." Pediatrics in Review 35, no. 2 (January 31, 2014): 94–95. http://dx.doi.org/10.1542/pir.35-2-94.

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Kynion, Richard. "Mastoiditis." Pediatrics in Review 39, no. 5 (May 2018): 267–69. http://dx.doi.org/10.1542/pir.2017-0128.

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23

Bunik, Maya. "Mastoiditis." Pediatrics In Review 35, no. 2 (February 1, 2014): 94–95. http://dx.doi.org/10.1542/pir.35.2.94.

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Anderson, Kari J. "Mastoiditis." Pediatrics In Review 30, no. 6 (June 1, 2009): 233–34. http://dx.doi.org/10.1542/pir.30.6.233.

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25

Liao, Yi-Ju, and Tien-Chen Liu. "Mastoiditis." New England Journal of Medicine 368, no. 21 (May 23, 2013): 2014. http://dx.doi.org/10.1056/nejmicm1205007.

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26

WANG, N. EWEN, and JOAN M. BURG. "Mastoiditis." Pediatric Emergency Care 14, no. 4 (August 1998): 290–92. http://dx.doi.org/10.1097/00006565-199808000-00014.

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27

Clamp, P. J., and A. H. Jardine. "Mastoiditis secondary to metastatic lung carcinoma: case report and literature review." Journal of Laryngology & Otology 125, no. 11 (August 22, 2011): 1173–75. http://dx.doi.org/10.1017/s0022215111001666.

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AbstractObjective:We present a case report and systematic review of acute mastoiditis caused by metastatic lung cancer.Case report:A 62-year-old woman developed acute mastoiditis as a complication of otitis media. Cortical mastoidectomy revealed deposits of metastatic non-small cell lung carcinoma around the sigmoid sinus. The patient had previously received treatment for lung cancer, but was thought to be in remission.Discussion:A literature review confirmed that this is the first reported case of mastoiditis caused by metastatic lung cancer. Only four similar case reports were identified: two caused by breast carcinoma, one by renal cell carcinoma and one by cholangiocarcinoma. Post-mortem histopathological studies suggest that temporal bone metastasis occurs in 22 per cent of oncology cases.Conclusion:This is the first reported case of mastoiditis caused by metastatic lung cancer. Metastasis to the temporal bone is not uncommon, but rarely causes mastoiditis.

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Loh, R., M. Phua, and C.-K. L. Shaw. "Management of paediatric acute mastoiditis: systematic review." Journal of Laryngology & Otology 132, no. 2 (September 7, 2017): 96–104. http://dx.doi.org/10.1017/s0022215117001840.

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AbstractBackground:Acute mastoiditis remains the commonest intratemporal complication of otitis media in the paediatric population. There has been a lack of consensus regarding the diagnosis and management of acute mastoiditis, resulting in considerable disparity in conservative and surgical management.Objectives:To review the current literature, proposing recommendations for the management of paediatric acute mastoiditis and appraising the treatment outcomes.Method:A systematic review was conducted using PubMed, Web of Science and Cochrane Library databases.Results:Twenty-one studies were included, with a total of 564 patients. Cure rates of medical treatment, conservative surgery and mastoidectomy were 95.9 per cent, 96.3 per cent and 89.1 per cent, respectively.Conclusion:Mastoidectomy may be the most definitive treatment available; however, reviewed data suggest that conservative treatment alone has high efficacy as first-line treatment in uncomplicated cases of acute mastoiditis, and conservative therapy may be an appropriate first-line management when treating acute mastoiditis.

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Mather, M. W., P. D. Yates, J. Powell, and I. Zammit-Maempel. "Radiology of acute mastoiditis and its complications: a pictorial review and interpretation checklist." Journal of Laryngology & Otology 133, no. 10 (September 2, 2019): 856–61. http://dx.doi.org/10.1017/s0022215119001609.

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AbstractBackgroundMastoiditis is an otological emergency, and cross-sectional imaging has a role in the diagnosis of complications and surgical planning. Advances in imaging technology are becoming increasingly sophisticated and, by the same token, the ability to accurately interpret findings is essential.MethodsThis paper reviews common and rare complications of mastoiditis using case-led examples. A radiologist-derived systematic checklist is proposed, to assist the ENT surgeon with interpreting cross-sectional imaging in emergency mastoiditis cases when the opinion of a head and neck radiologist may be difficult to obtain.ResultsA 16-point checklist (the ‘mastoid 16’) was used on a case-led basis to review the radiological features of both common and rare complications of mastoiditis; this is complemented with imaging examples.ConclusionAcute mastoiditis has a range of serious complications that may be amenable to treatment, once diagnosed using appropriate imaging. The proposed checklist provides a systematic approach to identifying complications of mastoiditis.

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Parpounas, K., K. Bouka, J. Athanasopoulos, M. Lamprou, G. Helmis, and I. M. Vlastos. "Acute Mastoiditis in a Newborn with Aural Atresia." Case Reports in Otolaryngology 2012 (2012): 1–3. http://dx.doi.org/10.1155/2012/459293.

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Acute mastoiditis in the newborn is a very rare disease. Herein we report a case of a 28-day-old child with right aural atresia and ipsilateral mastoiditis requiring mastoidectomy. To our knowledge, this is the youngest case reported in the literature. Issues on diagnosis and management of mastoiditis in cases of aural atresia are further discussed. Based on our experience and on previous reported cases we conclude that mastoiditis is difficult to diagnose in a child with aural atresia. Moreover, mastoidectomy may be necessary, although identification of the facial nerve and consequent treatment of the atresia are usually too difficult to perform simultaneously.

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Mustafa, Aziz, Burhan Toçi, Hajdin Thaçi, Bujar Gjikolli, and Nehat Baftiu. "Acute Mastoiditis Complicated with Concomitant Bezold’s Abscess and Lateral Sinus Thrombosis." Case Reports in Otolaryngology 2018 (2018): 1–4. http://dx.doi.org/10.1155/2018/8702532.

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Bezold’s abscess is a very rare extracranial complication of acute mastoiditis. Lateral sinus thrombosis is another intracranial complication of acute mastoiditis that can occur, but there are only few reports of concomitant ispilateral Bezold’s abscess and lateral sinus thrombosis with favorable outcome. We diagnosed and treated successfully a 14-year-old girl suffering from Streptococcus pneumoniae acute mastoiditis complicated with Bezold’s abscess and lateral sinus thrombosis. Surgical treatment included myringotomy, cortical mastoidectomy, and Bezold’s abscess incision and drainage. During the course of treatment, we concluded that lateral sinus thrombosis was not caused from mastoiditis by direct spread but from pressure on internal jugular vein caused from Bezold’s abscess.

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Vlaski, Ljiljana, Branislava Sovic, Slobodanka Lemajic-Komazec, Dragan Dankuc, Zoran Komazec, and Vladimir Kljajic. "Mastoiditis in children: A retrospective analysis of clinical characteristics." Medical review 67, suppl. 1 (2014): 20–24. http://dx.doi.org/10.2298/mpns14s1020v.

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Introduction. Acute mastoiditis is the most common otogenic complication among infants and young children and is always considered a serious complication. In addition to determining the age at which mastoiditis usually occurred in children, the time of onset of clinical signs in relation to the onset of symptoms of middle ear inflammation, as well as the most common clinical signs of mastoiditis, the study has been aimed at finding out whether mastoiditis is of seasonal character. Material and Methods. A retrospective study of children surgically treated for mastoiditis was conducted at the Department of Ear, Nose and Throat Disease of the Clinical Center of Vojvodina in Novi Sad in the period January 1, 2002 - December 31, 2011. The sample included 56 children (30 boys - 53.57%, and 26 girls - 46.42%), up to 17 years of age. The obtained results were statistically analyzed and presented using Microfsot EXCEL for statistical analysis. Results. Mastoiditis is most common in children up to 2 years of age, 39/56 (69.82%). It has a seasonal character, with the peak season in the autumn-winter period, with a statistically significant difference compared to the spring-summer period (p = 0.0449, i.e. p<0.05). In 25 children (44.64%), the middle ear symptoms lasted up to three weeks before operation. Otomicroscopic findings showed that the tympanic membrane was thickened and stiff in 41 children (73.21%) and 9 children (16.07%) presented with thickened tympanic membrane and lowering of the posterior wall of the external auditory canal. Conclusion. Mastoiditis in children is most common among children up to 24 months of age. It has a seasonal tendency. In nearly half of the cases, clinical manifestations of mastoiditis appear 3 weeks after the onset of the first symptoms of middle ear inflammation, whereas the key otomicroscopic finding is stiffness and thickening of the tympanic membrane.

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Kuznetsova, T. B., N. E. Kuznetsova, M. N. Ponomareva, and I. M. Veshkurtseva. "A clinical characteristics of acute medium otitis and mastoiditis in children." Medical Science And Education Of Ural 21, no. 4 (December 30, 2020): 65–68. http://dx.doi.org/10.36361/1814-8999-2020-21-4-65-68.

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Objectves. To study the prevalence of acuta otitis media and mastoiditis in children according to data from the pediatric otolaryngology department of state budgetary health care institution “Regional Clinical Hospital No 2”. Tyumen city. Materials and methods. A retrospective analysis of the case histories of children who were hospitalized in the period from 2009 to 2017, the prevalence of various forms of otitis media and mastoiditis was studied. Results and discussion. The article analyzes the prevalence of clinical forms of otitis and mastoiditis in children. The number of children with otitis was 33% (4984 /15,087), of wich 68% with nonperforated form, 32% with perforated form, 6% complicated forms. Boys are more often sick, the younger and preschool age groups of children is the main risk group (85%) for the development of otitis media and mastoiditis. Conclusions. The high prevalence of otitis media and mastoiditis, their steady growth testifies to the urgency of the problem in pediatric practice.

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Daniel, M., S. Gautam, T. A. Scrivener, C. Meller, B. Levin, and J. Curotta. "What effect has pneumococcal vaccination had on acute mastoiditis?" Journal of Laryngology & Otology 127, S1 (November 28, 2012): S30—S34. http://dx.doi.org/10.1017/s0022215112002654.

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AbstractBackground:Streptococcus pneumoniae is a frequent cause of acute mastoiditis. Despite the recent (2005) introduction of pneumococcal vaccination, mastoiditis incidence and severity may be increasing. This study aimed to assess the incidence, severity and microbiology of acute mastoiditis over an 11-year period.Methods:Retrospective review of paediatric acute mastoiditis cases seen at our institution (2000–2010), comparing patients seen prior to vaccination introduction (period one, 2000–2004), around the time of vaccine introduction (period two, 2005–2007) and post-vaccination (period three, 2008–2010).Results:We reviewed 84 children. In periods one, two and three, respectively: mean annual case load was 8.4, 5 and 9 children; pneumococcal isolates were seen in 40.5, 6.7 and 29.6 per cent of cases; highest recorded fever was 38.6, 38.9 and 38.2°C and highest leukocyte count 18.9, 15.0 and 15.6 × 109/l; incidence of intracranial complications was 11.9, 0 and 7.4 per cent; mean duration of intravenous antibiotics was 6.0, 4.1 and 4.2 days; proportion treated surgically was 71.4, 60.0 and 48.1 per cent; and mean length of in-patient stay shortened.Conclusion:Pneumococcal mastoiditis admission rates appeared to fall when vaccination was introduced, with concomitant reduction in overall mastoiditis incidence and intracranial complications; subsequently, however, admission rates rapidly returned to pre-vaccination levels.

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L, Ranasinghe. "A Rare Case of Mastoiditis in an Adult Patient." Archives of Medical Case Reports and Case Study 5, no. 5 (June 6, 2022): 01–03. http://dx.doi.org/10.31579/2692-9392/119.

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Mastoiditis is more commonly seen and easily recognized in children. However, adults are more likely to present with complications requiring emergency medical treatment. One of the challenges in the management of mastoiditis is recognizing symptoms and beginning treatment with antibiotics early to prevent progression of disease and potential surgical management. This case report details an unusual case of a 41-year-old woman whose indolent symptoms went unrecognized for three weeks before presenting to the emergency department with unilateral ear pain and hearing loss. Imaging revealed coalescing mastoiditis with erosion of the medial cortex into the jugular foramen and enhancement suggestive of meningitis. This report can assist practitioners in recognizing and managing mastoiditis and its associated complications in the emergency setting.

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Ongkasuwan, Julina, Tulio A. Valdez, Kristina Hulten, Edward O. Mason, and Sheldon L. Kaplan. "R451 – Pediatric Pneumococcal Mastoiditis and Serotype 19A: Update." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (August 2008): P195—P196. http://dx.doi.org/10.1016/j.otohns.2008.05.608.

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Problem Streptococcus pneumoniae is the primary cause of pediatric mastoiditis. Since the 7-valent pneumococcal conjugate vaccine (PCV7) in 2000, the serotypes causing invasive infections have shifted. We are following the impact of PCV7 on pneumococcal mastoiditis at Texas Children's Hospital (TCH). Previously, a non-vaccine serotype, 19A and specifically a multidrug resistant clonotype, CC271, was identified as the predominant cause of mastoiditis during the 2006–07 academic year. Methods The medical records of children with pneumococcal mastoiditis between July 2007 and February 2008 (prospective through June 2008) were reviewed. Isolates were serotyped by the capsular swelling method and compared to previously collected data since January 1995. Results Six mastoiditis cases have been identified thus far in 2007–08; 19A has been the only isolated serotype. This is comparable to the number of cases identified at this point last year. Of the 15 total isolates in 2006–07, all but 2 were attributable to 19A. For comparison, prior to PCV7, the number of mastoiditis cases per year ranged from 0–3, none of which were 19A. This new data appears to continue a disturbing upward trend. Masoitiditis caused by 19A isolates was more likely to present with subperiosteal abscess (p=0.000002) and need mastoidectomy (p=0.007). The 2007–08 isolates differ from the 2006–07 group in drug resistance patterns. In the 2006–07 group 66% were non-susceptible to all antibiotics tested routinely; whereas 50% of the 2007–08 group were non-susceptible to those same antibiotics (p= 0.41). While not statistically significant, this does suggest a different clonal complex at work this season. Conclusion The data for this year confirms the trend identified in 2006–07: 19A is now the predominant serotype in mastoiditis at TCH. Significance The PCV7 vaccine has placed unexpected selective pressures on S.pneumoniae. Depending on the circulating clones, mastoiditis today may be more complicated to treat due to multi-drug resistance. Support Funding: supported, in part, by a Grant from Wyeth.

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Couloigner, V., S. Pierrot, and Y. Manach. "Mastoiditi acute del bambino." EMC - Otorinolaringoiatria 8, no. 1 (January 2009): 1–10. http://dx.doi.org/10.1016/s1639-870x(09)70162-x.

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Kontorinis, G., I. Psarommatis, C. Karabinos, Z. Iliodromiti, and M. Tsakanikos. "Incidence of non-infectious ‘acute mastoiditis’ in children." Journal of Laryngology & Otology 126, no. 3 (October 28, 2011): 244–48. http://dx.doi.org/10.1017/s0022215111002921.

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AbstractObjective:The temporal bone may be the first involved site in cases of systemic disease, and may even present with acute, mastoiditis-like symptomatology. This study aimed to evaluate the incidence of such non-infectious ‘acute mastoiditis’ in children.Materials and methods:Retrospective chart review of 73 children admitted to a tertiary referral centre for acute mastoiditis.Results:In 71 cases (97.3 per cent), an infectious basis was identified. In the majority of cases (33 of 73; 45 per cent), the responsible bacteria was Streptococcus pneumoniae. However, histopathological studies revealed a non-infectious underlying disease (myelocytic leukaemia or Langerhans' cell histiocytosis) in two atypical cases (2.7 per cent).Conclusion:‘Acute mastoiditis’ of non-infectious aetiology is a rare but real threat for children, and a challenging diagnosis for otologists. A non-infectious basis should be suspected in every atypical, persistent or recurrent case of acute mastoiditis.

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Agrawal, Arti, Hitendra Prakash Singh, and Dharmendra Kumar. "Otogenic Anterior Chest Wall Abscess: A Rare and Unique Presentation of Bezold's Abscess." An International Journal of Otorhinolaryngology Clinics 3, no. 2 (2011): 90–92. http://dx.doi.org/10.5005/jp-journals-10003-1061.

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ABSTRACT In the era of antibiotics, deep neck abscess is a rare complication of acute mastoiditis. Bezold's abscess, the most common cause of the otogenic deep neck abscess in preantibiotic era, is a rare complication of mastoiditis nowadays and it should be considered in the differential diagnosis of neck abscesses as well as unexplained intracranial/extracranial or upper thoracic abscesses. We report a case of 20-year old female with an abscess over anterior chest wall as a sequele of bezold's abscess which was a complication of cholesteatoma with mastoiditis.

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Harley, Earl H., Theo Sdralis, and Robert G. Berkowitz. "Acute Mastoiditis in Children: A 12-Year Retrospective Study." Otolaryngology–Head and Neck Surgery 116, no. 1 (January 1997): 26–30. http://dx.doi.org/10.1016/s0194-59989770347-4.

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We undertook a retrospective study to examine our experience with acute mastoiditis over a 12-year period. Fifty-eight cases were identified in children aged 3 months to 15 years. Acute mastoiditis was the first evidence of otitis media in 54% of our patients. Pain and fever lasting for more than a median period of 4 days were most likely to be the harbingers of incipient acute mastoiditis. Streptococcus pneumoniae was the most common organism recovered from the cultures. All children were treated with intravenous antibiotics; 41 children were managed with an adjunctive drainage procedure. No statistically significant differences were observed between the cure rates and failure rates for children treated surgically with myringotomies with or without tubes and children managed more aggressively with mastoidectomies. One infant had bacterial meningitis. Cholesteatoma was diagnosed in two children. We conclude from our study that acute mastoiditis occurs mainly in young children and may be the first evidence of ear disease. Pain and fever that persist despite appropriate treatment for acute otitis media are the two most important symptoms. Intravenous antibiotics combined with myringotomy with or without tube insertion are as appropriate as intravenous antibiotics with mastoidectomy for initial management of acute mastoiditis in the absence of a subperiosteal abscess or central nervous system extension.

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Joshi, A. R., M. A. Lawande, S. I. Shaikh, and S. S. Nalavde. "Tuberculous mastoiditis." Indian Journal of Otolaryngology and Head and Neck Surgery 54, no. 4 (October 2002): 299–300. http://dx.doi.org/10.1007/bf02993748.

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Samuel, Julian, and C. M. C. Fernandes. "Tuberculous Mastoiditis." Annals of Otology, Rhinology & Laryngology 95, no. 3 (May 1986): 264–66. http://dx.doi.org/10.1177/000348948609500310.

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Twenty-three cases of tuberculous mastoiditis are presented, nine of which were complicated by facial palsy. Six presented with acute mastoiditis, and two had meningitis. Surgery was required in 16 patients; in four cases the diagnosis was made by culture and in another four by biopsy of the granulations or polyp of the external canal. The response to antituberculous treatment was satisfactory in 22 cases. One patient, whose case was complicated by meningitis, died.

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Fullmer, Tanner, and Alex D. Sweeney. "Coalescent mastoiditis." Operative Techniques in Otolaryngology-Head and Neck Surgery 28, no. 4 (December 2017): 270–76. http://dx.doi.org/10.1016/j.otot.2017.08.013.

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Olivar Gallardo, A., and C. Cintado Bueno. "Mastoiditis aguda." Anales de Pediatría 60, no. 6 (2004): 598–99. http://dx.doi.org/10.1016/s1695-4033(04)78338-1.

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de Pinho Marques Araújo, Patrícia, Janini Oliveira Matos, Felipe Barbosa Madeira, Anderson de S. Araujo, Andréia Migueres Arruda, and Shiro Tomita. "Squamozygomatic mastoiditis." Brazilian Journal of Otorhinolaryngology 74, no. 4 (July 2008): 617–20. http://dx.doi.org/10.1016/s1808-8694(15)30613-3.

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Rubin, John S., William I. Wei, and Baltimore. "ACUTE MASTOIDITIS." Laryngoscope 95, no. 8 (August 1985): 963???965. http://dx.doi.org/10.1288/00005537-198508000-00015.

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Buchanan, G., and E. H. Rainer. "Tuberculous mastoiditis." Journal of Laryngology & Otology 102, no. 5 (May 1988): 440–46. http://dx.doi.org/10.1017/s0022215100105298.

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Hall, Patrick J., and Jay B. Farrior. "Aspergillus Mastoiditis." Otolaryngology–Head and Neck Surgery 108, no. 2 (February 1993): 167–70. http://dx.doi.org/10.1177/019459989310800210.

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Ogle, John W. "Acute Mastoiditis." American Journal of Diseases of Children 140, no. 11 (November 1, 1986): 1178. http://dx.doi.org/10.1001/archpedi.1986.02140250104043.

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Krejovic-Trivic, S., Dragoslava Djeric, and Aleksandar Trivic. "Mastoiditis in adults: Diagnostic and therapeutic aspects." Acta chirurgica Iugoslavica 51, no. 1 (2004): 109–12. http://dx.doi.org/10.2298/aci0401109k.

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The purpose of the present study is to report our experience in the diagnosis and treatment of mastoiditis in adults. Five patients with an active chronic otitis and mastoiditis were presented. All of them had a history of chronic ear discharge for long period of time and have been diagnosed and treated sufficiently. All relevant data were analyzed from the medical records. The most common symptoms of the disease were otalgia, otorrhea and hearing loss, but the physical signs of mastoiditis (swelling, erithema and tenderness of the retroauricular region) were presented in all cases. Localization and enlargement of the pathological process within the middle ear spaces was determined by CT. All patients were treated surgically and with intravenous antibiotics. In one patient the other treatment was applied due to a specific (TBC) process in the ear. Early diagnosis and adequate treatment (surgeiy combined with an effective antibiotics therapy) is most important to prevent a serious complications of mastoiditis (extracranial and/or intracranial).

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