Acute Mastoiditis Cases Mandating Simple Mastoidectomy.

Chung,  Hyunchung; Song,  Jae Jin; Choi,  Byung Yoon

Case Report

Auditory and vestibular disorders

Korean Journal of Audiology 2011;15(1):44-47.

Acute Mastoiditis Cases Mandating Simple Mastoidectomy.

Hyunchung Chung, Jae Jin Song, Byung Yoon Choi

¹Department of Otorhinolaryngology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
²Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. choiby@snubh.org

Abstract

Acute mastoiditis continues to be a potentially dangerous infection in the antibiotic era. Despite use of antibiotics to treat suppurative acute otitis media in children, the incidence of subsequent development of acute mastoiditis and its complications, including periauricular subperiosteal abscess, facial paralysis, meningitis, and brain abscess has not plunged down below a certain level. Mastoidectomy has been the routine procedure for treating acute mastoiditis with subperiosteal abscess but recently many authors suggest that subperiosteal abscess complicating acute coalescent mastoiditis can be successfully treated by broad-spectrum antibiotics, myringotomy, and minor surgical procedures such as incision and drainage, not necessarily requiring simple mastoidectomy. Contrary to the recent trend shift from a surgical disease to a medical disease, we report two consecutive acute mastoiditis cases definitely mandating simple mastoidectomy to emphasize the role of surgical intervention even in the recent trend shift from a surgical to a medical disease.

Keywords: Acute mastoiditis;Acute coalescent mastoiditis;Acute otitis media;Simple mastoidectomy

REFERENCES

Ho D, Rotenberg BW, Berkowitz RG. The relationship between acute mastoiditis and antibiotic use for acute otitis media in children. Arch Otolaryngol Head Neck Surg 2008;134:45-8.
Palva T, Virtanen H, Mäkinen J. Acute and latent mastoiditis in children. J Laryngol Otol 1985;99:127-36.
Spratley J, Silveira H, Alvarez I, Pais-Clemente M. Acute mastoiditis in children: review of the current status. Int J Pediatr Otorhinolaryngol 2000;56:33-40.
Tarantino V, D'Agostino R, Taborelli G, Melagrana A, Porcu A, Stura M. Acute mastoiditis: a 10 year retrospective study. Int J Pediatr Otorhinolaryngol 2002;66:143-8.
Zapalac JS, Billings KR, Schwade ND, Roland PS. Suppurative complications of acute otitis media in the era of antibiotic resistance. Arch Otolaryngol Head Neck Surg 2002;128:660-3.
Luntz M, Brodsky A, Nusem S, Kronenberg J, Keren G, Migirov L, et al. Acute mastoiditis--the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol 2001;57:1-9.
Lahav J, Handzel O, Gertler R, Yehuda M, Halperin D. Postauricular needle aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol 2005;114:323-7.
Tamir S, Shwartz Y, Peleg U, Shaul C, Perez R, Sichel JY. Shifting trends: mastoiditis from a surgical to a medical disease. Am J Otolaryngol 2010;31:467-71.
Taylor MF, Berkowitz RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:69-72.
Gliklich RE, Eavey RD, Iannuzzi RA, Camacho AE. A contemporary analysis of acute mastoiditis. Arch Otolaryngol Head Neck Surg 1996;122:135-9.
Chun SH, Lee DW, Choi DR. Two Cases of Acute Coalescent Mastoiditis Complicated by Subperiosteal Abscess. Korean J Otolaryngol-Head Neck Surg 1998;41:653-6.
Taylor MF, Berkowitz RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:69-72.
Kvestad E, Kvaerner KJ, Mair IW. Acute mastoiditis: predictors for surgery. Int J Pediatr Otorhinolaryngol 2000;52:149-55.
Zanetti D, Nassif N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006;70:1175-82.