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Acute Otomastoiditisin Children: Clinical Presentations and Management

Received: 3 December 2017     Accepted: 25 December 2017     Published: 19 January 2018
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Abstract

Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral facial nerve palsy, Bezold’s abscess, meningitis, subperiosteal abscess and brain abscess. Management of AC remains controversial raging from conservative treatment in the form of IV antibiotics to more aggressive interventions such as mastoidectomy. This retrospective study represents our experience in the management of AC in the pediatric population. Our purpose was to review and discuss clinical presentations and main treatment modalities of AM.

Published in International Journal of Otorhinolaryngology (Volume 4, Issue 1)
DOI 10.11648/j.ijo.20180401.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Acute Mastoiditis, Otitis Media, Antibiotic Therapy, Mastoidectomy

References
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[2] Urwald O, Metrol J-C, Legros M. Les mastoïdites aigues de l’enfant: A propos de 38 cas. Ann Otolaryngol Chir Cervicofac 2002; 119: 264-270.
[3] Ana I, Eguía N, Conejo-Moreno D, De-La-Mata-Franco G, Clemente-Garcíaa A. Acute mastoiditis in the pneumococcal vaccine era. Acta Otorrinolaringol Esp 2011; 62: 45.
[4] Psarommatis IM, Voudouris C, Douros K, Giannakopoulos P, Bairamis T, Carabinos C. Algorithmic management of pediatric acute mastoiditis. Int. J. Pediatr. Otorhinolaryngol 2012; 76; 791-796.
[5] Leskinen K. Complications of acute otitis media in children. Curr Allergy Asthma Rep 2005; 5: 308.
[6] Groth A, Enoksson F, Hultcrantz M, Stalfors J, Stenfeldt K, Hermansson A. Acute mastoiditis in children aged 0–16 years: A national study of 678 cases in Sweden comparing different age groups. International Journal of Pediatric Otorhinolaryngology 2012; 76: 1494-1500.
[7] Tamir S, Shwartz Y, Peleg U, Shaul C, Perez R, Sichel J-Y. Shifting trends: mastoiditis from a surgical to a medical disease American. Journal of Otolaryngology–Head and Neck Medicine and Surgery 2010; 31: 467-471.
[8] Roddy MG, Glazier SS, AgrawalD. Pediatricmastoiditis in the pneumococcal conjugate vaccine era: symptom duration guides empiric antimicrobial therapy. Pediatr Emerg Care 2007; 23: 779-784.
[9] Hentgen V, Lorrot M, Haas H, Haas H, Cohen R. Antibiothérapie des infections ORL sévères du nourrisson et de l’enfant: mastoïdites aiguës. Arch pediatr 2013; 20: e14-9.
[10] Sharland M. Acute Mastoiditis. Manual of childhood infections-the Blue Book. Oxford University Press. The Royal College of Paediatrics and Child Health 2011; p. 240.
[11] Grimprel E, Hentgen V, Lorrot M, Haas H, Cohen R. Antibiothérapie des infections ORL sévères du nourrisson et de l’enfant: propositions thérapeutiques du Groupe de pathologie infectieuse pédiatrique (GPIP) de la Société française de pédiatrie. Arch Pediatr. 2013; 20: e14-9.
[12] Anderson KJ. Mastoiditis. Pediatr Rev 2009; 30: 233-4.
[13] Wald ER. Acutemastoiditis in children: Treatement and prevention. In: Up to date, Post, TW (Ed), Up To Date, MA, 2013.
[14] Zanetti D, Nassif N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006; 70: 1175-82.
[15] Viswanatha B, Naseeruddin MSK. Lateral Sinus Thrombosis in Otology: a Review. Medit J Hemat Infect Dis. 2010; 2 (3): e2010027.
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[17] Attlmayr B, Zaman S, Scott J, Derbyshire SG, Clarke RW, De S. Paediatric acute mastoiditis, then and now: is it more of a problem now? The Journal of laryngology and otology. 2015; 129 (10): 955-9.
[18] Tawfik KO, Ishman SL. Pediatric acute mastoiditis in the era of pneumococcal vaccination. 2017.
Cite This Article
  • APA Style

    Rim Bechraoui, Mohamed Dhaha, Sana Mahfoudhi, Azza Mediouni, Jihen Marrakchi, et al. (2018). Acute Otomastoiditisin Children: Clinical Presentations and Management. International Journal of Otorhinolaryngology, 4(1), 1-5. https://doi.org/10.11648/j.ijo.20180401.11

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    ACS Style

    Rim Bechraoui; Mohamed Dhaha; Sana Mahfoudhi; Azza Mediouni; Jihen Marrakchi, et al. Acute Otomastoiditisin Children: Clinical Presentations and Management. Int. J. Otorhinolaryngol. 2018, 4(1), 1-5. doi: 10.11648/j.ijo.20180401.11

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    AMA Style

    Rim Bechraoui, Mohamed Dhaha, Sana Mahfoudhi, Azza Mediouni, Jihen Marrakchi, et al. Acute Otomastoiditisin Children: Clinical Presentations and Management. Int J Otorhinolaryngol. 2018;4(1):1-5. doi: 10.11648/j.ijo.20180401.11

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  • @article{10.11648/j.ijo.20180401.11,
      author = {Rim Bechraoui and Mohamed Dhaha and Sana Mahfoudhi and Azza Mediouni and Jihen Marrakchi and Houda Chahed and Mohamed BenAmor and Najeh Beltaief and Rim Zainine and Ghazi Besbes},
      title = {Acute Otomastoiditisin Children: Clinical Presentations and Management},
      journal = {International Journal of Otorhinolaryngology},
      volume = {4},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ijo.20180401.11},
      url = {https://doi.org/10.11648/j.ijo.20180401.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20180401.11},
      abstract = {Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral facial nerve palsy, Bezold’s abscess, meningitis, subperiosteal abscess and brain abscess. Management of AC remains controversial raging from conservative treatment in the form of IV antibiotics to more aggressive interventions such as mastoidectomy. This retrospective study represents our experience in the management of AC in the pediatric population. Our purpose was to review and discuss clinical presentations and main treatment modalities of AM.},
     year = {2018}
    }
    

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    AU  - Houda Chahed
    AU  - Mohamed BenAmor
    AU  - Najeh Beltaief
    AU  - Rim Zainine
    AU  - Ghazi Besbes
    Y1  - 2018/01/19
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    N1  - https://doi.org/10.11648/j.ijo.20180401.11
    DO  - 10.11648/j.ijo.20180401.11
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
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    AB  - Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral facial nerve palsy, Bezold’s abscess, meningitis, subperiosteal abscess and brain abscess. Management of AC remains controversial raging from conservative treatment in the form of IV antibiotics to more aggressive interventions such as mastoidectomy. This retrospective study represents our experience in the management of AC in the pediatric population. Our purpose was to review and discuss clinical presentations and main treatment modalities of AM.
    VL  - 4
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Author Information
  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

  • Department of ENT and Maxillo-Facial Surgery Rabta Hospital, Tunis, Tunisia

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