Acute mastoiditis in children: contemporary opportunities and challenges.
Abducens Nerve Diseases
/ etiology
Acute Disease
Adolescent
Brain Abscess
/ etiology
Child
Child, Preschool
England
Female
Humans
Infant
Length of Stay
/ statistics & numerical data
Magnetic Resonance Imaging
Male
Mastoidectomy
/ statistics & numerical data
Mastoiditis
/ complications
Otitis Media
/ etiology
Postoperative Complications
/ etiology
Retrospective Studies
Sinus Thrombosis, Intracranial
/ etiology
Tomography, X-Ray Computed
Anti-Bacterial Agents
Mastoidectomy
Mastoiditis
Radiology
Suppuration
Journal
The Journal of laryngology and otology
ISSN: 1748-5460
Titre abrégé: J Laryngol Otol
Pays: England
ID NLM: 8706896
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
pubmed:
29
5
2020
medline:
7
7
2020
entrez:
29
5
2020
Statut:
ppublish
Résumé
Mastoiditis is the most common intra-temporal complication of acute otitis media. Despite potentially lethal sequelae, optimal management remains poorly defined. A retrospective case review was conducted of children diagnosed with mastoiditis at a tertiary referral centre, in North East England, between 2010 and 2017. Fifty-one cases were identified, 49 without cholesteatoma. Median patient age was 42 months (2 months to 18 years) and median hospital stay was 4 days (range, 0-27 days). There was no incidence trend over time. Imaging was conducted in 15 out of 49 cases. Surgery was performed in 29 out of 49 cases, most commonly mastoidectomy with (9 out of 29) or without (9 out of 29) grommets. Complications included sigmoid sinus thrombosis (3 out of 49) and extradural abscess (2 out of 51), amongst others; no fatalities occurred. A detailed contemporary description of paediatric mastoiditis presentation and management is presented. The findings broadly mirror those published by other UK centres, but suggest a higher rate of identified disease complications and surgical interventions.
Sections du résumé
BACKGROUND
BACKGROUND
Mastoiditis is the most common intra-temporal complication of acute otitis media. Despite potentially lethal sequelae, optimal management remains poorly defined.
METHOD
METHODS
A retrospective case review was conducted of children diagnosed with mastoiditis at a tertiary referral centre, in North East England, between 2010 and 2017.
RESULTS
RESULTS
Fifty-one cases were identified, 49 without cholesteatoma. Median patient age was 42 months (2 months to 18 years) and median hospital stay was 4 days (range, 0-27 days). There was no incidence trend over time. Imaging was conducted in 15 out of 49 cases. Surgery was performed in 29 out of 49 cases, most commonly mastoidectomy with (9 out of 29) or without (9 out of 29) grommets. Complications included sigmoid sinus thrombosis (3 out of 49) and extradural abscess (2 out of 51), amongst others; no fatalities occurred.
CONCLUSION
CONCLUSIONS
A detailed contemporary description of paediatric mastoiditis presentation and management is presented. The findings broadly mirror those published by other UK centres, but suggest a higher rate of identified disease complications and surgical interventions.
Identifiants
pubmed: 32463007
doi: 10.1017/S0022215120000833
pii: S0022215120000833
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM