TY - JOUR
T1 - Acute Mastoiditis
T2 - A Review of 69 Cases
AU - Rosen, Arie
AU - Ophir, Dov
AU - Marshak, Gabriel
PY - 1986/5
Y1 - 1986/5
N2 - Sixty-nine cases of acute mastoiditis were managed at the Kaplan Hospital in Israel during a 10–year period. About two thirds (68%) recovered with conservative therapy consisting of wide myringotomy and intravenous antimicrobial therapy, usually ampicillin and cloxacillin. One third (22 patients) were managed surgically by complete mastoidectomy. Indications for surgery were subperiosteal abscess, based on clinical findings in 20 patients; one had septic fever that did not respond to antimicrobial therapy, and one had signs of meningeal irritation. Mastoid radiographs played no role in the decision to operate. Four cases of unsuspected epidural abscess were found, two behind intact tegmental bone. Acute mastoiditis develops mostly in ears that have not been immune to previous infections; thus the mucosal barrier is broken easily and osteitis occurs. Although with the advent of antimicrobial therapy the presentation and course of the disease are milder, the disease is still serious and potentially lethal.
AB - Sixty-nine cases of acute mastoiditis were managed at the Kaplan Hospital in Israel during a 10–year period. About two thirds (68%) recovered with conservative therapy consisting of wide myringotomy and intravenous antimicrobial therapy, usually ampicillin and cloxacillin. One third (22 patients) were managed surgically by complete mastoidectomy. Indications for surgery were subperiosteal abscess, based on clinical findings in 20 patients; one had septic fever that did not respond to antimicrobial therapy, and one had signs of meningeal irritation. Mastoid radiographs played no role in the decision to operate. Four cases of unsuspected epidural abscess were found, two behind intact tegmental bone. Acute mastoiditis develops mostly in ears that have not been immune to previous infections; thus the mucosal barrier is broken easily and osteitis occurs. Although with the advent of antimicrobial therapy the presentation and course of the disease are milder, the disease is still serious and potentially lethal.
KW - mastoidectomy
KW - mastoiditis
KW - subperiosteal abscess
UR - http://www.scopus.com/inward/record.url?scp=0022647776&partnerID=8YFLogxK
U2 - 10.1177/000348948609500302
DO - 10.1177/000348948609500302
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C2 - 3717845
AN - SCOPUS:0022647776
SN - 0003-4894
VL - 95
SP - 222
EP - 224
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 3
ER -