Mastoid Abscess in Acute and Chronic Otitis Media
- Author:
Mazita Ami
;
Zahirrudin Zakaria
;
Goh Bee See
;
Asma Abdullah
;
Lokman Saim
- Publication Type:Journal Article
- Keywords:
abscess, cholesteatoma, complications, immunocompromised patient, mastoiditis, otitis media, otolyngology;
head neck
- From:Malaysian Journal of Medical Sciences
2010;17(4):44-50
- CountryMalaysia
- Language:English
-
Abstract:
Background: Mastoid abscess remains a recognised complication of otitis media despite
the advent of antibiotics. The objectives of this study were to describe the risk factors in patients
with mastoid abscess following acute and chronic otitis media and discuss the management of this
infection.
Method: A retrospective analysis was done on all patients who underwent mastoidectomy
for mastoid abscess from January 2002 to December 2007. Data on the patients’ presentation,
associated complications, management, and follow-up were analysed.
Results: A total of 12 patients were enrolled in this study population. Group A consisted of
patients with mastoid abscess preceded by acute otitis media, while Group B consisted of patients
with mastoid abscess and chronic otitis media. In Group A (n = 7), 4 patients had a pre-morbid
immunocompromised condition, but they did not have cholesteatoma. None of the patients in Group
B (n = 5) had any pre-morbid illnesses. Out of 12 patients, 7 patients had associated extracranial
complications, and 1 patient had intracranial complications. Most patients recovered well after
mastoidectomy. Recurrence was noted in 1 patient who had acute lymphoblastic leukaemia.
Conclusion: Mastoid abscess is still a recognised complication of acute otitis media, especially
in patients who are immunocompromised. Immunocompetent patients may also develop mastoid
abscess following chronic otitis media associated with cholesteatoma. Thus, early treatment of otitis
media and close vigilant follow-up are advocated to ensure prompt detection of mastoid abscess
complications.
- Full text:W020151022509773005712.pdf
