Clinical Experience of Acute Mastoiditis in Recent 10 Years.
- Author:
Han Kyu SUH
1
;
Kang Mok YOO
;
Kyu Sung HWANG
;
Dong Hee YOO
;
Hyun Ho LIM
;
Soon Jae HWANG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University, Seoul, Korea. kyghorl@nuri.net
- Publication Type:Original Article
- Keywords:
Acute mastoiditis;
Actinomyces;
Mycobacterium tuberculosis
- MeSH:
Actinomyces;
Anti-Bacterial Agents;
Cholesteatoma;
Diagnosis;
Humans;
Mastoid*;
Mastoiditis*;
Mycobacterium tuberculosis;
Otitis Media
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1998;41(4):461-466
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Acute mastoiditis is an acute inflammatory disease of the mastoid process but it has declined dramatically in the postantibiotic era. However, contrary to the benefits of broad-spectrum antibiotics, resistant and unusual pathogens may cause this disease entity. Recently, in our hospital, antibiotic resistant and atypical pathogens such as Actinomyces, Mycobacterium tuberculosis were on the increase. In this paper we would like to discuss optimal diagnosis and treatment for acute mastoiditis. PATIENTS AND METHODS: Thirteen patients with mastoititis were treated in our hospital in the last 10 years. All of them were reviewedretrospectively. RESULTS: Eight patients recovered after treating with intravenous antibiotics with or without myringotomy and the rest were managed surgically. Among the 5 who received surgical treatments, one developed chronic otitis media and one developed cholesteatoma 3 years later. CONCLUSION: Surgical intervention was indicated for cases that accompanied complications. It would be important to be aware of any unusual pathogens in the management of acute mastoiditis which does not respond to empirical antibiotics therapy.
