80 patients (39 males, 41 females) with mastoiditis were treated at Binh Phuoc province from March 2004 to January/2005. The patient’s age of 16 to 58 accounted for highest rate (96.25%). The symptoms such as headache, bad hearing, tinnitus occurred in 100% of patients. There was 81.25% of patients had a history of run ear fluid; 92.5% had myringorupture. Drain the mastoid antrum from upper middle ear was the most common method (98.75%), tympanoplasty was used in 92.5% of patients. Drugs and combination therapy: lincomycine, gentamycine, prednisone, diclofenac and vitamine of B group. Surgery method plays important role in the treatment of mastoiditis.
Mastoiditis ; Therapeutics ; Diagnosis

Chronic Disease ; Humans ; Mastoiditis ; Otitis Media

No abstract available.
Mastoid* ; Mastoiditis* ; Otitis Media* ; Otitis* ; Sinus Thrombosis, Intracranial*

Female ; Hemifacial Spasm ; etiology ; Humans ; Male ; Mastoiditis ; complications ; Middle Aged

Humans ; Mastoiditis ; diagnosis ; surgery ; Otitis Media ; diagnosis ; surgery

Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.
Adult ; Dura Mater ; Empyema, Subdural ; Humans ; Mastoid ; Mastoiditis ; Meningitis ; Mucous Membrane ; Sepsis ; Sinusitis ; Veins

Osteomas are benign osteoblastic tumors that occur mainly in the fronto-ethmoid areas ofthe head and neck region. When they occasionally occur in the temporal bone, the external auditory canal is the most common site of origin; they rarely occur in the mastoid region. Moreover, mastoid osteoma with mastoiditis is an extremely rare entity in the temporal bone. Recently, the authors experienced a case of mastoid osteoma with mastoiditis in the left temporal bone. The mastoid osteoma was completely resected itself without a mastoidectomy, only for correction of the cosmetic deformity; the mastoiditis was not treated. Hence, the authors report the first case of a mastoid osteoma with mastoiditis in Korea, along with a review of the related literature.
Cosmetics ; Ear Canal ; Head ; Korea ; Mastoid ; Mastoiditis ; Neck ; Osteoblasts ; Osteoma ; Temporal Bone

Subperiosteal abscess of the mastoid region and Bezold's abscesses have become very rare since introduction of antibiotics. Subpriosteal abscess is usually seen in children who have acute mastoiditis. Its occurrence in adults or in associated with chronic otitis media is even more unusual. Bezold's abscess, a complication of acute otitis media in adult who has well pneumatized air cells in the tip of the mastoid, is also rarely seen in the current era of antibiotics. This paper reports a case of postauricular subperiosteal and Bezold's abscess complicating chronic suppurative otitis media with cholesteatoma in a 37-year old woman with review of literatures.
Abscess* ; Adult ; Anti-Bacterial Agents ; Child ; Cholesteatoma* ; Female ; Humans ; Mastoid ; Mastoiditis ; Otitis Media ; Otitis Media, Suppurative*

The use of antibiotics in suppurative otitis media has greatly diminished the incidence of its complications. However, incomplete antibiotic therapy has altered the clinical course of middle ear disease to more insidious. Among the complications of suppurative otitis media, Bezold's abscess is a subperiosteal abscess of the temporal bone due to a mastoiditis with extravasation through the inner bony table into the digastric fossa. It has become rare, but the variety of its clinical presentations may embarrass clinicians. In the last two years, we treated two cases of Bezold's abscess different in clinical presentations each other and we report our cases with a review of literatures.
Abscess* ; Anti-Bacterial Agents ; Ear, Middle ; Incidence ; Mastoid ; Mastoiditis ; Otitis Media, Suppurative ; Temporal Bone

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.
Actinomyces ; Anti-Bacterial Agents ; Cholesteatoma ; Diagnosis ; Humans ; Mastoid* ; Mastoiditis* ; Mycobacterium tuberculosis ; Otitis Media