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Bilateral acute mastoiditis and subperiosteal abscesses in a child managed by simultaneous bilateral mastoid surgery

Published online by Cambridge University Press:  02 July 2012

I F Hathorn  and
S S M Hussain
I F Hathorn
Affiliation:
Department of Otolaryngology, Lauriston Building, Edinburgh, Scotland, UK
S S M Hussain*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
*
Address for correspondence: Mr S S M Hussain, Consultant Otologist and Neurotologist, Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK E-mail: musheer.hussain@nhs.net
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Abstract

Objective:

We report a case of bilateral acute mastoiditis and subperiosteal abscesses successfully managed with simultaneous surgery.

Method:

A case report and literature review are presented.

Results:

A two-year-old boy presented with fever, otalgia, otorrhoea and bilateral protruding ears. He was treated for 72 hours with intravenous antibiotics but failed to improve. Computed tomography confirmed bilateral mastoid abscesses with destruction of the mastoid cortex. Bilateral drainage of the subperiosteal abscesses and bilateral cortical mastoidectomies were carried out. Post-operatively, he recovered well, and free field audiometry showed a normal hearing threshold of 20 dB across all test frequencies.

Conclusion:

This is only the second reported case of bilateral mastoiditis and subperiosteal abscesses. This case illustrates the use of bilateral cortical mastoidectomy in the successful management of this condition following failed antibiotic therapy, and highlights important management considerations.

Keywords

MastoiditisAbscessMastoidectomy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 825 - 829
Copyright
Copyright © JLO (1984) Limited 2012

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References

1 Luntz, M, Brodsky, A, Nusem, S, Kronenberg, J, Keren, G, Migirov, L et al. Acute mastoiditis – the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol 2001;57:1–9 CrossRefGoogle ScholarPubMed
2 Kangsanarak, J, Fooanant, S, Ruckphaopunt, K, Navacharoen, N, Teotrakul, S. Extra-cranial and intracranial complications of suppurative otitis media, report of 102 cases. J Laryngol Otol 1993;107:999–1004 CrossRefGoogle Scholar
3 Oyarzabal, MF, Patel, KS, Tolley, NS. Bilateral acute mastoiditis complicated by lateral sinus thrombosis. J Laryngol Otol 1992;106:535–7CrossRefGoogle ScholarPubMed
4 American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004;113:1451–65CrossRefGoogle Scholar
5 Andreasson, UK, Fons, M. Bilateral acute mastoiditis. A complication which still exists [in Danish]. Ugeskr Laeger 1986;14:961–2Google Scholar
6 Martinez, SA, McNellis, EL, Weber, PC, Adkins, WY Jr. Bilateral acute coalescent mastoiditis in an immunocompromised infant with a rare leukocyte adhesion deficiency. Otolaryngol Head Neck Surg 1999;120:926–8CrossRefGoogle Scholar
7 Avery, R, Eavey, R, Della Torre, T, Ramos, D, Pasternack, MS. Bilateral otitis media and mastoiditis caused by a highly resistant strain of Mycobacterium chelonae . Pediatr Infect Dis J 1996;15:1037–40CrossRefGoogle ScholarPubMed
8 Munoz, A, Ruiz-Contreras, J, Jimenez, A, Jimenez, A, Mate, I, Calvo, M et al. Bilateral tuberculous otomastoiditis in an immunocompetent 5-year-old child: CT and MRI findings. Eur Radiol 2009;19:1560–3CrossRefGoogle Scholar
9 Fukuda, T, Sugie, H, Ito, M, Kikawada, T. Bilateral facial palsy caused by bilateral masked mastoiditis. Pediatr Neurol 1998;18:351–3CrossRefGoogle ScholarPubMed
10 Tovi, F, Leiberman, A. Silent mastoiditis and bilateral simultaneous facial palsy. Int J Pediatr Otorhinolaryngol 1983;59:1371–6Google Scholar
11 Migirov, L, Yakirevitch, A, Kronenburg, J. Mastoid subperiosteal abscess: a review of 51 cases. Int J Pediatr Otorhinolaryngol 2005;69:1529–33CrossRefGoogle ScholarPubMed
12 Migirov, L. Computed tomographic versus surgical findings in complicated acute otomastoiditis. Ann Otol Rhinol Laryngol 2003;112:675–7CrossRefGoogle ScholarPubMed
13 Vazquez, E, Castellote, A, Piqueras, J, Mauleon, S, Creixell, S, Pumarola, F et al. Imaging of complications of acute mastoiditis in children. Radiographics 2003;23:359–72CrossRefGoogle ScholarPubMed
14 Vassbotn, FS, Klausen, OG, Lind, O, Moller, P. Acute mastoiditis in a Norwegian population: a 20 year retrospective study. Int J Pediatr Otorhinolaryngol 2002;62:237–42CrossRefGoogle Scholar
15 Gorphe, P, de Barros, A, Choussy, O, Dehesdin, D, Marie, JP. Acute mastoiditis in children: 10 years experience in a French tertiary university referral center. Eur Arch Otorhinolaryngol 2012;269:455–60CrossRefGoogle Scholar
16 Zanetti, D, Nassif, N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2005;70:1175–82CrossRefGoogle Scholar
17 Benito, MB, Gorricho, BP. Acute mastoiditis: increase in the incidence and complications. Int J Pediatr Otorhinolaryngol 2007;71:1007–11CrossRefGoogle Scholar
18 Bakhos, D, Trijolet, JP, Moriniere, S, Pondavan, S, Al Zahrani, M, Lescanne, E. Conservative management of acute mastoiditis in children. Arch Otolaryngol Head Neck Surg 2011;137:346–50CrossRefGoogle ScholarPubMed
19 Honner, S, Kudela, RM, Handler, E. Bilateral mastoiditis from red tide exposure. J Emerg Med 2010;Aug 26 [Epub]Google ScholarPubMed

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