Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T14:50:11.315Z Has data issue: false hasContentIssue false
  • English
  • Français

Radiology of acute mastoiditis and its complications: a pictorial review and interpretation checklist

Published online by Cambridge University Press:  02 September 2019

M W Mather ,
P D Yates ,
J Powell  and
I Zammit-Maempel
M W Mather*
Affiliation:
Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK
P D Yates
Affiliation:
Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK
J Powell
Affiliation:
Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK
I Zammit-Maempel
Affiliation:
Department of Radiology, Freeman Hospital, Newcastle upon Tyne, UK
*
Author for correspondence: Mr Michael W Mather, Institute of Cellular Medicine, 3rd Floor, Leech Building, Framlington Place, Newcastle University, Newcastle upon Tyne NE2 4HH, UK E-mail: michael.mather@newcastle.ac.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Mastoiditis is an otological emergency, and cross-sectional imaging has a role in the diagnosis of complications and surgical planning. Advances in imaging technology are becoming increasingly sophisticated and, by the same token, the ability to accurately interpret findings is essential.

Methods

This paper reviews common and rare complications of mastoiditis using case-led examples. A radiologist-derived systematic checklist is proposed, to assist the ENT surgeon with interpreting cross-sectional imaging in emergency mastoiditis cases when the opinion of a head and neck radiologist may be difficult to obtain.

Results

A 16-point checklist (the ‘mastoid 16’) was used on a case-led basis to review the radiological features of both common and rare complications of mastoiditis; this is complemented with imaging examples.

Conclusion

Acute mastoiditis has a range of serious complications that may be amenable to treatment, once diagnosed using appropriate imaging. The proposed checklist provides a systematic approach to identifying complications of mastoiditis.

Keywords

MastoiditisRadiologyChecklistDiagnosisSuppuration
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 856 - 861
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr M W Mather takes responsibility for the integrity of the content of the paper

References

1Psarommatis, IM, Voudouris, C, Douros, K, Giannakopoulos, P, Bairamis, T, Carabinos, C. Algorithmic management of pediatric acute mastoiditis. Int J Pediatr Otorhinolaryngol 2012;76:791–6Google Scholar
2Lemmerling, M, Smet, B, De Foer, B. Cross-sectional imaging anatomy of the temporal bone. In: Lemmerling, M, De Foer, B, eds. Temporal Bone Imaging. Berlin: Medical Radiology, Springer, 2014Google Scholar
3Juliano, AF, Ginat, DT, Moonis, G. Imaging review of the temporal bone: part I. Anatomy and inflammatory and neoplastic processes. Radiology 2013;269:17–33Google Scholar
4Mirza, O, Varadarajan, V, Youshani, AS, Willatt, DJ. Escherichia coli positive infratentorial subdural empyema secondary to mastoiditis and underlying cholesteatoma. BMJ Case Rep 2014;2014:bcr2014204498Google Scholar
5Gradenigo, G. On paralysis of the abducens nerve in otitis [in German]. Arch Ohrenheilkunde 1907;774:149–87Google Scholar
6Allam, AF, Schuknecht, HF. Pathology of petrositis. Laryngoscope 1968;78:1813–32Google Scholar
7Jensen, PVF, Hansen, MS, Møller, MN, Saunte, JP. The forgotten syndrome? Four cases of Gradenigo's syndrome and a review of the literature. Strabismus 2016;24:21–7Google Scholar
8Zammit-Maempel, I. Imaging the temporal bone. Imaging 2014;23:20110070Google Scholar
9Platzek, I, Kitzler, HH, Gudziol, V, Laniado, M, Hahn, G. Magnetic resonance imaging in acute mastoiditis. Acta Radiol Short Rep 2014;3:2047981614523415Google Scholar
10Migirov, L, Duvdevani, S, Kronenberg, J. Otogenic intracranial complications: a review of 28 cases. Acta Otolaryngol 2005;125:819–22Google Scholar
11Duarte, MJ, Kozin, ED, Barshak, MB, Reinshagen, K, Knoll, RM, Abdullah, KG et al. Otogenic brain abscesses: a systematic review. Laryngoscope Investig Otolaryngol 2018;3:198–208Google Scholar
12Abbati, SG, Torino, RR. Spontaneous intraparenchymal otogenic pneumocephalus: a case report and review of literature. Surg Neurol Int 2012;3:32Google Scholar
13Luscan, R, Belhous, K, Simon, F, Boddaert, N, Couloigner, V, Picard, A et al. TMJ arthritis is a frequent complication of otomastoiditis. J Craniomaxillofac Surg 2016;44:1984–7Google Scholar
14Gaffney, RJ, O'Dwyer, TP, Maguire, AJ. Bezold's abscess. J Laryngol Otol 1991;105:765–6Google Scholar
15Luc, H. The sub-periosteal temporal abscess of otic origin without intraosseous suppuration. Laryngoscope 1913;23:999–1003Google Scholar
16Scrafton, DK, Qureishi, A, Nogueira, C, Mortimore, S. Luc's abscess as an unlucky complication of mastoiditis. Ann R Coll Surg Engl 2014;96:e28–30Google Scholar
17Mather, M, Musgrave, K, Dawe, N. Is anticoagulation beneficial in acute mastoiditis complicated by sigmoid sinus thrombosis? Laryngoscope 2018;128:2435–6Google Scholar
18Redaelli de Zinis, LO, Gasparotti, R, Campovecchi, C, Annibale, G, Barezzani, MG. Internal jugular vein thrombosis associated with acute mastoiditis in a pediatric age. Otol Neurotol 2006;27:937–44Google Scholar
19Shon, AS, Berenson, CS. Pseudomonas aeruginosa intrapetrous internal carotid artery mycotic aneurysm--a complication of mastoiditis: first reported case. BMJ Case Rep 2013;2013:bcr2013200005Google Scholar
20Smith, CP, Jackson, C, Stewart, R. Subacute bacterial endocarditis secondary to mastoiditis: a rare complication. BMJ Case Rep 2012;2012:bcr2012007247Google Scholar