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Management of paediatric acute mastoiditis: systematic review

  • R Loh (a1), M Phua (a1) and C-K L Shaw (a1) (a2)
Abstract
Background:

Acute mastoiditis remains the commonest intratemporal complication of otitis media in the paediatric population. There has been a lack of consensus regarding the diagnosis and management of acute mastoiditis, resulting in considerable disparity in conservative and surgical management.

Objectives:

To review the current literature, proposing recommendations for the management of paediatric acute mastoiditis and appraising the treatment outcomes.

Method:

A systematic review was conducted using PubMed, Web of Science and Cochrane Library databases.

Results:

Twenty-one studies were included, with a total of 564 patients. Cure rates of medical treatment, conservative surgery and mastoidectomy were 95.9 per cent, 96.3 per cent and 89.1 per cent, respectively.

Conclusion:

Mastoidectomy may be the most definitive treatment available; however, reviewed data suggest that conservative treatment alone has high efficacy as first-line treatment in uncomplicated cases of acute mastoiditis, and conservative therapy may be an appropriate first-line management when treating acute mastoiditis.

Copyright
Corresponding author
Address for correspondence: Ms Rachel Loh, Shaw House, 37 Dequetteville Terrace, Kent Town, SA 5067, Australia E-mail: racheloh.wl@gmail.com
References
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1 Nussinovitch, M, Yoeli, R, Elishkevitz, K, Varsano, I. Acute mastoiditis in children: epidemiologic, clinical, microbiologic, and therapeutic aspects over past years. Clin Pediatr (Phila) 2004;43:261–7
2 Van den Aardweg, MT, Rovers, MM, De Ru, JA, Albers, FW, Schilder, AG. A systematic review of diagnostic criteria for acute mastoiditis in children. Otol Neurotol 2008;29:751–7
3 Vassbotn, FS, Klausen, OG, Lind, O, Moller, P. Acute mastoiditis in a Norwegian population: a 20 year retrospective study. Int J Pediatr Otorhinolaryngol 2002;62:237–42
4 Mattos, JL, Colman, KL, Casselbrant, ML, Chi, DH. Intratemporal and intracranial complications of acute otitis media in a pediatric population. Int J Pediatr Otorhinolaryngol 2014;78:2161–4
5 Kværner, KJ, Bentdal, Y, Karevold, G. Acute mastoiditis in Norway: no evidence for an increase. Int J Pediatr Otorhinolaryngol 2007;71:1579–83
6 Spratley, J, Silveira, H, Alvarez, I, Pais-Clemente, M. Acute mastoiditis in children: review of the current status. Int J Pediatr Otorhinolaryngol 2000;56:3340
7 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;57:19
8 Kordeluk, S, Kraus, M, Leibovitz, E. Challenges in the management of acute mastoiditis in children. Curr Infect Dis Rep 2015;17:479
9 Van Zuijlen, DA, Schilder, AG, Van Balen, FA, Hoes, AW. National differences in incidence of acute mastoiditis: relationship to prescribing patterns of antibiotics for acute otitis media? Pediatr Infect Dis J 2001;20:140–4
10 Akkerman, AE, Kuyvenhoven, MM, van der Wouden, JC, Verheij, TJ. Analysis of under- and overprescribing of antibiotics in acute otitis media in general practice. J Antimicrob Chemother 2005;56:569–74
11 Psarommatis, IM, Voudouris, C, Douros, K, Giannakopoulos, P, Bairamis, T, Carabinos, C. Algorithmic management of pediatric acute mastoiditis. Int J Pediatr Otorhinolaryngol 2012;76:791–6
12 Gliklich, RE, Eavey, RD, Iannuzzi, RA, Camacho, AE. A contemporary analysis of acute mastoiditis. Arch Otolaryngol Head Neck Surg 1996;122:135–9
13 Luntz, M, Bartal, K, Brodsky, A, Shihada, R. Acute mastoiditis: the role of imaging for identifying intracranial complications. Laryngoscope 2012;122:2813–17
14 Ginsburg, CM, Rudoy, R, Nelson, JD. Acute mastoiditis in infants and children. Clin Pediatr (Phila) 1980;19:549–53
15 Enoksson, F, Groth, A, Hultcrantz, M, Stalfors, J, Stenfeldt, K, Hermansson, A. Subperiosteal abscesses in acute mastoiditis in 115 Swedish children. Int J Pediatr Otorhinolaryngol 2015;79:1115–20
16 Kim, SR, Choo, OS, Park, HY. Two cases of acute mastoiditis with subperiosteal abscess. Korean J Audiol 2013;17:97100
17 Psarommatis, I, Giannakopoulos, P, Theodorou, E, Voudouris, C, Carabinos, C, Tsakanikos, M. Mastoid subperiosteal abscess in children: drainage or mastoidectomy? J Laryngol Otol 2012;126:1204–8
18 Bakhos, D, Trijolet, JP, Moriniere, S, Pondaven, S, Al Zahrani, M, Lescanne, E. Conservative management of acute mastoiditis in children. Arch Otolaryngol Head Neck Surg 2011;137:346–50
19 Abdel-Aziz, M, El-Hoshy, H. Acute mastoiditis: a one year study in the pediatric hospital of Cairo university. BMC Ear Nose Throat Disord 2010;10:1
20 Molloy, J, Shandilya, M, Mahesh, B, McShane, D, El Nazir, B. One to make the diagnosis. A case of non tuberculous mycobacterial mastoiditis in a nine year old female. Ir Med J 2008;101:123–4
21 Glynn, F, Osman, L, Colreavy, M, Rowley, H, Dwyer, TP, Blayney, A. Acute mastoiditis in children: presentation and long term consequences. J Laryngol Otol 2008;122:233–7
22 Zanetti, D, Nassif, N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006;70:1175–82
23 Lahav, J, Handzel, O, Gertler, R, Yehuda, M, Halperin, D. Postauricular needle aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol 2005;114:323–7
24 Taylor, MF, Berkowitz, RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:6972
25 Bauer, PW, Brown, KR, Jones, DT. Mastoid subperiosteal abscess management in children. Int J Pediatr Otorhinolaryngol 2002;63:185–8
26 Niv, A, Nash, M, Peiser, J, Dagan, R, Einhorn, M, Leiberman, A et al. Outpatient management of acute mastoiditis with periosteitis in children. Int J Pediatr Otorhinolaryngol 1998;46:913
27 Harley, EH, Sdralis, T, Berkowitz, RG. Acute mastoiditis in children: a 12-year retrospective study. Otolaryngol Head Neck Surg 1997;116:2630
28 Kaplan, DM, Leiberman, A, Noghreyan, A, Fliss, DM. Acute salmonella mastoiditis in an infant. Int J Pediatr Otorhinolaryngol 1995;32:8791
29 Nadal, D, Herrmann, P, Baumann, A, Fanconi, A. Acute mastoiditis: clinical, microbiological, and therapeutic aspects. Eur J Pediatr 1990;149:560–4
30 Scott, TA, Jackler, RK. Acute mastoiditis in infancy: a sequela of unrecognized acute otitis media. Otolaryngol Head Neck Surg 1989;101:683–7
31 Leiberman, A, Fliss, DM. Acute pseudomonas mastoiditis in children. Am J Otolaryngol 1987;8:175–8
32 Ogle, JW, Lauer, BA. Acute mastoiditis. Diagnosis and complications. Am J Dis Child 1986;140:1178–82
33 Harlowe, HD. Acute mastoiditis following pseudomonas maltophilia infection: case report. Laryngoscope 1972;82:882–3
34 Zoller, H. Acute mastoiditis resistant to medical management. South Med J 1965;58:446–9
35 Moffett, AJ, Dalton, GA. Acute mastoiditis in children treated with penicillin and sulphadiazine. Br Med J 1949;2:1087–9
36 Yu, IT, Tse, SL. Workshop 3–source of bias in case series, patient cohorts, and randomised controlled trials. Hong Kong Med J 2011;17:478–9
37 Pannucci, CJ, Wilkins, EG. Identifying and avoiding bias in research. Plast Reconstr Surg 2010;126:619–25
38 Oestreicher-Kedem, Y, Raveh, E, Kornreich, L, Popovtzer, A, Buller, N, Nageris, B. Complications of mastoiditis in children at the onset of a new millennium. Ann Otol Rhinol Laryngol 2005;114:147–52
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
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