Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-19T14:09:43.327Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of paediatric acute mastoiditis: systematic review

Published online by Cambridge University Press:  07 September 2017

R Loh ,
M Phua  and
C-K L Shaw
R Loh*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
M Phua
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
C-K L Shaw
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia Discipline of Surgery, Faculty of Health and Medical Sciences, University of Adelaide, Australia
*
Address for correspondence: Ms Rachel Loh, Shaw House, 37 Dequetteville Terrace, Kent Town, SA 5067, Australia E-mail: racheloh.wl@gmail.com
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

PediatricsOtitis MediaMastoiditisAbscessOtologic Surgical ProceduresConservative Treatment
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 96 - 104
Copyright
Copyright © JLO (1984) Limited 2017 

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.)

References

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;43:261–7Google Scholar
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;29:751–7Google Scholar
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;62:237–42Google Scholar
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;78:2161–4CrossRefGoogle Scholar
5 Kværner, KJ, Bentdal, Y, Karevold, G. Acute mastoiditis in Norway: no evidence for an increase. Int J Pediatr Otorhinolaryngol 2007;71:1579–83Google Scholar
6 Spratley, J, Silveira, H, Alvarez, I, Pais-Clemente, M. Acute mastoiditis in children: review of the current status. Int J Pediatr Otorhinolaryngol 2000;56:33–40 CrossRefGoogle ScholarPubMed
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;57:1–9 Google Scholar
8 Kordeluk, S, Kraus, M, Leibovitz, E. Challenges in the management of acute mastoiditis in children. Curr Infect Dis Rep 2015;17:479 Google Scholar
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;20:140–4CrossRefGoogle ScholarPubMed
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;56:569–74CrossRefGoogle ScholarPubMed
11 Psarommatis, IM, Voudouris, C, Douros, K, Giannakopoulos, P, Bairamis, T, Carabinos, C. Algorithmic management of pediatric acute mastoiditis. Int J Pediatr Otorhinolaryngol 2012;76:791–6CrossRefGoogle ScholarPubMed
12 Gliklich, RE, Eavey, RD, Iannuzzi, RA, Camacho, AE. A contemporary analysis of acute mastoiditis. Arch Otolaryngol Head Neck Surg 1996;122:135–9Google Scholar
13 Luntz, M, Bartal, K, Brodsky, A, Shihada, R. Acute mastoiditis: the role of imaging for identifying intracranial complications. Laryngoscope 2012;122:2813–17CrossRefGoogle ScholarPubMed
14 Ginsburg, CM, Rudoy, R, Nelson, JD. Acute mastoiditis in infants and children. Clin Pediatr (Phila) 1980;19:549–53Google Scholar
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;79:1115–20CrossRefGoogle ScholarPubMed
16 Kim, SR, Choo, OS, Park, HY. Two cases of acute mastoiditis with subperiosteal abscess. Korean J Audiol 2013;17:97–100 Google Scholar
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;126:1204–8Google Scholar
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;137:346–50Google Scholar
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 Google Scholar
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;101:123–4Google Scholar
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;122:233–7Google Scholar
22 Zanetti, D, Nassif, N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006;70:1175–82CrossRefGoogle ScholarPubMed
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;114:323–7Google Scholar
24 Taylor, MF, Berkowitz, RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:69–72 Google Scholar
25 Bauer, PW, Brown, KR, Jones, DT. Mastoid subperiosteal abscess management in children. Int J Pediatr Otorhinolaryngol 2002;63:185–8Google Scholar
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;46:9–13 Google Scholar
27 Harley, EH, Sdralis, T, Berkowitz, RG. Acute mastoiditis in children: a 12-year retrospective study. Otolaryngol Head Neck Surg 1997;116:26–30 Google Scholar
28 Kaplan, DM, Leiberman, A, Noghreyan, A, Fliss, DM. Acute salmonella mastoiditis in an infant. Int J Pediatr Otorhinolaryngol 1995;32:87–91 Google Scholar
29 Nadal, D, Herrmann, P, Baumann, A, Fanconi, A. Acute mastoiditis: clinical, microbiological, and therapeutic aspects. Eur J Pediatr 1990;149:560–4Google Scholar
30 Scott, TA, Jackler, RK. Acute mastoiditis in infancy: a sequela of unrecognized acute otitis media. Otolaryngol Head Neck Surg 1989;101:683–7Google Scholar
31 Leiberman, A, Fliss, DM. Acute pseudomonas mastoiditis in children. Am J Otolaryngol 1987;8:175–8Google Scholar
32 Ogle, JW, Lauer, BA. Acute mastoiditis. Diagnosis and complications. Am J Dis Child 1986;140:1178–82Google Scholar
33 Harlowe, HD. Acute mastoiditis following pseudomonas maltophilia infection: case report. Laryngoscope 1972;82:882–3Google Scholar
34 Zoller, H. Acute mastoiditis resistant to medical management. South Med J 1965;58:446–9Google Scholar
35 Moffett, AJ, Dalton, GA. Acute mastoiditis in children treated with penicillin and sulphadiazine. Br Med J 1949;2:1087–9Google Scholar
36 Yu, IT, Tse, SL. Workshop 3–source of bias in case series, patient cohorts, and randomised controlled trials. Hong Kong Med J 2011;17:478–9Google Scholar
37 Pannucci, CJ, Wilkins, EG. Identifying and avoiding bias in research. Plast Reconstr Surg 2010;126:619–25Google Scholar
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;114:147–52CrossRefGoogle ScholarPubMed