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Paediatric acute mastoiditis, then and now: is it more of a problem now?

Published online by Cambridge University Press:  08 October 2015

B Attlmayr ,
S Zaman ,
J Scott ,
S G Derbyshire ,
R W Clarke  and
S De
B Attlmayr*
Affiliation:
ENT Department, Aintree University Hospital, Liverpool, UK
S Zaman
Affiliation:
Radiology Department, Aintree University Hospital, Liverpool, UK
J Scott
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
S G Derbyshire
Affiliation:
ENT Department, Aintree University Hospital, Liverpool, UK
R W Clarke
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
S De
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
*
Address for correspondence: Dr Bernhard Attlmayr, ENT Department, Aintree University Hospital NHS Foundation Trust, Longmoor Lane, Liverpool L9 7AL, UK E-mail: bernhard.attlmayr@aintree.nhs.uk
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Abstract

Background:

Acute mastoiditis is a significant cause of morbidity in the paediatric population. This paper reviews our experience with this condition over the last 10 years and compares it with historical data from Alder Hey Children's Hospital, Liverpool, UK.

Method:

A retrospective case note review of patients who presented between 2003 and 2012 was performed.

Results:

Forty-six patients with acute mastoiditis were identified. Imaging with computed tomography and magnetic resonance imaging was carried out in 14 cases (30.4 per cent). Intracranial complications were identified in six patients (13.0 per cent), one of whom required neurosurgical intervention. In 27 cases (58.7 per cent), a surgical procedure was performed. Data from 1995 to 2000 revealed similar rates of imaging (30.0 per cent), but significantly lower rates of surgical intervention (23 per cent). A lower rate of intracranial complications (4.8 per cent) in the historical cohort did not prove to be statistically significant (p = 0.419).

Conclusion:

The numbers of paediatric patients presenting with acute mastoiditis appears essentially unchanged. Improvement in imaging technology and aids to interpretation may explain the apparent increase of intracranial complications.

Keywords

MastoiditisOtitis MediaIntracranial Extradural AbscessLateral Sinus Thrombosis

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 955 - 959
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Tamir, S, Shwartz, Y, Peleg, U, Shaul, C, Perez, R, Sichel, JY et al. Shifting trends: mastoiditis from a surgical to a medical disease. Am J Otolaryngol 2010;31:467–71CrossRefGoogle ScholarPubMed
2Benito, MB, Gorricho, BP. Acute mastoiditis: increase in the incidence and complications. Int J Pediatr Otorhinolaryngol 2007;71:1007–11CrossRefGoogle ScholarPubMed
3Palma, S, Fiumana, E, Borgonzoni, M, Bovo, R, Rosignoli, M, Martini, A. Acute mastoiditis in children: the “Ferrara” experience. Int J Pediatr Otorhinolaryngol 2007;71:1663–9CrossRefGoogle ScholarPubMed
4Thompson, PL, Gilbert, RE, Long, PF, Saxena, S, Sharland, M, Wong, IC. Effect of antibiotics for otitis media on mastoiditis in children: a retrospective cohort study using the United Kingdom General Practice Research Database. Pediatrics 2009;123:424–30CrossRefGoogle ScholarPubMed
5Brook, I. Antimicrobial therapy of otitis media reduces the incidence of mastoiditis. Curr Infect Dis Rep 2010;12:1–3CrossRefGoogle ScholarPubMed
6Finnbogadóttir, AF, Petersen, H, Laxdal, T, Gudbrandsson, F, Gudnason, T, Haraldsson, A. An increasing incidence of mastoiditis in children in Iceland. Scand J Infect Dis 2009;41:95–8CrossRefGoogle ScholarPubMed
7De, S, Makura, ZG, Clarke, RW. Paediatric acute mastoiditis: the Alder Hey experience. J Laryngol Otol 2002;116:440–2CrossRefGoogle ScholarPubMed
8Pritchett, CV, Thorne, MC. Incidence of pediatric acute mastoiditis: 1997–2006. Arch Otolaryngol Head Neck Surg 2012;138:451–5Google ScholarPubMed
9Stalfors, J, Enoksson, F, Hermansson, A, Hultcrantz, M, Robinson, Å, Stenfeldt, K et al. National assessment of validity of coding of acute mastoiditis: a standardised reassessment of 1966 records. Clin Otolaryngol 2013;38:130–5CrossRefGoogle ScholarPubMed
10Kvaerner, KJ, Bentdal, Y, Karevold, G. Acute mastoiditis in Norway: no evidence for an increase. Int J Pediatr Otorhinolaryngol 2007;71:1579–83CrossRefGoogle ScholarPubMed
11Niv, A, Nash, M, Slovik, Y, Fliss, DM, Kaplan, D, Leibovitz, E et al. Acute mastoiditis in infancy: the Soroka experience: 1990–2000. Int J Pediatr Otorhinolaryngol 2004;68:1435–9CrossRefGoogle ScholarPubMed
12World Health Organization. Antimicrobial Resistance: Global Report on Surveillance. In: http://apps.who.int/iris/bitstream/10665/112642/1/9789241564748_eng.pdf [18 July 2015]Google Scholar
13Luntz, M, Bartal, K, Brodsky, A, Shihada, R. Acute mastoiditis: the role of imaging for identifying intracranial complications. Laryngoscope 2012;122:2813–17CrossRefGoogle ScholarPubMed
14Anthonsen, K, Høstmark, K, Hansen, S, Andreasen, K, Juhlin, J, Homøe, P et al. Acute mastoiditis in children: a 10-year retrospective and validated multicenter study. Pediatr Infect Dis J 2013;32:436–40CrossRefGoogle ScholarPubMed
15Dagia, C, Ditchfield, M. 3 T MRI in paediatrics: challenges and clinical applications. Eur J Radiol 2008;68:309–19CrossRefGoogle Scholar