Mastoiditis
Condition
(Acute mastoiditis)
Definition
Mastoiditis is swelling or infection of the small air cells in the mastoid bone of the ear. Over time, this can cause the bone tissue to break down.
Causes
Mastoiditis is most often caused by a bacterial infection due to a long lasting middle ear infection .
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Risk Factors
This problem is more common in young children. Things that may raise the risk are:
- A weak immune system
- Recent surgery to remove diseased mastoid air cells
Symptoms
Problems may be:
- Swelling and redness behind the ear, pushing it forward
- Fever
- Ear pain
- Discharge from the ear
- Irritability
- Decreased hearing
Diagnosis
The doctor will ask about your symptoms and health history. You will be asked about your history of ear infections. A physical exam will be done. This is often enough to make the diagnosis.
Treatment
Treatment options are:
Prevention
Mastoiditis is most often caused by an ear infection. Getting treated for an ear infection may lower the risk of mastoiditis.
Medicine
Antibiotics will be given to treat infection. This is often done by IV and then by mouth.
American Academy of Otolaryngology—Head and Neck Surgery
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Society of Otolaryngology—Head and Neck Surgery
Health Canada
American Academy of Otolaryngology—Head and Neck Surgery
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Society of Otolaryngology—Head and Neck Surgery
Health Canada
References
- Acute mastoiditis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/acute-mastoiditis .
- Kordeluk S, Kraus M, et al. Challenges in the management of acute mastoiditis in children. Curr Infect Dis Rep. 2015 May;17(5):479.
- Mastoiditis. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/middle-ear-and-tympanic-membrane-disorders/mastoiditis.
- Mastoiditis. NHS Choices website. Available at: http://www.nhs.uk/conditions/mastoiditis/Pages/Introduction.aspx.
Contributors
- Mark Arredondo, MD
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