How is acute mastoiditis treated?

How is acute mastoiditis treated?

Treatment for mastoiditis is with antibiotics. If antibiotics alone do not cure the infection, surgery may be needed to drain the middle ear or to remove part of the infected mastoid bone. The main way to prevent mastoiditis is to prevent ear infections (acute otitis media) or by treating an ear infection right away.

What is the appropriate first step in the management of a child with presumed acute mastoiditis?

A literature review by Loh et al indicated in uncomplicated acute mastoiditis, conservative therapy is a highly successful first-line treatment. In terms of medical treatment, conservative surgery, and mastoidectomy, cure rates for the disease were found to be 95.9%, 96.3%, and 89.1%, respectively.

What is the drug of choice for mastoiditis?

The principal medications used in the treatment of mastoiditis are antibiotics. Other medications include analgesics, antipyretics, and topical antibiotic-steroid combinations.

Does mastoiditis require hospitalization?

Treating mastoiditis Mastoiditis is a serious infection and should be diagnosed and treated quickly with antibiotics. You may need to go to hospital so antibiotics can be given directly into a vein through a drip (intravenously). In some cases, surgery may be needed to either: drain the middle ear (a myringotomy)

What are complications of Mastoiditis?

Complications of mastoiditis include the following:

  • Hearing loss.
  • Facial nerve palsy.
  • Cranial nerve involvement.
  • Osteomyelitis.
  • Petrositis.
  • Labyrinthitis.
  • Gradenigo syndrome – Otitis media, retro-orbital pain, and abducens palsy.
  • Intracranial extension – Meningitis, cerebral abscess, epidural abscess, subdural empyema.

Does Mastoiditis require hospitalization?

Can mastoiditis be treated with antibiotics?

The infection is treated with antibiotic injections, followed by antibiotics taken by mouth. Surgery to remove part of the bone and drain the mastoid (mastoidectomy) may be needed if antibiotic treatment does not work.