Pathogenesis of Mastoiditis Complications in Children
Abstract
Purpose: To review our recent experience in the diagnosis and treatment of acute mastoiditis and its complications in children.
Materials and Methods: 26 children with acute mastoiditis were included in the study. Complications occurred in 15,4 % of episodes.
Results: All patients were split into 3 groups. Group 1 included 13 children whose recovery was due to the application of paracentesis and antibiotic treatment; group 2 included 11 children who underwent mastoid surgical intervention; group 3 included 2 children with delitescent mastoid disease diagnosed after complications development. Complications were found in 3 patients: subperiosteal abscess – in 1 patient, peripheral facial palsy – in 2 patients with masked mastoiditis.
Summary: Complications of acute mastoiditis occur in cases where the aditus ad antrum is obstructed with edematous mucosa or inflammatory granulation tissue. Antibiotic treatment at the onset of symptoms of the acute otitis media does not prevent complications.
About the Authors
N. V. Boyko
Rostov State Medical University
Russian Federation
Russian Federation
ENT department
29 Nakhichevansky st, Rostov-on-Don, 344022
G. G. Soroka
Municipal Hospital № 1, ENT department
Russian Federation
Russian Federation
105 Voroshilovskiy av, Rostov-on-Don, 344010
A. P. Davydova
Rostov State Medical University
Russian Federation
Russian Federation
ENT department
29 Nakhichevansky st, Rostov-on-Don, 344022
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Review
For citations:
Boyko N.V., Soroka G.G., Davydova A.P. Pathogenesis of Mastoiditis Complications in Children. Medical Herald of the South of Russia. 2012;(2):26-29. (In Russ.)
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