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Bilateral acute mastoiditis and subperiosteal abscesses in a child managed by simultaneous bilateral mastoid surgery.
MedLine Citation:
PMID:  22804855     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: We report a case of bilateral acute mastoiditis and subperiosteal abscesses successfully managed with simultaneous surgery. Method: A case report and literature review are presented. Results: A two-year-old boy presented with fever, otalgia, otorrhoea and bilateral protruding ears. He was treated for 72 hours with intravenous antibiotics but failed to improve. Computed tomography confirmed bilateral mastoid abscesses with destruction of the mastoid cortex. Bilateral drainage of the subperiosteal abscesses and bilateral cortical mastoidectomies were carried out. Post-operatively, he recovered well, and free field audiometry showed a normal hearing threshold of 20 dB across all test frequencies. Conclusion: This is only the second reported case of bilateral mastoiditis and subperiosteal abscesses. This case illustrates the use of bilateral cortical mastoidectomy in the successful management of this condition following failed antibiotic therapy, and highlights important management considerations.
Authors:
I F Hathorn; S S M Hussain
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  126     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  825-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Lauriston Building, Edinburgh, Scotland, UK.
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