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Mastoiditis, Pediatric

Sadiqa Kendi, MD, FAAP and Frances M. Nadel, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

Infection of the mastoid air cells characterized clinically by protrusion of the pinna and erythema/tenderness over the mastoid process; can range from an asymptomatic illness to a s...

DIAGNOSIS

HISTORY

  • May include a recent or a chronic history of treatment for otitis media

  • Sign and symptoms

    • May include fever, otalgia, otorrhea, and postauricular swelling

    • Children who are already on ant...

TREATMENT

GENERAL MEASURES

Middle ear drainage is essential; therefore, a myringotomy with or without tube placement should be performed early. 

MEDICATION

  • Parenteral antibiotics are chosen based on the ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • If patients respond quickly to parenteral therapy, they can complete a 3- to 4-week course with oral antibiotics and weekly follow-up visits.

  • Aud...

ADDITIONAL READING

  • Bilavsky E, Yarden-Bilavsky H, Samra Z, et al. Clinical, laboratory, and microbiological differences between children with simple or complicated mastoiditis. Int J Pediatr Otorhinol...

CODES

ICD9

  • 383.9 Unspecified mastoiditis

  • 383.00 Acute mastoiditis without complications

  • 383.02 Acute mastoiditis with other complications

  • 383.1 Chronic mastoiditis

  • 383.01 Subperiosteal abscess of mastoid

ICD10

FAQ

  • Q: Do all children with mastoiditis need a CT scan of the head if mastoiditis is suspected?

  • A: No. In general, if the child with mastoiditis has mild swelling, no fluctuance of the mastoid, and res...

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