Coalescent mastioditis as a complication of acute otitis media

Ratna Dwi Restuti, Harim Priyono, Dora A Marpaung, Ayu Astria Sriyana, Rangga Rayendra Saleh

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Acute otitis media (AOM) is one of the most common infections in children. AOM disease can lead to complications such as coalescent mastoiditis. Mastoidectomy surgery in cases of coalescent mastoiditis in children is still a debate. Purpose: To convey the management of coalescent mastoiditis in pediatric patients as complication of AOM using an evidence-based literature search. Case Report: A 10-month old patient with a diagnosis of AOM and coalescent mastoiditis, who was given antibiotic therapy and abscess drainage incision. Clinical question: In a child with coalescent mastoiditis as a complication of otitis media, could the disease be cured with intravena antiobitic therapy only without mastoidectomy operation? Review methods: Evidence-based literature searches through Pubmed, Proquest and Cochrane were performed using the keywords mastoidectomy, antibiotics and coalescent mastoiditis. Result: The search resulted in 277 literatures, and 12 were relevant with the case, and two journals stating that in cases of uncomplicated coalescent mastoiditis, mastoidectomy operation could be postponed and intravenous antibiotic could be administered with monitoring of the patient’s condition for 48 hours. Conclusion: Intravenous antibiotic is the primary therapy in cases of coalescence mastoiditis accompanied by clinical monitoring for 48 hours. Additional mastoidectomy and other surgeries were performed in cases of clinical deterioration after intravenous antibiotic therapy, and in cases of intratemporal or intracranial complications.

Original languageEnglish
JournalOTO RHINO LARYNGOLOGICA INDONESIANAOTO RHINO LARYNGOLOGICA INDONESIANA
Volume51
Issue number1
DOIs
Publication statusPublished - 2 Jul 2021

Keywords

  • coalescent mastoiditis
  • acute otitis media
  • antibiotic
  • mastoidectomy

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