TY - JOUR
T1 - Coalescent mastioditis as a complication of acute otitis media
AU - Restuti, Ratna Dwi
AU - Priyono, Harim
AU - Marpaung, Dora A
AU - Sriyana, Ayu Astria
AU - Saleh, Rangga Rayendra
PY - 2021/7/2
Y1 - 2021/7/2
N2 - 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.
AB - 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.
KW - coalescent mastoiditis
KW - acute otitis media
KW - antibiotic
KW - mastoidectomy
UR - http://orli.or.id/index.php/orli/article/view/443
U2 - 10.32637/orli.v51i1.443
DO - 10.32637/orli.v51i1.443
M3 - Article
SN - 0216-3667
VL - 51
JO - OTO RHINO LARYNGOLOGICA INDONESIANAOTO RHINO LARYNGOLOGICA INDONESIANA
JF - OTO RHINO LARYNGOLOGICA INDONESIANAOTO RHINO LARYNGOLOGICA INDONESIANA
IS - 1
ER -