Subperiosteal abscesses as a complication of Acute Mastoiditis in pediatric age: 22-year experience
DOI:
https://doi.org/10.34631/sporl.1037Keywords:
Acute mastoiditis, Subperiosteal abscess, Mastoidectomy, ComplicationAbstract
Objectives: Comparison of the surgical results of patients submitted to Subperiosteal Abscess (SS) drainage compared to those submitted to mastoidectomy.
Study design: Observational and retrospective.
Material and Methods: Review of clinical records of pediatric patients diagnosed with SA (n=56).
Results: The incidence of AS has remained constant, with an average of 2.5 cases/year. SA drainage with myringotomy was the surgical approach chosen in 43 patients (77%), while 6 underwent mastoidectomy (11%) and 7 underwent drainage and mastoidectomy (13%). The only statistically significant difference between groups was the mean length of hospital stay, which was longer in the mastoidectomy group.
Conclusions: SA drainage combined with intravenous antibiotic therapy is an effective first-line treatment for SA in pediatric age. No higher risk of complications was found in the group of patients treated with drainage compared to the group undergoing mastoidectomy.
References
- Psarommatis I, Giannakopoulos P, Theodorou E, Voudouris C, Carabinos C, Tsakanikos M. Mastoid subperiosteal abscess in children: drainage or mastoidectomy? J Laryngol Otol. 2012 Dec;126(12):1204-8. doi: 10.1017/S0022215112002332.
- Anthonsen K, Hostmark K, Hansen S, Andreasen K, Juhlin J, Homoe P. et al. Acute mastoiditis in children: a 10-year retrospective and validated multicenter study. Pediatr Infect Dis J. 2013 May;32(5):436-40. doi: 10.1097/INF.0b013e31828abd13.
- Garcia C, Salgueiro AB, Luís C, Correia P, Brito MJ. Acute mastoiditis in children: middle ear cultures may help in reducing use of broad spectrum antibiotics. Int J Pediatr Otorhinolaryngol. 2017 Jan;92:32-37. doi: 10.1016/j.ijporl.2016.11.002.
- Cavel O, Tauman R, Simsolo E, Yafit D, Reindorf-Kfir E, Wasserzug O. et al. Changes in the epidemiology and clinical features of acute mastoiditis following the introduction of the pneumococcal conjugate vaccine. Int J Pediatr Otorhinolaryngol. 2018 Jan;104:54-57. doi: 10.1016/j.ijporl.2017.10.025.
- Groth A, Enoksson F, Hermansson A, Hultcrantz M, Stalfors J, Stenfeldt K. Acute mastoiditis in children in Sweden 1993-2007--no increase after new guidelines. Int J Pediatr Otorhinolaryngol. 2011 Dec;75(12):1496-501. doi: 10.1016/j.ijporl.2011.08.015.
- Luntz M, Bartal K, Brodsky A, Shihada R. Acute mastoiditis: the role of imaging for identifying intracranial complications. Laryngoscope. 2012 Dec;122(12):2813-7. doi: 10.1002/lary.22193.
- Kordeluk S, Orgad R, Kraus M, Puterman M, Kaplan DM, Novak L. et al. Acute mastoiditis in children under 15 years of age in Southern Israel following the introduction of pneumococcal conjugate vaccines: a 4-year retrospective study (2009-2012). Int J Pediatr Otorhinolaryngol. 2014 Oct;78(10):1599-604. doi: 10.1016/j.ijporl.2014.07.003.
- van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG. A systematic review of diagnostic criteria for acute mastoiditis in children. Otol Neurotol. 2008 Sep;29(6):751-7. doi: 10.1097/MAO.0b013e31817f736b.
- Migirov L, Yakirevitch A, Kronenberg J. Mastoid subperiosteal abscess: a review of 51 cases. Int J Pediatr Otorhinolaryngol. 2005 Nov;69(11):1529-33. doi: 10.1016/j.ijporl.2005.04.009.
- Lahav J, Handzel O, Gertler R, Yehuda M, Halperin D. Postauricular needle aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol. 2005 Apr;114(4):323-7. doi: 10.1177/000348940511400412.
- Stern Shavit S, Raveh E, Levi L, Sokolov M, Ulanovski D. Surgical intervention for acute mastoiditis: 10 years experience in a tertiary children hospital. Eur Arch Otorhinolaryngol. 2019 Nov;276(11):3051-3056. doi: 10.1007/s00405-019-05606-2.
- Bartov N, Lahav Y, Lahav G, Zloczower E, Katzenell U, Halperin D. et al. Management of Acute mastoiditis with immediate needle aspiration for subperiosteal abscess. Otol Neurotol. 2019 Jul;40(6):e612-e618. doi: 10.1097/MAO.0000000000002231.
- Bakhos D, Trijolet JP, Morinière S, Pondaven S, Al Zahrani M, Lescanne E. Conservative management of acute mastoiditis in children. Arch Otolaryngol Head Neck Surg. 2011 Apr;137(4):346-50. doi: 10.1001/archoto.2011.29.
- Enoksson F, Groth A, Hultcrantz M, Stalfors J, Stenfeldt K, Hermansson A. Subperiosteal abscesses in acute mastoiditis in 115 Swedish children. Int J Pediatr Otorhinolaryngol. 2015 Jul;79(7):1115-20. doi: 10.1016/j.ijporl.2015.05.002.
- Bilavsky E, Yarden-Bilavsky H, Samra Z, Amir J, Nussinovitch M. Clinical, laboratory, and microbiological differences between children with simple or complicated mastoiditis. Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1270-3. doi: 10.1016/j.ijporl.2009.05.019.
- Anthonsen K, Hostmark K, Hansen S, Andreasen K, Juhlin J, Homoe P. et al. Acute mastoiditis in children: a 10-year retrospective and validated multicenter study. Pediatr Infect Dis J. 2013 May;32(5):436-40. doi: 10.1097/INF.0b013e31828abd13.
- Tamir S, Schwartz Y, Peleg U, Perez R, Sichel JY. Acute mastoiditis in children: is computed tomography always necessary? Ann Otol Rhinol Laryngol. 2009 Aug;118(8):565-9. doi: 10.1177/000348940911800806.
- Vassbotn FS, Klausen OG, Lind O, Moller P. Acute mastoiditis in a Norwegian population: a 20 year retrospective study. Int J Pediatr Otorhinolaryngol. 2002 Feb 25;62(3):237-42. doi: 10.1016/s0165-5876(01)00626-7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
