Int Arch Otorhinolaryngol 2014; 18 - a2490
DOI: 10.1055/s-0034-1388836

Mastoiditis: Case Study

Larissa Claret de Lima 1, Camillus Magalhaes Carneiro dos Santos 1, Fellipe Cunha Oliveira Pomar 1, Paulo Henrique Bicalho Barcelos 1, Torcuato Sanchez Rojas Neto 1, Ulisses Jose Ribeiro 1
  • 1Hospital Nossa Senhora de Lourdes

Introduction: The incidence of mastoiditis in children has increased in last decades due a rise of bacterial resistance to antibiotics. Recently, there has been indicated mastoidectomy only in cases of an antibiotic therapy treatment failure and tympanotomy.

Objective: The study aims to relate a case of a patient with acute recurrent mastoiditis derived from acute media otitis complication, approached by staff and history evolution.

Resumed report: A 4-year-old male patient (J.G.S.) hospitalized in pediatric first aid due to second acute media otitis antibiotic therapy proposed refractory, had used amoxicillin and amoxicillin plus clavulanate during hospitalization, patient began with general state decrease and signals of sepse, have been solicitades ENT avaliation. Presented right BTE bulging and hiperemy, fever and prostration. At otoscopy presented anteroinferior tympanic perforation and serosa secretion into external auditive conduct Temporal bones tomography evidenciate deep right temporal extracranial collection in contact with external skullcap board and bilateral otomastoiditis, accentuated at right. Performed right timpanomastoidectomy and purulent secretion drain, followed by intravenous large spectral antibioticterapy and clinical establization with good response.

Conclusion: The mastoiditis is one of the most severe complications of acute media otitis. Various treatments like tympanotomy to ventilation tube, intravenous antibiotics, and BTE incision to drain the abscess have avoided morbidity and necessity of surgical approaches occurs when previous treatments trials fail, severe complications arise, or there is imminent risk of life.