Surgeon. 2025 Feb 15:S1479-666X(25)00008-3. doi: 10.1016/j.surge.2025.01.007. Online ahead of print.
ABSTRACT
OBJECTIVES: Anecdotally, surgical intervention for acute complicated mastoiditis within our centre differed between clinicians. We aimed to assess our outcomes and experience.
METHODS: A retrospective observational study was undertaken of children with mastoiditis without intracranial complications admitted between January 2017-September 2022. Electronic records were utilised for data collection. Mann-Whitney U and Chi-square test were used for statistical analysis. Operative intervention, length of stay (LOS), complications and 30 day readmission were analysed.
RESULTS: There were 101 patients with a median age of 2 years and 50 (55 %) were male. Thirty-nine patients (39 %) underwent surgery. Thirty-two patients had mastoiditis with subperiosteal abscess formation without intracranial collections. Seventeen patients (44 %) underwent cortical mastoidectomy (median LOS 5.5 days). Twenty two patients (56 %) underwent incision and drainage (I + D) of abscess plus myringotomy (median LOS 5 days), p = 0.58. The mastoidectomy group had 2 complications and the I + D group had none.
CONCLUSIONS: For mastoiditis with local subperiosteal abscess and no intracranial component, a cortical mastoidectomy may not always be required.
PMID:39956720 | DOI:10.1016/j.surge.2025.01.007
