Acute Mastoiditis

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Overview

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History

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Pathophysiology

Relevant Anatomy

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Disease Etiology

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Diagnosis

Patient History

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Physical Examination

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Laboratory Tests

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Imaging

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Differential Diagnosis

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Management

Medical Management

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Surgical Management

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Outcomes

Complications

There are a number of possible complications of acute mastoiditis. These are typically stemming from direct extension of the infection or sequelae of local inflammation:

  • Subperiosteal abscess
  • Bezold abscess
  • Citelli abscess
  • Labyrinthitis
  • Petrous apicitis
  • Dural sinus occlusive disease (DSOD)
  • Facial nerve dysfunction
  • Thrombosis of mastoid emissary vein (Griesinger sign)


Complications can also result from intracranial extension if the infection:

  • Epidural abscess, most commonly perisinus (adjacent to sigmoid sinus)
  • Meningitis
  • Subdural empyema
  • Cerebral abscess

Prognosis

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References