caa a22 4500 388085096 CHVBK 20180307125228.0 cr unu---uuuuu 161130e199912 xx s 000 0 eng 10.1017/S0022215100157949 doi S0022215100157949 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100157949 Acute mastoiditis in children: is surgical treatment necessary? [Elektronische Daten] Acute mastoiditis in children remains an otological problem. Although the widespread use of antibiotics has reduced the need for surgical intervention, surgery is frequently used in the treatment of acute mastoiditis and its complications. The charts of 44 patients hospitalized with signs of acute mastoiditis were reviewed. In 43.2 per cent of all patients, acute mastoiditis was the presenting sign of acute middle-ear infection. Post-auricular erythema and protrusion of the auricle were the most frequent signs at presentation. All four signs (post-auricular erythema, oedema, tenderness, and protrusion of the auricle) were present in 40.9 per cent of patients. No bacterial pathogen was isolated in 45.5 per cent of ear cultures. Complicated acute mastoiditis was diagnosed in 13.7 per cent of the patients. Eighty-seven per cent of patients responded well to intravenous antibiotics and myringotomy, and in 11.4 per cent mastoidectomy or abscess drainage were performed. We conclude that nearly all patients with uncomplicated mastoiditis recover following intravenous antibiotics and myringotomy. Mastoidectomy should be perfonned in selected cases, such as cases of complicated acute mastoiditis. Copyright © JLO (1984) Limited 1999 Child nationallicence Mastoiditis nationallicence Surgery, operative nationallicence Antibiotics nationallicence Cohen-Kerem R. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel. Uri N. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel. Rennert H. Department of Community Medicine and Epidemiology, Carmel Medical Center, Haifa, Israel. Peled N. Department of Radiology, Carmel Medical Center, Haifa, Israel. Greenberg E. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel. Efrat M. Department of Pediatrics, Carmel Medical Center, Haifa, Israel. The Journal of Laryngology & Otology Cambridge University Press 113/12(1999-12), 1081-1085 0022-2151 113:12<1081 1999 113 JLO https://doi.org/10.1017/S0022215100157949 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100157949 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cohen-Kerem R. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 700 1- Uri N. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 700 1- Rennert H. Department of Community Medicine and Epidemiology, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 700 1- Peled N. Department of Radiology, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 700 1- Greenberg E. Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 700 1- Efrat M. Department of Pediatrics, Carmel Medical Center, Haifa, Israel NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/12(1999-12), 1081-1085 0022-2151 113:12<1081 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge