Advertisement

Coalescent mastoiditis

  • Tanner Fullmer
    Affiliations
    Bobby R. Alford Department of Otolaryngology—Head and Neck Surgery, Baylor College of Medicine, Houston, Texas
    Search for articles by this author
  • Alex D. Sweeney
    Correspondence
    Address reprint requests and correspondence: Alex D. Sweeney, MD, Bobby R. Alford Department of Otolaryngology—Head and Neck Surgery, Baylor College of Medicine, 1 Baylor Plaza, Mail Stop—NA 102, Houston, TX 77030.
    Affiliations
    Bobby R. Alford Department of Otolaryngology—Head and Neck Surgery, Baylor College of Medicine, Houston, Texas
    Search for articles by this author
Published:August 24, 2017DOI:https://doi.org/10.1016/j.otot.2017.08.013
      Coalescent mastoiditis occurs as bone is remodeled and resorbed from pressure necrosis, inflammation, and increased osteoclastic activity in the setting of an acute otologic infection. This finding necessitates treatment with antibiotics and surgery, which typically involves pressure equalizing tube placement and mastoidectomy. Herein, we review diagnostic and treatment considerations as well as surgical technique in the management of acute coalescent mastoiditis.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Anthonsen K.
        • Hostmark K.
        • Hansen S.
        • et al.
        Acute mastoiditis in children: A 10-year retrospective and validated multicenter study.
        Pediatr Infect Dis J. 2013; 32: 436-440https://doi.org/10.1097/INF.0b013e31828abd13
        • Spratley J.
        • Silveira H.
        • Alvarez I.
        • et al.
        Acute mastoiditis in children: Review of the current status.
        Int J Pediatr Otorhinolaryngol. 2000; 56 (http://dx.doi.org/S0165-5876(00)00406-7 [pii]): 33-40
        • Bluestone C.D.
        Studies in otitis media: Children’s Hospital of Pittsburgh-University of Pittsburgh progress report—2004.
        Laryngoscope. 2004; 114 (http://dx.doi.org/00005537-200411002-00001 [pii]): 1-26
        • Tarantino V.
        • D’Agostino R.
        • Taborelli G.
        • et al.
        Acute mastoiditis: A 10 year retrospective study.
        Int J Pediatr Otorhinolaryngol. 2002; 66 (http://dx.doi.org/S0165587602002379 [pii]): 143-148
        • Spiegel J.H.
        • Lustig L.R.
        • Lee K.C.
        • et al.
        Contemporary presentation and management of a spectrum of mastoid abscesses.
        Laryngoscope. 1998; 108: 822-828
        • HOUSE H.P.
        Otitis media; a comparative study of the results obtained in therapy before and after the introduction of the sulfonamide compounds.
        Arch Otolaryngol. 1946; 43: 371-378
        • Goldstein N.A.
        • Casselbrant M.L.
        • Bluestone C.D.
        • et al.
        Intratemporal complications of acute otitis media in infants and children.
        Otolaryngol Head Neck Surg. 1998; 119 (http://dx.doi.org/S0194599898003507 [pii]): 444-454
        • Zevallos J.P.
        • Vrabec J.T.
        • Williamson R.A.
        • et al.
        Advanced pediatric mastoiditis with and without intracranial complications.
        Laryngoscope. 2009; 119: 1610-1615https://doi.org/10.1002/lary.20259
        • RUDBERG R.D.
        Acute otitis media; Comparative therapeutic results of sulphonamide and penicillin administered in various forms.
        Acta Otolaryngol Suppl. 1954; 113: 1-79
        • Boles R.
        Masked mastoiditis.
        Mich Med. 1965; 64: 836-840
        • Harley E.H.
        • Sdralis T.
        • Berkowitz R.G.
        Acute mastoiditis in children: A 12-year retrospective study.
        Otolaryngol Head Neck Surg. 1997; 116 (http://dx.doi.org/S0194599897000326 [pii]): 26-30
        • Rosen A.
        • Ophir D.
        • Marshak G.
        Acute mastoiditis: A review of 69 cases.
        Ann Otol Rhinol Laryngol. 1986; 95: 222-224
        • Glynn F.
        • Osman L.
        • Colreavy M.
        • et al.
        Acute mastoiditis in children: Presentation and long term consequences.
        J Laryngol Otol. 2008; 122 (http://dx.doi.org/S0022215107009929 [pii]): 233-237
        • Psarommatis I.
        • Giannakopoulos P.
        • Theodorou E.
        • et al.
        Mastoid subperiosteal abscess in children: Drainage or mastoidectomy?.
        J Laryngol Otol. 2012; 126 (http://dx.doi.org/10.1017/S0022215112002332): 1204-1208
        • Luntz M.
        • Brodsky A.
        • Nusem S.
        • et al.
        Acute mastoiditis—The antibiotic era: A multicenter study.
        Int J Pediatr Otorhinolaryngol. 2001; 57 (http://dx.doi.org/S0165-5876(00)00425-0 [pii]): 1-9
        • Go C.
        • Bernstein J.M.
        • de Jong A.L.
        • et al.
        Intracranial complications of acute mastoiditis.
        Int J Pediatr Otorhinolaryngol. 2000; 52 (http://dx.doi.org/S0165-5876(00)00283-4 [pii]): 143-148
        • Luntz M.
        • Keren G.
        • Nusem S.
        • et al.
        Acute mastoiditis—Revisited.
        Ear Nose Throat J. 1994; 73: 648-654
        • Psarommatis I.M.
        • Voudouris C.
        • Douros K.
        • et al.
        Algorithmic management of pediatric acute mastoiditis.
        Int J Pediatr Otorhinolaryngol. 2012; 76: 791-796https://doi.org/10.1016/j.ijporl.2012.02.042
        • Brook I.
        Anaerobic infections in children.
        Adv Exp Med Biol. 2011; 697: 117-152https://doi.org/10.1007/978-1-4419-7185-2_10
        • Maharaj D.
        • Jadwat A.
        • Fernandes C.M.
        • et al.
        Bacteriology in acute mastoiditis.
        Arch Otolaryngol Head Neck Surg. 1987; 113: 514-515
        • Antonelli P.J.
        • Garside J.A.
        • Mancuso A.A.
        • et al.
        Computed tomography and the diagnosis of coalescent mastoiditis.
        Otolaryngol Head Neck Surg. 1999; 120 (http://dx.doi.org/S0194599899000881 [pii]): 350-354
        • Levine H.R.
        • Ha K.Y.
        • O’Rourke B.
        • et al.
        A pictorial review of complications of acute coalescent mastoiditis.
        Proc (Bayl Univ Med Cent). 2012; 25: 372-373
        • Zafar A.
        • Ali Z.
        Pattern of magnetic resonance imaging and magnetic resonance venography changes in cerebral venous sinus thrombosis.
        J Ayub Med Coll Abbottabad. 2012; 24: 63-67
        • Tamir S.
        • Schwartz Y.
        • Peleg U.
        • et al.
        Acute mastoiditis in children: Is computed tomography always necessary?.
        Ann Otol Rhinol Laryngol. 2009; 118: 565-569
        • Tamir S.O.
        • Roth Y.
        • Dalal I.
        • et al.
        Acute mastoiditis in the pneumococcal conjugate vaccine era.
        Clin Vaccine Immunol. 2014; 21: 1189-1191https://doi.org/10.1128/CVI.00289-14
        • Geva A.
        • Oestreicher-Kedem Y.
        • Fishman G.
        • et al.
        Conservative management of acute mastoiditis in children.
        Int J Pediatr Otorhinolaryngol. 2008; 72: 629-634https://doi.org/10.1016/j.ijporl.2008.01.013
        • Taylor M.F.
        • Berkowitz R.G.
        Indications for mastoidectomy in acute mastoiditis in children.
        Ann Otol Rhinol Laryngol. 2004; 113: 69-72
        • Zanetti D.
        • Nassif N.
        Indications for surgery in acute mastoiditis and their complications in children.
        Int J Pediatr Otorhinolaryngol. 2006; 70 (http://dx.doi.org/S0165-5876(05)00575-6 [pii]): 1175-1182
        • Park H.
        • Jang H.
        • Shim D.
        • et al.
        Surgical management of acute mastoiditis with epidural abscess.
        Acta Otolaryngol. 2006; 126 (http://dx.doi.org/M88G372324777W31 [pii]): 782-784
        • Tamir S.
        • Shwartz Y.
        • Peleg U.
        • et al.
        Shifting trends: Mastoiditis from a surgical to a medical disease.
        Am J Otolaryngol. 2010; 31: 467-471https://doi.org/10.1016/j.amjoto.2009.06.003