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Acute mastoiditis in childr...
Background: Acute mastoiditis in children remains an otological challenge, assuming itself as the most frequent complication of acute otitis media. Although the use of antibiotic therapy has reduced the need for surgical intervention, the latter is frequently used in the treatment of acute mastoiditis and its complications. The objective of this study is to analyze the approach to acute mastoiditis nowadays using our experience in the Otorhinolaryngology department of Hospital Dona Estefânia, Lisbon, Portugal. Material and Methods: We retrospectively studied the clinical charts of all children (n=226) with the diagnosis of acute mastoiditis admitted to our department during the period of 2000 to 2014 (15 years). Data regarding symptomatology, relevant findings of complementary exams, presence of complications and mainly therapeutic approach and their implications were studied. Results: During the study period, 167 clinical records fulfilled criteria for inclusion. Boys (n=92) were much more frequently affected than girls. Their ages ranged from 1 month to 17 years (mean age 3 years and 7 months). History of previous acute otitis media episodes was registered in 41,3% (n=69) of patients. In our series, associated complications (all present on admission) occurred in 27% of cases (n=45). All patients were submitted to empiric intravenous antibiotics. Surgical management included myringotomy (n=20) and myringotomy with transtympanic ventilation tubes (n=18) on admission upon the group without complications. A more agressive approach was undertaken in 45 children with associated complications. The mean length of hospital stay was 8.5 days. All patients recovered uneventfully. It was registered one recurrence of mastoiditis but the child was asymptomatic during the events. Conclusion: Acute pediatric mastoiditis remains a potentially problematic infection even in the antibiotic era. According to recent literature, the incidence of this complication is increasing, which wa
Analítica
analitica Rebiun31175881 https://catalogo.rebiun.org/rebiun/record/Rebiun31175881 220830s2018 xx o 000 0 eng d https://dialnet.unirioja.es/servlet/oaiart?codigo=6903944 (Revista) ISSN 2340-3438 S9M oai:dialnet.unirioja.es:ART0001321762 https://dialnet.unirioja.es/oai/OAIHandler 14 DGCNT S9M S9M dc Acute mastoiditis in children: where do we stand? electronic resource] 2018 application/pdf Open access content. Open access content star Background: Acute mastoiditis in children remains an otological challenge, assuming itself as the most frequent complication of acute otitis media. Although the use of antibiotic therapy has reduced the need for surgical intervention, the latter is frequently used in the treatment of acute mastoiditis and its complications. The objective of this study is to analyze the approach to acute mastoiditis nowadays using our experience in the Otorhinolaryngology department of Hospital Dona Estefânia, Lisbon, Portugal. Material and Methods: We retrospectively studied the clinical charts of all children (n=226) with the diagnosis of acute mastoiditis admitted to our department during the period of 2000 to 2014 (15 years). Data regarding symptomatology, relevant findings of complementary exams, presence of complications and mainly therapeutic approach and their implications were studied. Results: During the study period, 167 clinical records fulfilled criteria for inclusion. Boys (n=92) were much more frequently affected than girls. Their ages ranged from 1 month to 17 years (mean age 3 years and 7 months). History of previous acute otitis media episodes was registered in 41,3% (n=69) of patients. In our series, associated complications (all present on admission) occurred in 27% of cases (n=45). All patients were submitted to empiric intravenous antibiotics. Surgical management included myringotomy (n=20) and myringotomy with transtympanic ventilation tubes (n=18) on admission upon the group without complications. A more agressive approach was undertaken in 45 children with associated complications. The mean length of hospital stay was 8.5 days. All patients recovered uneventfully. It was registered one recurrence of mastoiditis but the child was asymptomatic during the events. Conclusion: Acute pediatric mastoiditis remains a potentially problematic infection even in the antibiotic era. According to recent literature, the incidence of this complication is increasing, which wa LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI English mastoidite aguda crianças antibiótico pediatria otite média acute mastoiditis children antibiotic pediatric otitis media text (article) Moreira, Carla. cre Ximenes Araújo, Joana. cre Sousa, Inês. cre Moreira, Inês. cre Barros, Ezequiel. cre Acta Otorrinolaringológica Gallega, ISSN 2340-3438, Nº. 11, 2018, pags. 226-233 Acta Otorrinolaringológica Gallega, ISSN 2340-3438, Nº. 11, 2018, pags. 226-233 Acta Otorrinolaringológica Gallega, ISSN 2340-3438, Nº. 11, 2018, pags. 226-233