Mather M, Powell S, Yates P D, Powell J
Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK.
J Laryngol Otol. 2020 May;134(5):434-439. doi: 10.1017/S0022215120000833. Epub 2020 May 28.
Mastoiditis is the most common intra-temporal complication of acute otitis media. Despite potentially lethal sequelae, optimal management remains poorly defined.
A retrospective case review was conducted of children diagnosed with mastoiditis at a tertiary referral centre, in North East England, between 2010 and 2017.
Fifty-one cases were identified, 49 without cholesteatoma. Median patient age was 42 months (2 months to 18 years) and median hospital stay was 4 days (range, 0-27 days). There was no incidence trend over time. Imaging was conducted in 15 out of 49 cases. Surgery was performed in 29 out of 49 cases, most commonly mastoidectomy with (9 out of 29) or without (9 out of 29) grommets. Complications included sigmoid sinus thrombosis (3 out of 49) and extradural abscess (2 out of 51), amongst others; no fatalities occurred.
A detailed contemporary description of paediatric mastoiditis presentation and management is presented. The findings broadly mirror those published by other UK centres, but suggest a higher rate of identified disease complications and surgical interventions.
乳突炎是急性中耳炎最常见的颞骨内并发症。尽管存在潜在的致命后遗症，但最佳治疗方案仍不明确。
对2010年至2017年期间在英格兰东北部一家三级转诊中心被诊断为乳突炎的儿童进行回顾性病例分析。
共确定51例病例，其中49例无胆脂瘤。患者年龄中位数为42个月（2个月至18岁），住院时间中位数为4天（范围0 - 27天）。发病率无随时间变化的趋势。49例中有15例进行了影像学检查。49例中有29例接受了手术，最常见的是乳突根治术，其中9例植入了（29例中的）或未植入（29例中的）通气管。并发症包括乙状窦血栓形成（49例中的3例）和硬膜外脓肿（51例中的2例）等；无死亡病例。
本文给出了儿童乳突炎临床表现及治疗的详细当代描述。研究结果大致与英国其他中心发表的结果相符，但显示出已确诊疾病并发症和手术干预的发生率更高。
