Zavras P, Potamianos S, Psarommati M-Z, Psarommatis I
Department of Otorhinolaryngology, 'G Gennimatas' General Hospital of Athens, Greece.
Department of Medicine, School of Health Sciences, Democritus University of Thrace, Alexandroupoli, Greece.
J Laryngol Otol. 2020 Aug;134(8):721-726. doi: 10.1017/S0022215120001693. Epub 2020 Aug 13.
Bibliographic data for the management of acute mastoiditis in infants aged six months or less are very limited. This study investigated the presenting symptomatology, diagnostic and treatment options, and final outcomes in this age group.
A retrospective review was conducted of all infants aged six months or less suffering from acute mastoiditis, admitted to our department between 2007 and 2017.
Eleven infants were identified. All of them developed the typical symptomatology of acute mastoiditis, while a higher rate of subperiosteal abscess formation was observed. Imaging was necessary in three cases only. Parenteral antibiotics and myringotomy were applied in all infants. A drainage procedure was also included in the infants with a subperiosteal abscess. Antrotomy was reserved for non-responsive cases. No intracranial complications were observed. All infants were cured without further complications or sequelae.
Acute mastoiditis in infants aged six months or less can be safely diagnosed and treated using a standardised algorithmic approach, similar to that used for older children.
6个月及以下婴儿急性乳突炎管理的文献数据非常有限。本研究调查了该年龄组的临床表现、诊断和治疗选择以及最终结局。
对2007年至2017年间入住我科的所有6个月及以下患有急性乳突炎的婴儿进行回顾性研究。
共确定11例婴儿。所有婴儿均出现急性乳突炎的典型症状，同时观察到骨膜下脓肿形成率较高。仅3例需要影像学检查。所有婴儿均采用静脉抗生素和鼓膜切开术治疗。骨膜下脓肿的婴儿还进行了引流手术。非反应性病例则采用乳突切开术。未观察到颅内并发症。所有婴儿均治愈，无进一步并发症或后遗症。
6个月及以下婴儿的急性乳突炎可以使用标准化的算法方法进行安全诊断和治疗，这与大龄儿童使用的方法类似。
