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Type: Journal article
Title: Management of paediatric acute mastoiditis: systematic review
Author: Loh, R.
Phua, M.
Shaw, C.
Citation: Journal of Laryngology and Otology, 2018; 132(2):96-104
Publisher: Cambridge University Press
Issue Date: 2018
ISSN: 0022-2151
Statement of
R Loh, M Phua, C-K L Shaw
Abstract: Background: Acute mastoiditis remains the commonest intratemporal complication of otitis media in the paediatric population. There has been a lack of consensus regarding the diagnosis and management of acute mastoiditis, resulting in considerable disparity in conservative and surgical management. Objectives: To review the current literature, proposing recommendations for the management of paediatric acute mastoiditis and appraising the treatment outcomes. Method: A systematic review was conducted using PubMed, Web of Science and Cochrane Library databases. Results: Twenty-one studies were included, with a total of 564 patients. Cure rates of medical treatment, conservative surgery and mastoidectomy were 95.9 per cent, 96.3 per cent and 89.1 per cent, respectively. Conclusion: Mastoidectomy may be the most definitive treatment available; however, reviewed data suggest that conservative treatment alone has high efficacy as first-line treatment in uncomplicated cases of acute mastoiditis, and conservative therapy may be an appropriate first-line management when treating acute mastoiditis.
Keywords: Pediatrics; otitis media; mastoiditis; abscess; otologic surgical procedures; conservative treatment
Rights: ©JLO (1984) Limited, 2017
RMID: 0030125237
DOI: 10.1017/S0022215117001840
Appears in Collections:Medicine publications

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