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https://hdl.handle.net/2440/126509
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Type: | Journal article |
Title: | Management of paediatric acute mastoiditis: systematic review |
Author: | Loh, R. Phua, M. Shaw, C.K.L. |
Citation: | Journal of Laryngology and Otology, 2018; 132(2):96-104 |
Publisher: | Cambridge University Press |
Issue Date: | 2018 |
ISSN: | 0022-2151 1748-5460 |
Statement of Responsibility: | 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 |
DOI: | 10.1017/S0022215117001840 |
Published version: | http://dx.doi.org/10.1017/s0022215117001840 |
Appears in Collections: | Aurora harvest 4 Medicine publications |
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