Management of paediatric acute mastoiditis: systematic review

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dc.contributor.authorLoh, R.
dc.contributor.authorPhua, M.
dc.contributor.authorShaw, C.K.L.
dc.date.issued2018
dc.description.abstractBackground: 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.
dc.description.statementofresponsibilityR Loh, M Phua, C-K L Shaw
dc.identifier.citationJournal of Laryngology and Otology, 2018; 132(2):96-104
dc.identifier.doi10.1017/S0022215117001840
dc.identifier.issn0022-2151
dc.identifier.issn1748-5460
dc.identifier.urihttp://hdl.handle.net/2440/126509
dc.language.isoen
dc.publisherCambridge University Press
dc.rights©JLO (1984) Limited, 2017
dc.source.urihttps://doi.org/10.1017/s0022215117001840
dc.subjectPediatrics; otitis media; mastoiditis; abscess; otologic surgical procedures; conservative treatment
dc.titleManagement of paediatric acute mastoiditis: systematic review
dc.typeJournal article
pubs.publication-statusPublished

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