Mastoditis with Sub-Periosteal Abscess
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It is due to infection of the mastoid air cells in the middle ear, a complication of chronic suppurative otitis media. It presents as a fluctuant painful swelling on the post auricular area. The overlying skin is also inflamed.
Non-pharmacological Treatment
- Aspirate the swelling before incision and drainage, and then refer for mastoidectomy at a zonal/national hospital
Pharmacological Treatment:
C: ciprofloxacin ear drops, 3drops, 12hourly for 14days
AND
A: ciprofloxacin (PO) 500mg 12hourly for 10days; Children 10–20mg/kg 12hourly for 10days
Investigations
- Culture & sensitivity
- CT SCAN-Temporal Bone
Surgical management
- Incision and drainage
- Mastoidectomy/Drainage mastoidectomy
- Tympano-mastoidectomy
- Ossiculoplasty
Note: Treatment shorter than 10days will result into treatment failure