Mastoiditis
About Mastoiditis
Mastoiditis is the inflammation of air cells in the temporal bone (bone that contains the inner/middle ear). Mastoiditis is associated with middle ear infections (otitis media). The infection of the middle ear can extend into the air cells of the mastoid and result in bone infection and bone death. Streptococcus pneumoniae is the most common bacteria causing mastoiditis. Mastoiditis is a disease of young people although it can occur at any age.Symptoms
Symptoms may include ear pain, ear fullness, pain along the bony ridge behind the ear, irritability or hearing loss.Tests & Diagnostics
A complete history and physical will be performed. A specific ear (otologic) exam will be performed. Laboratory and imaging tests may be needed to confirm the diagnosis. A puncture of the ear drum (tympanic membrane) also called the (tympanocentesis) to obtain fluid for analysis may be done. This fluid can also be obtained by making a small incision in the tympanic membrane (myringotomy).Common tests: Complete blood count (CBC), CT Scan, MRI.
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
Treatment involves a combination of intravenous antibiotics and oral antibiotics. Surgical intervention may also be required pending the extent of the symptoms and infection. Surgery procedures may range from tympanostomy tube placement, to drainage of middle ear fluid, to removal of a portion of the mastoid bone (mastoidectomy).Medical specialties
Internal Medicine · Pediatrics · Family Practice · Ear, Nose, and Throat (ENT) · Pediatric ENT (Otolaryngology)
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Mastoiditis.