mastoiditis
| Feared complication of Otitis media | |
|---|---|
| Etiology | |
| Epidemiology | More common in children due to incomplete ossification |
| Clinical presentation | Systemically unwell, tenderness, post-auricular swelling, protrusion of pinna |
| Pathogenesis | |
| Diagnostic investigations | CT petrous bones + brain with contrast - subperiosteal abscess? → if no improvement after 24h abx |
| Management | IV ceftriaxone + metronidazole Surgical debridement - grommet/myringotomy + cortical mastoidectomy Complications: - intracranial abscess, neck abscess - venous sinus thrombosis - CN7 palsy/Gradenigo's syndrome |