eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid

Middle Ear, Mastoiditis: Multimedia

Author: PP Devan, MBBS, MS, Chief of ENT, A J Institute of Medical Sciences, India
Coauthor(s): John D Donaldson, MD, FRCS(C), FAAP, FACS, Chairman, Board of Directors, Lee Memorial Health System; Vice-President, Florida Pediatric Society
Contributor Information and Disclosures

Updated: Mar 19, 2008

Multimedia

Extent of cortical mastoidectomy in a well-pneuma...Media file 1: Extent of cortical mastoidectomy in a well-pneumatized mastoid.
Extent of cortical mastoidectomy in a well-pneuma...

Extent of cortical mastoidectomy in a well-pneumatized mastoid.

Cortical mastoidectomy in a densely sclerosed mas...Media file 2: Cortical mastoidectomy in a densely sclerosed mastoid.
Cortical mastoidectomy in a densely sclerosed mas...

Cortical mastoidectomy in a densely sclerosed mastoid.

Preoperative preparation of the patient. (Images ...Media file 3: Preoperative preparation of the patient. (Images 3-15 are surgical series.)
Preoperative preparation of the patient. (Images ...

Preoperative preparation of the patient. (Images 3-15 are surgical series.)

Draping the surgical area. (Images 3-15 are surgi...Media file 4: Draping the surgical area. (Images 3-15 are surgical series.)
Draping the surgical area. (Images 3-15 are surgi...

Draping the surgical area. (Images 3-15 are surgical series.)

Injection of the area with 2% Xylocaine and 1:100...Media file 5: Injection of the area with 2% Xylocaine and 1:100,000 adrenaline to reduce bleeding. (Images 3-15 are surgical series.)
Injection of the area with 2% Xylocaine and 1:100...

Injection of the area with 2% Xylocaine and 1:100,000 adrenaline to reduce bleeding. (Images 3-15 are surgical series.)

Marking the incision site. (Images 3-15 are surgi...Media file 6: Marking the incision site. (Images 3-15 are surgical series.)
Marking the incision site. (Images 3-15 are surgi...

Marking the incision site. (Images 3-15 are surgical series.)

Placement of the incision, a few mm behind the po...Media file 7: Placement of the incision, a few mm behind the postauricular sulcus. (Images 3-15 are surgical series.)
Placement of the incision, a few mm behind the po...

Placement of the incision, a few mm behind the postauricular sulcus. (Images 3-15 are surgical series.)

Deepening the incision down to the bone. (Images ...Media file 8: Deepening the incision down to the bone. (Images 3-15 are surgical series.)
Deepening the incision down to the bone. (Images ...

Deepening the incision down to the bone. (Images 3-15 are surgical series.)

Elevation of the periosteum to expose the mastoid...Media file 9: Elevation of the periosteum to expose the mastoid cortex to the mastoid tip. (Images 3-15 are surgical series.)
Elevation of the periosteum to expose the mastoid...

Elevation of the periosteum to expose the mastoid cortex to the mastoid tip. (Images 3-15 are surgical series.)

Mastoid drilling in progress with simultaneous sa...Media file 10: Mastoid drilling in progress with simultaneous saline irrigation. (Images 3-15 are surgical series.)
Mastoid drilling in progress with simultaneous sa...

Mastoid drilling in progress with simultaneous saline irrigation. (Images 3-15 are surgical series.)

Creation of the initial groove and the vertical l...Media file 11: Creation of the initial groove and the vertical line. (Images 3-15 are surgical series.)
Creation of the initial groove and the vertical l...

Creation of the initial groove and the vertical line. (Images 3-15 are surgical series.)

Exposure of the antrum and exenteration of the ma...Media file 12: Exposure of the antrum and exenteration of the mastoid air cells. (Images 3-15 are surgical series.)
Exposure of the antrum and exenteration of the ma...

Exposure of the antrum and exenteration of the mastoid air cells. (Images 3-15 are surgical series.)

Curetting the aditus to enlarge it. (Images 3-15 ...Media file 13: Curetting the aditus to enlarge it. (Images 3-15 are surgical series.)
Curetting the aditus to enlarge it. (Images 3-15 ...

Curetting the aditus to enlarge it. (Images 3-15 are surgical series.)

Further exposure. (Images 3-15 are surgical serie...Media file 14: Further exposure. (Images 3-15 are surgical series.)
Further exposure. (Images 3-15 are surgical serie...

Further exposure. (Images 3-15 are surgical series.)

Healed postaural scar. (Images 3-15 are surgical ...Media file 15: Healed postaural scar. (Images 3-15 are surgical series.)
Healed postaural scar. (Images 3-15 are surgical ...

Healed postaural scar. (Images 3-15 are surgical series.)

More on Middle Ear, Mastoiditis

Overview: Middle Ear, Mastoiditis
Workup: Middle Ear, Mastoiditis
Treatment: Middle Ear, Mastoiditis
Follow-up: Middle Ear, Mastoiditis
Multimedia: Middle Ear, Mastoiditis
References

References

  1. Luntz M, Brodsky A, Nusem S, Kronenberg J, Keren G, Migirov L, et al. Acute mastoiditis--the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol. 2001;57(1):1-9. [Medline][Full Text].

  2. Niv A, Nash M, Slovik Y, Fliss DM, Kaplan D, Leibovitz E, et al. Acute mastoiditis in infancy: the Soroka experience: 1990-2000. Int J Pediatr Otorhinolaryngol. Nov 2004;68(11):1435-9. [Medline][Full Text].

  3. Oestreicher-Kedem Y, Raveh E, Kornreich L, Popovtzer A, Buller N, Nageris B. Complications of mastoiditis in children at the onset of a new millennium. Ann Otol Rhinol Laryngol. Feb 2005;114(2):147-52. [Medline].

  4. Roddy MG, Glazier SS, Agrawal D. Pediatric mastoiditis in the pneumococcal conjugate vaccine era: symptom duration guides empiric antimicrobial therapy. Pediatr Emerg Care. Nov 2007;23(11):779-84. [Medline][Full Text].

  5. American Academy of Pediatrics. Red Book: Report of the Committee on Infectious Diseases,. In: Pneumococcal infections. 24th ed. 1997:410-419.

  6. Antonelli PJ, Dhanani N, Giannoni CM, Kubilis PS. Impact of resistant pneumococcus on rates of acute mastoiditis. Otolaryngol Head Neck Surg. Sep 1999;121(3):190-4. [Medline].

  7. Arenberg IK, Stahle J, Glasscock ME 3rd, Shambaugh GE Jr. Endolymphatic sac valve implant surgery. I: The technique. Laryngoscope. Jul 1979;89(7 Pt 2 Suppl 17):1-20. [Medline].

  8. Bluestone CD, Klein JO. Complications and sequelae: intratemporal. Otitis Media in Infants and Children. 1988;233-237.

  9. Bluestone CD, Klein JO. Pediatric Otolaryngology. In: Intratemporal complications and sequelae of otitis media. 1. 2nd ed. Philadelphia, Penn: WB Saunders; 1990:521-526.

  10. Fink JN, McAuley DL. Mastoid air sinus abnormalities associated with lateral venous sinus thrombosis: cause or consequence?. Stroke. 2002 Sep;33(9):2148-9; author reply 2148-9. Sep 2002;33(9):2148-9. [Medline][Full Text].

  11. Gliklich RE, Eavey RD, Iannuzzi RA, Camacho AE. A contemporary analysis of acute mastoiditis. Arch Otolaryngol Head Neck Surg. Feb 1996;122(2):135-9. [Medline].

  12. Kaplan SL, Mason EO Jr, Wald ER, Kim KS, Givner LB, Bradley JS, et al. Pneumococcal mastoiditis in children. Pediatrics. Oct 2000;106(4):695-9. [Medline].

  13. Krejovic-Trivic S, Djeric D, Trivic A. [Mastoiditis in adults: diagnostic and therapeutic aspects]. Acta Chir Iugosl. 2004;51(1):109-12. [Medline].

  14. Kvestad E, Kvaerner KJ, Mair IW. Acute mastoiditis: predictors for surgery. Int J Pediatr Otorhinolaryngol. Apr 15 2000;52(2):149-55. [Medline].

  15. Mustafa A, Debry Ch, Wiorowski M, Martin E, Gentine A. Treatment of acute mastoiditis: report of 31 cases over a ten year period. Rev Laryngol Otol Rhinol (Bord). 2004;125(3):165-9. [Medline].

  16. Shambaugh GE, Glasscock ME. Pathology and clinical course of inflammatory diseases of the middle ear. Surgery of the Ear. 1967;186-220.

Further Reading

Keywords

mastoiditis, acute surgical mastoiditis, ASM, chronic middle ear inflammatory disease, chronic suppurative otitis media, acute otitis media, AOM, acute mastoiditis, earache, ear ache, ear pain, ear infection, hearing loss, cholesteatoma, middle ear disease, coalescent mastoiditis, mastoid, mastoidectomy, tympanocentesis, mastoid disease

Contributor Information and Disclosures

Author

PP Devan, MBBS, MS, Chief of ENT, A J Institute of Medical Sciences, India
Disclosure: Nothing to disclose.

Coauthor(s)

John D Donaldson, MD, FRCS(C), FAAP, FACS, Chairman, Board of Directors, Lee Memorial Health System; Vice-President, Florida Pediatric Society
John D Donaldson, MD, FRCS(C), FAAP, FACS is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American College of Surgeons, and American Society of Pediatric Otolaryngology
Disclosure: None None None

Medical Editor

John C Li, MD, Private Practice in Otology and Neurotology; Medical Director, Balance Center
John C Li, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Tinnitus Association, Florida Medical Association, and North American Skull Base Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Gerard J Gianoli, MD, Clinical Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine; Vice President, The Ear and Balance Institute; Chief Executive Officer, Ponchartrain Surgery Center
Gerard J Gianoli, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Neurotology Society, American Otological Society, Society of University Otolaryngologists-Head and Neck Surgeons, and Triological Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
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