Understanding Mastoiditis

A Comprehensive Guide to Mastoid Bone Infection

Pediatrics

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Last updated: Mar 24, 2025

What is Mastoiditis?

Mastoiditis is a serious bacterial infection affecting the mastoid bone, located behind the ear. This condition typically develops as a complication of untreated or severe middle ear infections (otitis media).

Key Symptoms

  • Severe ear pain
  • Swelling behind the ear
  • Redness and tenderness of the affected area
  • Protruding ear
  • Fever
  • Hearing problems
  • Drainage from the ear

Risk Factors

  • Untreated ear infections
  • Weakened immune system
  • History of recurring ear infections
  • Young age (more common in children)

Diagnosis

Your healthcare provider may use:

  1. Physical examination
  2. CT scan
  3. MRI
  4. Culture of drainage
  5. Blood tests

Treatment Options

Immediate Treatment

  • Intravenous antibiotics
  • Hospitalization (often required)
  • Pain management

Surgical Intervention

In severe cases, surgical procedures may include:

  • Mastoidectomy
  • Myringotomy (ear tube placement)
  • Drainage of accumulated fluid

Complications if Untreated

  • Hearing loss
  • Facial nerve paralysis
  • Meningitis
  • Brain abscess
  • Blood clots

Prevention

  1. Prompt treatment of ear infections
  2. Complete prescribed antibiotic courses
  3. Regular follow-up with healthcare providers
  4. Maintaining good ear hygiene

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe ear pain
  • Fever with ear symptoms
  • Swelling behind the ear
  • Changes in hearing

Recovery and Outlook

With proper treatment, most patients recover fully. However, close monitoring and follow-up care are essential to prevent recurrence and complications.

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