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Doctor insights on: Mastoiditis

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Dr. Joshua Gottschall
140 Doctors shared insights

Mastoiditis (Overview)

An infection that affects the mastoid bone, located behind the ear.


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Has anyone treated mastoiditis?

Has anyone treated mastoiditis?

Yes, for sure.: It is fairly common in children. Usually it can be treated with just a tube in the eardrum, but sometimes needs a bigger operation to drain the infection. Beware of doctors overcalling "mastoiditis" on ct or MRI scans, when all they are seeing is fluid in the mastoid. This is seen with any ear infection for a while afterwards.

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Dr. Joshua Gottschall
140 Doctors shared insights

Mastoiditis (Overview)

An infection that affects the mastoid bone, located behind the ear.


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How does mastoiditis spread?

See below: Untreated mastoiditis can spread to the brain leading to meningitis or brain abcess which can be fatal. The specialty of ENT was created prior to the discovery of penicillin and at that time mastoidectomy is the only life saving treatment!

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What are the symptoms of mastoiditis?

Look to the ear: Acute mastoiditis has fever, ear pain, tenderness behind the ear, and the ear may even stick out more than it normally does. Chronic mastoiditis shows with drainage which persists despite common treatments. See your ear doctor for chronic but get immediate care for an acute case as it may need urgent surgery.

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What are some signs that I may have mastoiditis?

See below: Acute mastoiditis is usually accompanied by middle ear infection. In the early stages there is hearing loss, ear pain and fever. Later swelling, redness and tenderness develop over the mastoid bone behind the ear.

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My doctor diagnosed me with mastoiditis. Just checking - what's the best treatment.?

Antibiotics: Mastoid infections in adults are somewhat rare today;but is serious. Take the antibiotics as prescribed to prevent a possible surgery.

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What are the tests for mastoiditis?

What are the tests for mastoiditis?

CT scan: If there is not clear cut swelling behind the ear, then ct scan is the best way to diagnose mastoiditis. Cloudy mastoid cells on ct is not mastoiditis, that is just an ear infection. If there is breakdown of the tiny air sacs of the mastoid bone on ct, then the diagnosis of mastoiditis is correct.

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What do you do for mastoiditis caused by head trauma?

What do you do for mastoiditis caused by head trauma?

Consult an ENT dr: Often, people will have fluid in the mastoid on imaging studies performed after head trauma. This may or may not mean that mastoiditis is present. It may be blood pooled in the mastoid, spinal fluid leaking, or excess mucous pooling in the mastoid. Each cause is managed differently. It would be prudent to be evaluated by an ears, nose, and throat physician.

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MRI: petrous apicitis and mastoiditis (diff: effusion).Treat as infection to prevent complication? Or further testing? Is this an emergency?

MRI: petrous apicitis and mastoiditis (diff: effusion).Treat as infection to prevent complication? Or further testing? Is this an emergency?

Serious: It is a serious condition requiring treatment with antibiotics or surgery. It could very well be an emergency. If left untreated, it could result in a brain abscess, meningitis, or cavernous sinus thrombosis and could kill a person that way. Please seek help. ENT/ Neurosurg http://emedicine. Medscape. Com/article/883256-overview

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What is mastoiditis?

Infection: Mastoiditis is a bacterial infection of the mastoid bone. The mastoid bone, sits behind the ear. Middle ear infections can lead to mastoiditis.

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Does mastoiditis recur?

Possible: Yes it can recur. Any infection in the body has the potential to reoccur. Please have your doctor evaluate you if there are any signs of pain, swelling, redness, warmness, fever or chills.

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How does mastoiditis spread?

See below: Untreated mastoiditis can spread to the brain leading to meningitis or brain abcess which can be fatal. The specialty of ENT was created prior to the discovery of penicillin and at that time mastoidectomy is the only life saving treatment!

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Has anyone treated mastoiditis?

Yes, for sure.: It is fairly common in children. Usually it can be treated with just a tube in the eardrum, but sometimes needs a bigger operation to drain the infection. Beware of doctors overcalling "mastoiditis" on ct or MRI scans, when all they are seeing is fluid in the mastoid. This is seen with any ear infection for a while afterwards.

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What can be done for mastoiditis?

Antibiotics or surge: Antibiotics will be the first line of treatment for any infection, but is the infection does not clear up surgery will be needed.

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What are the tests for mastoiditis?

CT scan: If there is not clear cut swelling behind the ear, then ct scan is the best way to diagnose mastoiditis. Cloudy mastoid cells on ct is not mastoiditis, that is just an ear infection. If there is breakdown of the tiny air sacs of the mastoid bone on ct, then the diagnosis of mastoiditis is correct.

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What can be done for mastoiditis?

What can be done for mastoiditis?

Depends: Acute mastoiditis can be treated with myringotomy and tube placement on the ipsilateral ear drum to allow drainage. Antibiotic given intravenously, by mouth and/or via antibiotic drops are commonly used depending on how ill the patient is. Mastoidectomy can be performed in patient not responding to the aforementioned treatment.

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How quickly will mastoiditis spread?

Not quickly: Mastouditis is not contagious. Treatment is usually antibiotics but may require surgery if symptoms do not improve or have recurred several times.

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What are the symptoms of mastoiditis?

Look to the ear: Acute mastoiditis has fever, ear pain, tenderness behind the ear, and the ear may even stick out more than it normally does. Chronic mastoiditis shows with drainage which persists despite common treatments. See your ear doctor for chronic but get immediate care for an acute case as it may need urgent surgery.

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How long until mastoiditis gets severe?

1: Week or less if it is infected.

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Could I have mastoiditis? How do I tell?

See MD ASAP: If you have any concern about this as a possibility, please see an md asap!

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What happens if mastoiditis isn't treated?

What happens if mastoiditis isn't treated?

Mastoiditis: If left untreated, true suppurative acute mastoiditis, could lead to extracranial (facial paralysis, labyrinthitis, petrositis, subperiosteal abscess) and/or intracranial (meningitis, brain abscess, extradural abscess, subdural abscess) complications.

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