Frequent questions He asks the doctor Beginning  
MASTOIDITIS
DEFINITION YOU CAUSE SYMPTOMS DIAGNOSTIC TREATMENT COMPLICATIONS TO SEE TO CONSULT

DEFINITION

The mastoiditis is an inflammation of infectious origin that takes place in the apófisis mastoides or bone mastoideo of the skull, placed behind and of the ear pavilion.

CAUSES

The mastoides usually becomes infected as a result with a supported infection of the average ear. Then, since this earache is usually in the infancy, this problem of the bone mastoideo also happens in the same one. With an antibiotic treatment it is benign but years ago it was a mortal problem.

SYMPTOMS

  • Headache
  • Reddening of the ear or behind this one
  • Distension of the area behind the ear
  • Pain of ear and of the bone mastoides
  • Purulent secretion of the ear
  • Fever that can be very high
 

DIAGNOSIS

By exploration the previous symptoms will be able to be verified and the palpación of the area can confirm to us the diagnosis. Then it is possible to complete with:

  • Scanner computarizada (TAC or scanner) of the ear and of the head
  • It is suitable to do a cultivation of the exudation of the ear, then to put an exact treatment to the cause in every case.
  • TREATMENT

    In the treatment of the mastoiditis they usually use antibiotics of wide bogey, but as the area is sinuous they happen to high doses and to the beginning for route endovenosa. Then, on having had the result of the cultivation, they will change or depending on the responsible bacterium and his sensibility to every antibiotic. If it is fine in 2 ó 3 days it is possible to spend to oral route the antibiotic.

    If it does not evolve well one is necessary a surgery intervention to drain the bone mastoideo. Inclusive it can be necessary also to drain the average ear across the eardrum if the infection becomes a rebel.


    COMPLICATIONS

    Sometimes it is possible to come to an irreversible deafness. The mastoiditis is a bony infection, which can complicate an average earache infected without suitable control. Other rarer complications are the colesteatoma and the abceso epidural.

    TO SEE ALSO

  • Average earache
  • WHAT DOCTOR CAN TREAT ME?

    To look a specialist Service offered for
    Writing: Medical equipment   Update: June, 2009


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