2,840 results match your criteria Mastoiditis


The National Landscape of Acute Mastoiditis: Analysis of the Nationwide Readmissions Database.

Otol Neurotol 2020 Jun 19. Epub 2020 Jun 19.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai.

Objective: To determine risk factors for readmission, prolonged length of stay, and discharge to a rehabilitation facility in patients with acute mastoiditis. Trends in treatment and complication rates were also examined.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002745DOI Listing

Compressive Neuropathy of the Facial Nerve Presenting as Bell's Palsy in a Pediatric Patient on High-Frequency Oscillatory Ventilation.

Cureus 2020 May 13;12(5):e8091. Epub 2020 May 13.

Pediatrics, The Brooklyn Hospital Center, Brooklyn, USA.

A three-year eight-month-old female with Werdnig Hoffman disease presented with an acute onset of respiratory failure secondary to influenza infection. The patient required conventional mechanical ventilation (CMV). Due to worsening hypoxemia on maximal support, high-frequency oscillatory ventilation (HFOV) was initiated. Read More

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http://dx.doi.org/10.7759/cureus.8091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292705PMC

A 10-Month-Old Female With Complicated Mastoiditis Due to Fusobacterium necrophorum: A Case Report and Literature Review.

J Pediatric Infect Dis Soc 2020 Jun 12. Epub 2020 Jun 12.

Division of Pediatric Infectious Diseases, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.

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http://dx.doi.org/10.1093/jpids/piaa059DOI Listing

Two probable cases of mastoiditis in a cemetery from the Warring States to Han Dynasty (475 BCE-220 CE) in Qufu, Shandong Province, China.

Int J Paleopathol 2020 Jun 5;30:77-84. Epub 2020 Jun 5.

Institute of Cultural Heritage, Shandong University, China. Electronic address:

In modern clinical medical practice, middle-ear infection is a frequently reported condition. If untreated, persistent inflammation caused by infection may lead to perforation of the mastoid process or other portions of the temporal bone. When the middle-ear abscess penetrates the surrounding bone and invades the mastoid process, it causes mastoiditis. Read More

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http://dx.doi.org/10.1016/j.ijpp.2020.03.001DOI Listing

Acute mastoiditis in infants younger than 6 months: is an alternative treatment protocol needed?

Eur Arch Otorhinolaryngol 2020 Jun 4. Epub 2020 Jun 4.

Department of Otorhinolaryngology and Head and Neck Surgery, Schneider Children's Medical Center of Israel and Rabin Medical Center, Beilinson Campus, 49202, Petah Tikva, Israel.

Objectives: Several studies have reported that younger children suffer from increased incidence and more severe episodes of acute mastoiditis (AM) than older children, whereas other researchers have found the opposite. The aim of our study was to describe the occurrence, clinical, and microbiological aspects of AM in children 6 months or younger, and compare them with the results in an older reference age band.

Methods: The medical files of children hospitalized with a diagnosis of AM during 2001-2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00405-020-06088-3DOI Listing

An unusual presentation of hemiparesis: Rapidly progressing meningitis secondary to acute mastoiditis.

IDCases 2020 18;21:e00831. Epub 2020 May 18.

North Florida Regional Medical Center, Gainesville, FL, 32605, United States.

A sixty-three year-old male who arrived to our emergency department with signs and symptoms of an acute left middle cerebral artery cerebrovascular accident. Initial neurovascular imaging failed to demonstrate any abnormalities that explained his symptoms. His neurologic status rapidly deteriorated in conjunction with the development of severe sepsis. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00831DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251761PMC

[Bilateral temporal bone xanthoma associated with hyperlipidemia].

Vestn Otorinolaringol 2020 ;85(2):49-52

Irkutsk Regional Pathologicanatomical Bureau, Irkutsk, Russia.

Presented clinical observation of a 42-year-old patient with bilateral xanthoma of the temporal bone, who has been treated for a long time for bilateral external otitis media, repeatedly mastoiditis. In this case, hyperlipidemia was detected only after the diagnosis of xanthoma was established. In this case, histological and clinical data helped to diagnose xanthomas and exclude chronic otitis media: the preservation of the auditory ossicles and hearing despite a large destruction of the temporal bone; satisfactory condition of the patient for many years in the presence of volumetric formations in both temporal areas extending into the cranial cavity, spreaded from the brain substance and not accumulating contrast according to computer and magnetic resonance imaging; normalization of hearing against the background of prolonged heating of the body - 'melting' of fats and opening the ear canal. Read More

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http://dx.doi.org/10.17116/otorino20208502149DOI Listing
January 2020

Acute mastoiditis in children: contemporary opportunities and challenges.

J Laryngol Otol 2020 May 28;134(5):434-439. Epub 2020 May 28.

Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK.

Background: Mastoiditis is the most common intra-temporal complication of acute otitis media. Despite potentially lethal sequelae, optimal management remains poorly defined.

Method: A retrospective case review was conducted of children diagnosed with mastoiditis at a tertiary referral centre, in North East England, between 2010 and 2017. Read More

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http://dx.doi.org/10.1017/S0022215120000833DOI Listing

Factors affecting complications and comorbidities in children with cholesteatoma.

Int J Pediatr Otorhinolaryngol 2020 Aug 6;135:110080. Epub 2020 May 6.

Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.

Objective: To evaluate the effects of age, race, payer status, and socioeconomic status on complications and comorbidities in children with cholesteatoma.

Methods: An analysis of the Kids' Inpatient Database was performed on cases of cholesteatoma between 2006 and 2016, along with associated complications or co-morbidities and surgical interventions.

Results: 1552 cases of pediatric cholesteatoma represented 5. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110080DOI Listing

Imaging features of mucopolysaccharidoses in the head and neck.

Int J Pediatr Otorhinolaryngol 2020 Jul 26;134:110022. Epub 2020 Mar 26.

Department of Radiology, Division of Neuroradiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. Electronic address:

Ear, Nose and Throat (ENT) involvement by mucopolysaccharidoses is very common, affecting over 90% of patients, and occurs early in the course of the disease. Airway narrowing secondary to glycosaminoglycan deposition results in greatly increased morbidity, mortality and risk of anesthetic complications in these patients. Macroglossia, restricted mouth opening, tracheobronchomalacia, adenotonsillar hypertrophy along with other factors such as a short, rigid and unstable cervical spine, cardiac disease and increased susceptibility to respiratory infections result in a high perioperative mortality and morbidity. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110022DOI Listing

Not All ENT Granulomas Are Wegener's - Keep Tuberculosis in Mind.

Eur J Case Rep Intern Med 2020 19;7(3):001469. Epub 2020 Feb 19.

Clinical Immunology Unit, Hospital de Santo António, Centro Hospitalar Universitário do Porto, Porto, Portugal.

affects the middle ear in rare cases and is a challenging diagnosis. In this case, we present a 57-year-old patient diagnosed with anti-neutrophil cytoplasmic antibody (ANCA)-negative granulomatosis with polyangiitis (GPA) following a biopsy result of nasal granulomas, who was immediately started on immunosuppressive treatment. Years later, she developed progressive hypoacusis. Read More

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http://dx.doi.org/10.12890/2020_001469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083184PMC
February 2020

[Acute mastoiditis with intracranial complication in a pediatric patient].

Arch Argent Pediatr 2020 04;118(2):e166-e169

Unidad de Infectología Pediátrica, Hospital Infantil Miguel Servet, Zaragoza, España.

Acute mastoiditis is an infection that affects the mastoid air-cell system, usually due to the progression of an acute otitis media. The bacteria most frequently isolated in acute mastoiditis are Streptococcus pneumoniae, Streptococcus pyogenes and Staphylococcus aureus. The mastoid infection can extend affecting contiguous structures and producing intra or extracranial complications. Read More

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http://dx.doi.org/10.5546/aap.2020.e166DOI Listing

The Role of Mastoidectomy in Draining Ventilation Tubes.

Ear Nose Throat J 2020 Mar 19:145561320913350. Epub 2020 Mar 19.

Pittsburgh Ear Associates, Allegheny General Hospital, Pittsburgh, PA, USA.

Objectives: To discuss the indication for performing a mastoidectomy with catheter placement in patients with chronic tympanostomy tube otorrhea.

Methods: The Medical Literature Analysis and Retrieval System Online was searched via PubMed for relevant articles using serous mastoiditis, mastoidectomy, chronic otorrhea, tube otorrhea, tympanostomy tubes, and biofilm as keywords.

Results: Further understanding of the pathophysiology of otorrhea and the development of ototopical fluoroquinolones have made a draining tympanostomy tube more manageable. Read More

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http://dx.doi.org/10.1177/0145561320913350DOI Listing

Chondromyxoid fibroma of the temporal bone: A rare case report.

Medicine (Baltimore) 2020 Mar;99(11):e19487

Department of Otorhinolaryngology, Beijing Tongren Hospital.

Rationale: Chondromyxoid fibroma (CMF) is a rare form of benign bone tumor and easily misdiagnosed as fibrosarcoma. Hence, to explore the clinical manifestations, diagnostic tests, and therapeutic procedures for temporal bone cartilage myxoid fibroma, it is important to optimize patient treatment and avoid overtreatment. Previous research has discussed cases of CMF, but this paper presents a systematic, complete, and comprehensive introduction of this disease based on this case and related literature. Read More

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http://dx.doi.org/10.1097/MD.0000000000019487DOI Listing
March 2020
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Antibiotic use and serious complications following acute otitis media and acute sinusitis: a retrospective cohort study.

Br J Gen Pract 2020 Apr 26;70(693):e255-e263. Epub 2020 Mar 26.

School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, Southampton.

Background: Most people with acute otitis media (AOM) and acute sinusitis (AS) do not benefit from antibiotics, and GPs are under increasing pressure to reduce antibiotic prescribing. Concern about the risk of complications can drive unnecessary prescribing.

Aim: To describe the incidence of serious complications following AOM and AS, and to determine whether antibiotics are protective. Read More

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http://dx.doi.org/10.3399/bjgp20X708821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065682PMC

Auricular Protrusion: Not Only Mastoiditis.

Indian J Pediatr 2020 Feb 21. Epub 2020 Feb 21.

Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

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http://dx.doi.org/10.1007/s12098-020-03241-yDOI Listing
February 2020

Acute mastoiditis in children.

Acta Biomed 2020 02 17;91(1-S):54-59. Epub 2020 Feb 17.

International Federation ORL Societies (IFOS).

Acute mastoiditis is the most common complication of acute otitis media. Although rare, the disease is carefully studied by otolaryngologists because it usually affects very young children with severe clinical course and sometimes causes serious complications. Most important risk factors are the young age (often>2 years), high fever, alteration of the laboratory findings (very high values of WBC count, absolute neutrophil count and C-reactive protein), while less important are previous antibiotic therapy or previous middle ear infections. Read More

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http://dx.doi.org/10.23750/abm.v91i1-S.9259DOI Listing
February 2020

How well do we know Gradenigo? A comprehensive literature review and proposal for novel diagnostic categories of Gradenigo's syndrome.

Int J Pediatr Otorhinolaryngol 2020 Feb 8;132:109942. Epub 2020 Feb 8.

Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Divisions of Hospital Medicine, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA, USA; Divisions of Infectious Disease, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA, USA. Electronic address:

Gradenigo's Syndrome is a rare complication of otitis media and/or mastoiditis resulting in inflammation of the petrous apex of the temporal bone. Here, we highlight an interesting case from our institution, summarize available pediatric cases from the past fifty years to provide an updated diagnostic categorization for this rare condition with confusing nomenclature, and suggest guidance for diagnosis and management. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109942DOI Listing
February 2020

Complication of otitis media leads to opisthotonos in a toddler.

Am J Emerg Med 2020 Jun 17;38(6):1296.e5-1296.e7. Epub 2020 Jan 17.

Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF, Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA.

Opisthotonos, extreme involuntary neck and back extension, is rarely seen in modern emergency departments. Vaccines have prevented the most common causes of this clinical presentation. Alternatively, otitis media is one of the most common pediatric infections and is characteristically non-invasive and harmless. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.01.028DOI Listing

Otogenic intracranial complications: a 10-year retrospective review in KwaZulu-Natal, South Africa.

J Laryngol Otol 2020 Jan 22;134(1):3-7. Epub 2020 Jan 22.

Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Objectives: To analyse the data for patients with otogenic intracranial complications during the study period and draw a comparison with internationally published literature.

Method: A retrospective, observational study was conducted, covering a 10-year period between 1 January 2002 and 31 December 2012.

Results: The study comprised 108 patients (66 males (61. Read More

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http://dx.doi.org/10.1017/S0022215120000018DOI Listing
January 2020

Preparing the surgical area for non-shaved ear surgery: a clinical assessment.

J Wound Care 2020 Jan;29(1):68-72

Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu, Gyeonggi-do, 11765, Republic of Korea.

Objective: To review the clinical experience for non-shaved middle ear/mastoid surgery and evaluate the proper method of preparing the postauricular surgical field.

Methods: This retrospective study reviewed medical records of cases where the non-shaved surgical procedure was carried out for middle ear/mastoid diseases. In all cases, middle ear and mastoid surgery was performed by one otologic surgeon without hair shaving to treat chronic perforation of tympanic membrane, as well as chronic suppurative otitis media, with or without mastoiditis during two years. Read More

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http://dx.doi.org/10.12968/jowc.2020.29.1.68DOI Listing
January 2020

Propionibacterium acnes-associated chronic hypertrophic pachymeningitis followed by refractory otitis media: a case report.

BMC Neurol 2020 Jan 9;20(1):11. Epub 2020 Jan 9.

Department of Human Pathology, Graduate School and Faculty of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo, 113-8519, Japan.

Background: Hypertrophic pachymeningitis (HP) is a rare disorder that involves localized or diffuse thickening of the dura mater. HP is associated with various inflammatory, infectious, and malignant diseases, such as rheumatic arthritis, sarcoidosis, anti-neutrophil cytoplasmic antibody-associated vasculitis, IgG4-related disorders, syphilis, tuberculosis, bacterial and fungal infections, cancer, and idiopathic diseases, when evaluation fails to reveal a cause. Among them, chronic infection with Propionibacterium acnes is a rare etiology of HP, and its pathology remains unclear. Read More

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http://dx.doi.org/10.1186/s12883-020-1600-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953232PMC
January 2020

[Primary Ewing's sarcoma of the temporal bone: a rare case].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Nov;33(11):1105-1108

Ewing's sarcoma is a malignant, round cell tumor arising from the bones and primarily affecting children and adolescent. Involvement of the skull bones is rarely reported, constituting 1%-6% of the total Ewing's sarcoma cases. We describe a 33 years old male patient having Ewing sarcoma of the mastoid and petrous parts of temporal bone, whose clinical presentation mimicked mastoiditis with facial nerve palsy. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.11.024DOI Listing
November 2019

[Clinical features of occult mastoiditis complicated with periphlcbitis of sigmoid sinus in children].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Dec;33(12):1158-1162

Department of Otolaryngology Head and Neck Surgery,National Center for Children's Health,Beijing Children's Hospital,Capital Medical University.

To investigate the clinical characteristics and principle of treatment of occult mastoiditis accompanied with periphlcbitis of sigmoid sinus in pediatrics. Four cases, with a short-time acute otitis media history, complained of headache / retroauricular pain, with papillary swelling, diagnosed as occult mastoiditis accompanied with periphlcbitis of sigmoid sinus according to the results of the temporal bone CT and MR. All of them had normal tympanic membrane, normal pure tone threshold, but type B tympanogram. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.12.010DOI Listing
December 2019

Improvement Of Congenital Chloride Diarrhea With Corticosteroids: An Incidental Finding.

Pediatric Health Med Ther 2019 5;10:153-156. Epub 2019 Dec 5.

Department of Pediatric Nephrology, Abuzar Children's Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Congenital chloride diarrhea of infancy is a life threatening disease. We discuss two boys with congenital chloride diarrhea over a long time period before and after kidney transplantation. In the first case, prenatal sonography revealed polyhydramnios and generalized bowel loop distention. Read More

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http://dx.doi.org/10.2147/PHMT.S220725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901380PMC
December 2019
5 Reads

Changing Epidemiology and Predisposing Factors for Invasive Pneumococcal Disease at Two Australian Tertiary Hospitals.

Pediatr Infect Dis J 2020 01;39(1):1-6

Department of General Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.

Background: Invasive pneumococcal disease (IPD) is associated with significant morbidity and mortality in children. Universal pneumococcal conjugate vaccination has changed the epidemiology of IPD. In vaccinated children, IPD can be a marker of an underlying immunodeficiency. Read More

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http://dx.doi.org/10.1097/INF.0000000000002489DOI Listing
January 2020

Clinical features and management of Luc's abscess: Case report and systematic review of the literature.

Auris Nasus Larynx 2020 Apr 4;47(2):173-180. Epub 2019 Dec 4.

Otolaryngology Head and Neck Surgery Department, University Hospital of Bologna, Via Albertoni 15, 40138 Bologna, Italy.

Objectives: Luc's abscess is a rare complication of acute otitis media, with a challenging diagnosis and a controversial surgical treatment. The aim of the present study was to review the published literature in order to clarify the clinical features and the surgical management of those patients.

Methods: A systematic review of the literature was carried out for published reports or case series in English language, describing a temporo-zygomatic (or Luc's) abscess which complicated an acute or chronic otitis media and/or mastoiditis, confirmed through CT scan or MRI of the petrous bone. Read More

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http://dx.doi.org/10.1016/j.anl.2019.11.003DOI Listing

Acute mastoiditis in a newborn with 11 days of life: Case report.

Int J Pediatr Otorhinolaryngol 2020 Mar 22;130:109787. Epub 2019 Nov 22.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital De Braga, Portugal.

Acute mastoiditis is a potentially life-threatening complication and extremely rare in children under six months. We herein report the case of a 11-days-old newborn with acute mastoiditis complicated by subperiosteal abscess, submitted to surgical and medical treatment. A transient hypogammaglobulinemia was finally diagnosed and successfully managed without complications. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.109787DOI Listing

Bilateral Facial Paralysis and Deafness in a Child Treated for Acute Lymphoblastic Leukemia.

Case Rep Otolaryngol 2019 6;2019:7126043. Epub 2019 Nov 6.

Department of Otolaryngology Head and Neck, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, SP, Brazil.

Involvement of the ear and temporal bone in acute leukemias are uncommon. We report a case of atypical mastoiditis with bilateral facial paralysis in a child diagnosed with Acute Lymphoblastic Leukemia (ALL). A 20-month-old male child was diagnosed with ALL and developed otorrhea unresponsive to antimicrobial treatment during the first week of chemotherapy followed by hearing loss, loss of balance, and bilateral facial paralysis. Read More

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http://dx.doi.org/10.1155/2019/7126043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875402PMC
November 2019

[Cerebral venous thrombosis: Clinical and radiological features, about 62 cases].

J Med Vasc 2019 Dec 1;44(6):387-399. Epub 2019 Oct 1.

Service de radiologie, faculté de médecine et de pharmacie, université Sidi Mohammed Ben Abdellah, CHU Hassan II Fès, Fès, Maroc.

The work's purpose is to make a general review on the various clinical-radiological aspects and the management of cerebral venous thrombosis (CVT) in our hospital and compare them to those described in the literature.

Material And Method: Our series included 62 patients aged over 18 years, collected over 7 years (2009-2016) in the radiology department of the CHU Hassan II of Fez (Morocco), in which the radiological diagnosis of TVC was retained. Our patients have benefited from a brain CT scan and brain MRI. Read More

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http://dx.doi.org/10.1016/j.jdmv.2019.09.011DOI Listing
December 2019

A Rare Case of Primary Tuberculous Otitis Media with Bezold's Abscess.

Indian J Otolaryngol Head Neck Surg 2019 Nov 8;71(Suppl 2):1462-1466. Epub 2018 Dec 8.

Department of ENT, Lady Harding Medical College and Hospital, New Delhi, 110001 India.

Tuberculous Otitis Media is a rare clinical presentation. The signs and symptoms are variable that leads to delayed diagnosis and treatment. Persistent ear discharge not responding to topical and systemic antibiotics should be considered for investigation of tuberculosis. Read More

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http://dx.doi.org/10.1007/s12070-018-1554-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841894PMC
November 2019

Differential Diagnosis of Post Auricular Swelling with Mastoid Bone Involvement.

Indian J Otolaryngol Head Neck Surg 2019 Nov 24;71(Suppl 2):1374-1376. Epub 2018 Jun 24.

Department of Otorhinolaryngology, Minia University Hospital, El Minia, Egypt.

Post auricular swelling with mastoid bone involvement most commonly occurs as a cranial complication of chronic or acute suppurative otitis media. Aim of this study, to detect etiology of postauricular swelling with mastoid bone involvement. This is a retrospective study which was done on all patients whom underwent mastoidectomy for post auricular swelling with mastoid bone involved in El Minia University Hospital from January 2014 to June 2017. Read More

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http://dx.doi.org/10.1007/s12070-018-1432-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841791PMC
November 2019

Myeloid Sarcoma of Temporal Bone: A Rare Manifestation of Relapse Acute Myeloid Leukemia.

Indian J Otolaryngol Head Neck Surg 2019 Nov 12;71(Suppl 2):1023-1026. Epub 2015 Dec 12.

3Department of Pathology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Myeloid sarcoma is a rare malignant extramedullary neoplasm of myeloid precursor cells. This disorder may occur in concomitance with or precede development of acute or chronic myeloid leukemia. Sometimes, it is the initial manifestation of relapse in a previously treated acute myeloid leukemia. Read More

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http://dx.doi.org/10.1007/s12070-015-0930-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841844PMC
November 2019

Fusobacterium necrophorum, a major provider of sinus thrombosis in acute mastoiditis: A retrospective multicentre paediatric study.

Clin Otolaryngol 2020 Mar 10;45(2):182-189. Epub 2019 Dec 10.

Service d'ORL Pédiatrique, Hôpital Femme Mère Enfants, Hospices Civils de Lyon, Lyon, France.

Objective: To evaluate in children the clinical severity and evolution of otogenic lateral sinus thrombosis (OLST) due to Fusobacterium necrophorum compared with other bacterial otogenic thrombosis and propose a specific management flowchart for Fusobacterium OLST.

Design: A retrospective multicentre cohort study.

Settings: Four French ENT paediatric departments. Read More

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http://dx.doi.org/10.1111/coa.13478DOI Listing

Molecular Characterization of Streptococcus pyogenes Causing Invasive Disease in Pediatric Population in Spain A 12-year Study.

Pediatr Infect Dis J 2019 12;38(12):1168-1172

From the Microbiology Department, Donostia University Hospital-Biodonostia Health Research Institute, Donostia-San Sebastian.

Objectives: To perform a comprehensive description of the epidemiology of Streptococcus pyogenes invasive disease in the pediatric population in 2 regions of Spain (Catalonia and Gipuzkoa) through 12 years.

Methods: All S. pyogenes isolates causing invasive disease in pediatric patients between 2005 and 2016 were included. Read More

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http://dx.doi.org/10.1097/INF.0000000000002471DOI Listing
December 2019

Complications of Otitis Media and Sinusitis Caused by Streptococcus anginosus Group Organisms in Children.

Pediatr Infect Dis J 2020 02;39(2):108-113

From the Department of Pediatrics, Section of Infectious Diseases.

Background: The Streptococcus anginosus group (SAG, S. anginosus, S. intermedius and S. Read More

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http://dx.doi.org/10.1097/INF.0000000000002514DOI Listing
February 2020
5 Reads

Lemierre syndrome leading to ankylosis of the temporomandibular joint.

Br J Oral Maxillofac Surg 2019 12 8;57(10):1153-1155. Epub 2019 Nov 8.

Great Ormond Street Hospital. Electronic address:

Lemierre syndrome, also known as Lemierre's disease is a rare condition that was first described by Andre Lemierre in 1936. We present a case of a 3-year-old boy who presented with ankylosis of the right temporomandibular joint (TMJ) secondary to a mastoid infection as part of Lemierre syndrome. His ankylosis resulted in restricted mouth opening, which had a considerable impact on his speech and ability to eat. Read More

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http://dx.doi.org/10.1016/j.bjoms.2019.10.306DOI Listing
December 2019

Use of Ceftolozane-Tazobactam in Patient with Severe Medium Chronic Purulent Otitis by XDR .

Case Rep Infect Dis 2019 9;2019:2683701. Epub 2019 Oct 9.

Clinica di Malattie Infettive, Università degli Studi di Perugia, A. O. "S. Maria", Terni, Italy.

We present a case of a male Italian patient of 66 years with a history of kidney transplantation in treatment with cyclosporine and methylprednisolone. He visited an ENT clinic and was diagnosed as chronic left purulent otitis media. He began at-home antibiotic therapy with poor benefit. Read More

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http://dx.doi.org/10.1155/2019/2683701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803738PMC
October 2019

Granulomatosis with Polyangiitis Manifesting as Refractory Otitis Media and Mastoiditis.

Arch Iran Med 2019 07 1;22(7):410-413. Epub 2019 Jul 1.

Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA.

Granulomatosis with polyangiitis (GPA) is a rare rheumatologic disease characterized by small to medium vessel vasculitis and inflammation within multiple organ systems. Majority of cases involve both upper and lower respiratory tracts but other organs including brain, kidneys, joints and skin can also be involved. Patients who have recurrent otitis media and sinusitis often initially present to internists and then to ear nose and throat (ENT) physicians and may be treated with multiple courses of antibiotics without having proper workup for GPA. Read More

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Successful Systemic and Topical Treatment of Mycobacterium abscessus Otomastoiditis.

Antimicrob Agents Chemother 2019 12 20;64(1). Epub 2019 Dec 20.

Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands

is an extensively drug-resistant opportunistic pathogen that can cause chronic otomastoiditis. There are no evidence-based treatment regimens for this severe infection. We treated four children with otomastoiditis with a structured regimen of topical imipenem and tigecycline, intravenous imipenem and tigecycline, and oral clofazimine and azithromycin and adjunctive surgery. Read More

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http://dx.doi.org/10.1128/AAC.01203-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187624PMC
December 2019
4.476 Impact Factor

A child with Gradenigo syndrome presenting with meningism: a case report.

BMC Pediatr 2019 10 13;19(1):350. Epub 2019 Oct 13.

University Paediatrics Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.

Background: The symptoms of meningitis which include fever, headache, photophobia and irritability along with abducens nerve palsy pose a diagnostic dilemma requiring urgent attention. Here we report how such a dilemma was methodically and sequentially resolved using anatomical knowledge supported by neuroimaging and the eventual diagnosis of Gradenigo syndrome was made.

Case Presentation: A 6-year-old previously healthy boy from Sri Lanka presented with high grade fever, headache, photophobia and left eye pain for 10 days and diplopia for 2 days duration. Read More

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http://dx.doi.org/10.1186/s12887-019-1754-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790238PMC
October 2019
1 Read
1.918 Impact Factor

Acute Mastoiditis Associated with in the Pediatric Population of the Umbria Region, Italy.

Pathogens 2019 Oct 9;8(4). Epub 2019 Oct 9.

Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Acute mastoiditis (AM) is the most common complication of acute otitis media (AOM) and is one of the most severe acute bacterial diseases in infants and children. In some geographic areas, the incidence of AM is increasing, and the causative role of some bacterial pathogens could be greater than previously thought. In this paper, the results of a study that evaluated the epidemiology and microbial etiology of paediatric AM in Umbria, which is a region of central Italy, are reported. Read More

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http://dx.doi.org/10.3390/pathogens8040180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963525PMC
October 2019
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Incidental mastoid opacification on computed tomography in the pediatric population.

Int J Pediatr Otorhinolaryngol 2020 Jan 19;128:109688. Epub 2019 Sep 19.

Department of Pediatric Otolaryngology, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA.

Objectives: Incidental mastoid opacification (IMO) is a common radiologic finding and source of referral to otolaryngologists. Our objectives were to: 1) determine the rate of IMO in our pediatric population; 2) identify those with clinical mastoiditis; and 3) identify factors necessitating an otolaryngology consultation.

Methods: This was a retrospective chart review at an academic, tertiary, pediatric hospital in an urban setting. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.109688DOI Listing
January 2020
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Severe infections of Panton-Valentine leukocidin positive Staphylococcus aureus in children.

Medicine (Baltimore) 2019 Sep;98(38):e17185

Department of Pediatric Pneumology, Immunology and Intensive Care.

Infections caused by Panton-Valentine leukocidin-positive Staphylococcus aureus (PVL-SA) mostly present as recurrent skin abscesses and furunculosis. However, life-threatening infections (eg, necrotizing pneumonia, necrotizing fasciitis, and osteomyelitis) caused by PVL-SA have also been reported.We assessed the clinical phenotype, frequency, clinical implications (surgery, length of treatment in hospitals/intensive care units, and antibiotic treatments), and potential preventability of severe PVL-SA infections in children. Read More

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http://dx.doi.org/10.1097/MD.0000000000017185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756729PMC
September 2019
2 Reads

Clinical outcomes of intracranial complications secondary to acute mastoiditis: The Alder Hey experience.

Int J Pediatr Otorhinolaryngol 2020 Jan 11;128:109675. Epub 2019 Sep 11.

Department of Otolaryngology, Alder Hey Children's Hospital, Liverpool, UK.

Objective: Acute mastoiditis is the most common intra-temporal complication of acute otitis media. Its management remains a challenge due to potential extracranial and intracranial complications. This study was designed to evaluate the recent experience with acute mastoiditis and its associated intracranial complications at a tertiary paediatric centre. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.109675DOI Listing
January 2020
4 Reads
1.319 Impact Factor

Mastoiditis in a 5-Year-Old Male.

Clin Pediatr (Phila) 2019 Dec 9;58(14):1534-1537. Epub 2019 Sep 9.

Baylor College of Medicine, San Antonio, TX, USA.

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http://dx.doi.org/10.1177/0009922819874345DOI Listing
December 2019

[Improving the methods of diagnosis and treatment of otitis media with effusion].

Vestn Otorinolaringol 2019 ;84(3):12-15

Evdokimov Moscow State Medical Stomatological University, Russian Ministry of Health, Moscow, Russia, 127473.

The study involved 172 patients with otitis media with effusion. All patients as a method of early diagnosis of otitis media with effusion conducted multislice computer tomography (MSCT). This made it possible to check the effectiveness of conservative treatment and timely perform surgical treatment, including sanitizing intervention on the middle ear with the erased clinical picture of acute mastoiditis, and to avoid complications. Read More

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http://dx.doi.org/10.17116/otorino20198403112DOI Listing
November 2019
2 Reads

Radiology of acute mastoiditis and its complications: a pictorial review and interpretation checklist.

J Laryngol Otol 2019 Sep 2:1-6. Epub 2019 Sep 2.

Department of Radiology, Freeman Hospital, Newcastle upon Tyne, UK.

Background: Mastoiditis is an otological emergency, and cross-sectional imaging has a role in the diagnosis of complications and surgical planning. Advances in imaging technology are becoming increasingly sophisticated and, by the same token, the ability to accurately interpret findings is essential.

Methods: This paper reviews common and rare complications of mastoiditis using case-led examples. Read More

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https://www.cambridge.org/core/product/identifier/S002221511
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http://dx.doi.org/10.1017/S0022215119001609DOI Listing
September 2019
1 Read