Treatments for Mastoiditis

Treatment list for Mastoiditis:

The list of treatments mentioned in various sources for Mastoiditis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Antibiotics
• Mastoidectomy

Treatments of Mastoiditis: Online Medical Books

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Mastoiditis: Treatment
(Professional Guide to Diseases (Eighth Edition))

Treatment for mastoiditis consists of intense parenteral antibiotic therapy. Reasonable initial antibiotic choices include ceftriaxone with nafcillin or clindamycin. If bone damage is minimal, myringotomy or tympanocentesis drains purulent fluid and provides a specimen of discharge for culture and sensitivity testing. Recurrent or persistent infection or signs of intracranial complications necessitate simple mastoidectomy. This procedure involves removal of the diseased bone and cleaning of the affected area, after which a drain is inserted.

A chronically inflamed mastoid requires radical mastoidectomy (excision of the posterior wall of the ear canal, remnants of the tympanic membrane, and the malleus and incus, although these bones are usually destroyed by infection before surgery). The stapes and facial nerve remain intact. Radical mastoidectomy, which is seldom necessary because of antibiotic therapy, doesn’t drastically affect the patient’s hearing because significant hearing loss precedes surgery. With either surgical procedure, the patient continues oral antibiotic therapy for several weeks after surgery and facility discharge. The prognosis is good if treatment is started early.

Indications for immediate surgical intervention include meningitis, brain abscess, cavernous sinus thrombosis, acute suppurative labyrinthitis, and facial palsy.

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