{"id":4115,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mastoiditispaeds\/"},"modified":"2025-01-20T14:40:22","modified_gmt":"2025-01-20T14:40:22","slug":"mastoiditispaeds","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/mastoiditispaeds\/","title":{"rendered":"Mastoiditis"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">\u200bIntroduction<\/h4>\n\n\n\n<p>Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media.<br>Luckily it is rare.<br>Possible complications of mastoidits include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Intracranial\n<ul class=\"wp-block-list\">\n<li>Meningitis<\/li>\n\n\n\n<li>Abscess (cerebrum\/cerebellum)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Extracranial\n<ul class=\"wp-block-list\">\n<li>Mastoid abscess<\/li>\n\n\n\n<li>Facial nerve palsy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Diagnosis:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patient will be systemically unwell<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Preceding symptoms of Acute Otitis media<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ear pushed forward and downward (see right ear in frontal view)<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Swelling (often tender) behind ear (see right ear in posterior view)<\/li>\n<\/ul>\n\n\n\n<p><strong><u>Management is Multidisciplinary<\/u><\/strong><\/p>\n\n\n\n<p>This is shared between medical and ENT specialties.<\/p>\n\n\n\n<p>Treatment is with antibiotics, mostly intravenous, and occasional surgical drainage.<\/p>\n\n\n\n<p><strong>C.M. &amp; G.T. 20-01-25<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>This is an acute emergency requiring immediate transfer to nearest A&amp;E for assessment and initial management. A&amp;E will contact the relevant teams.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Refer to Emergency Department.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Introduction Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media.Luckily it is rare.Possible complications of mastoidits include: Diagnosis: Management is Multidisciplinary This is shared between medical and ENT specialties. Treatment is with antibiotics, mostly intravenous, and occasional surgical drainage. C.M. &amp; G.T. 20-01-25<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4246,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[174],"class_list":["post-4115","page","type-page","status-publish","hentry","category-mastoiditispaeds"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/mastoiditispaeds\/\" rel=\"tag\">Mastoiditis (Paeds)<\/a>","rttpg_excerpt":"&#8203;Introduction Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media.Luckily it is rare.Possible complications of mastoidits include: Diagnosis: Management is Multidisciplinary This is shared between medical and ENT specialties. Treatment is with antibiotics, mostly intravenous, and occasional surgical drainage. C.M. &amp; G.T. 20-01-25","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4115"}],"version-history":[{"count":23,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4115\/revisions"}],"predecessor-version":[{"id":22559,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4115\/revisions\/22559"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4246"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}