{"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":"2026-10-12T15:22:11","modified_gmt":"2026-10-12T14:22:11","slug":"mastoiditispaeds","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/mastoiditispaeds\/","title":{"rendered":"Mastoiditis"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media (cholesteatoma). Fortunately, it is rare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">Possible complications of mastoiditis include:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Intracranial<ul><li>Meningitis<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Abscess (cerebrum\/cerebellum)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Extracranial\u00a0\u00a0<ul><li>Mastoid abscess<\/li><\/ul><ul><li>Facial nerve palsy<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Deafness<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">Diagnosis:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patient will be systemically unwell<\/li>\n\n\n\n<li>Preceding symptoms of Acute Otitis media<\/li>\n\n\n\n<li>Ear pushed forward and downward<\/li>\n\n\n\n<li>Swelling (often tender) behind ear.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Management is multidisciplinary involving both medical and ENT input. Treatment is with antibiotics, mostly IV, and occasional surgical drainage<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.M. &amp; G.T &#8211; 12-10-26<\/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 class=\"wp-block-paragraph\">Transfer to nearest Emergency Department for assessment and initial management. ED 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 class=\"wp-block-paragraph\">Refer immediately to the nearest 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 class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media (cholesteatoma). Fortunately, it is rare. Possible complications of mastoiditis include: Diagnosis: Management is multidisciplinary involving both medical and ENT input. Treatment is with antibiotics, mostly IV, and occasional surgical drainage C.M. &amp; G.T &ndash; 12-10-26<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4246,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","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":"Mastoiditis is a complication of acute otitis media or infection on top of chronic suppurative otitis media (cholesteatoma). Fortunately, it is rare. Possible complications of mastoiditis include: Diagnosis: Management is multidisciplinary involving both medical and ENT input. Treatment is with antibiotics, mostly IV, and occasional surgical drainage C.M. &amp; G.T &ndash; 12-10-26","_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":1,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4115\/revisions"}],"predecessor-version":[{"id":30389,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4115\/revisions\/30389"}],"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}]}}