By ULY CLINIC

 

Mastoditis with Sub-periosteal Abscess

​

Introduction

​

It is due to infection of the mastoid air cells in the middle ear, a complication of chronic suppurative otitis media. It presents as a fluctuant painful swelling on the post auricular area. The overlying skin is also inflamed.

​

Non-Pharmacological Treatment

​

Aspirate the swelling before incision and drainage, and then referfor mastoidectomy at a zonal/national hospital

​

Pharmacological Treatment:  

​

• Ciprofloxacin ear drops, three drops, 12 hourly for 14 days     

AND 

• Ciprofloxacin 500mg 12 hourly for 10 days; Children 10–20mg/kg 12 hourly for 10 days    

OR     

• Cefaclor 250mg 8 hourly for 10 days. Children (1–5 years) 125mg 8 hourly for 10 days 

 

Note: Treatment shorter than 10 days will result into treatment failure

​

Updated on, 31.10.2020

​

​

​

References

​

1. STG