Mastoiditis Alternatives: Non-Surgical Treatment Options
Non-surgical management of mastoiditis (mastoid air cell infection):
- Antibiotics: Primary treatment; IV initially, then oral; 2–4+ weeks duration.
- Antihistamines: Adjunct for allergic congestion component.
- Decongestants: Reduce Eustachian tube edema, improve drainage.
- Analgesics: Acetaminophen/NSAIDs for pain/fever.
Surgical Indications
Mastoidectomy indicated for:
- Failed medical therapy (48–72 hours)
- Complications: abscess, meningitis, facial nerve palsy, labyrinthitis
- Cholesteatoma
Early otolaryngology consultation is essential.
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