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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