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2 results

  • Acute otitis media associated bilateral sudden hearing loss: case report and literature review

  • A Smith, I Gutteridge, D Elliott, M Cronin
  • Journal:
    The Journal of Laryngology & Otology / Volume 131 / Issue S2 / July 2017
    Published online by Cambridge University Press:
    17 April 2017, pp. S57-S61
    Print publication:
    July 2017
  • Background:

    Sudden sensorineural hearing loss is a rare otological condition with potential for dire outcomes including permanent hearing loss. Although the majority of cases are deemed idiopathic, bilateral sudden sensorineural hearing loss represents a rare subset typically related to systemic conditions, with higher morbidity and mortality. A controversial association with acute otitis media has been reported, with few bilateral cases published in the literature.

    Case report:

    A very rare case of bilateral sudden sensorineural hearing loss associated with acute otitis media is described, with a review of the literature.

    Conclusion:

    The limited evidence available suggests that acute otitis media with tinnitus and/or bacterial pathology may have an increased risk of sudden sensorineural hearing loss, which is consistent with the case described. Although there is no sufficiently powered published evidence to provide definitive treatment guidelines, the literature reviewed suggests that early myringotomy and antibiotics may greatly improve treatment outcomes.

  • Paediatric acute mastoiditis: the Alder Hey experience

  • S. De, Z. G. G. Makura, R. W. Clarke
  • Journal:
    The Journal of Laryngology & Otology / Volume 116 / Issue 6 / June 2002
    Published online by Cambridge University Press:
    08 March 2006, pp. 440-442
    Print publication:
    June 2002

  • Acute mastoiditis was a common condition in the pre-antibiotic era, but has become rare now with the widespread use of antibiotics.

    A retrospective study was carried out of patients with acute mastoiditis who were seen at Alder Hey Children’s Hospital, Liverpool over a five-year period. Their case records were identified and details of gender, age at presentation, symptoms, signs and clinical management were noted and analysed.

    Twenty-one patients who presented with acute mastoiditis were identified. The patients’ age at presentation ranged from three months to 14 years. Five cases out of 21 (23.8 per cent) were under one year of age.Eighteen cases (85.7 per cent) presented with post-aural swelling while 12 (57.1 per cent) had aural discharge.

    All patients were treated with intravenous antibiotics and only five patients (23.8 per cent) required surgical intervention in the form of a cortical mastoidectomy with, or without, myringotomy.

    A significant number of cases can be treated conservatively with intravenous antibiotics. Surgery in the form of cortical mastoidectomy can be reserved for complicated cases and in those in whom conservative treatment has failed.