Mastoiditis

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Mastoiditis is an inflammation or infection of the mastoid bone, which is one of the bones of the skull that lies behind the ear.

It occurs as a result of a middle ear infection.

The most common symptoms are pain, redness or swelling behind the ear, earache, displacement of the pinna (ear) forward due to swelling of the mastoid bone, fever, irritability or nervousness, headache, and deafness.

The diagnosis will be made thanks to the medical history, physical examination (with an otoscope), imaging tests and the possibility of cultures of the ear drainage

The treatment consists of the early administration of antibiotics, although there are cases in which it can be difficult to treat, which will require a prolonged antibiotic treatment and even surgery to be able to properly drain the pus from the area.

Bibliographic references
  1. Lawrence R Lustig, Charles J Limb, Rachel Baden, Mary T LaSalvia. Chronic otitis media, cholesteatoma, and mastoiditis in adults. UpToDate. Aug 11, 2016.
  2. Chronic suppurative otitis media: Burden of illness and management options. World Health Organization, Geneva, Switzerland, 2004. http://www.who.int/pbd/deafness/activities/hearing_care/otitis_media.pdf (Accessed on January 13, 2011).
  3. Acuin, J. Chronic Suppurative otitis media. Burden of Illness and Management Options. World Health Organization. Geneva, Switzerland, 2004. who.int/pbd/deafness/activities/hearing_care/otitis_media.pdf (Accessed on January 05, 2011).
  4. Poe DS. Diagnosis and management of the patulous eustachian tube. Otol Neurotol 2007; 28:668.
  5. Hwang GH, Jung JY, Yum G, Choi J. Tuberculous otitis media with facial paralysis combined with labyrinthitis. Korean J Audiol 2013; 17:27.
  6. Rubin MA y cols. Infecciones de vías respiratorias superiores. Harrison. Manual de Medicina. 16º edición. 256-262.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Inflammation moved ear down and outwards


    Back of the ear is red and swollen


    Fever / Feel very hot


    Sensation of pressure inside the ear


    Pain when touching the area behind the ear

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.