Mastitis in the ear is easy to cause dangerous complications

The mastitis ear infection is quite common in the community, the rate of people suffering from diseases can be up to 5-8%. People in rural areas often suffer from this disease.

Anatomy of the mastoid bone

Bone is a constituent part of the middle ear. The mastoid bone is a porous bone, which contains many cells in which one of the largest cells is called a cell, which is where the ear canal is connected to the mastoid bone, which explains if mastitis is derived from otitis media. improperly treated or treated, or because the body's resistance is too weak in the case after a person with measles, flu ., malnourished children, the toxicity of bacteria is too strong.

Mastitis is a lesion that spreads to the mastoid bone around the cellar - the middle ear. The inflammatory process lasts no more than 3 months, unlike the mastoid reaction due to pus stagnating in the middle ear, this bone mast reaction only lasts 5-7 days from. The lesions are mainly osteoporosis and bone vascular inflammation, the septum between bone cells is gradually destroyed, the pus gathers into pus, sometimes the bones die each block and turn into bone. then from here cause many complications. Mastitis is divided into two types: acute mastitis and chronic mastitis.

Acute osteomyelitis

Acute osteomyelitis usually occurs after middle ear infection. Patients with acute ear infections earlier about 3 weeks, symptoms of fever, earache, hearing loss are gradually reduced, suddenly high fever returned to a temperature of 39-40oC, there may be meningic reactions such as delirium , convulsions. Deep pain in the ear, pain following the beating pulse and pain in the mastoid bone behind the ear. Pressing on the surface of the mastoid bone has a marked pain response. Pus discharge increases or less due to clogging of pus and pus. Hearing loss increases, possibly with tinnitus and dizziness. Sometimes pus breaks the surrounding protective layers, oozes out of the outer ear, causing osteoarthritis of the ear, such as signs of swelling in the front of the ear cap, swelling in the back of the ear, ear ring pushing forward, losing post-ear folds, pus flowing down the neck along the neck muscle of the cervical sponges, swollen the neck area, making neck spin difficult, pus can break the skin of this area and create fistula.

At this time, the doctor will examine the ear and will see signs of deleting the posterior ear canal, taking blood tests, seeing that the leukocyte count is high mainly neutrophils. The image on the X-ray film shows that the mastoid cell walls are destroyed, the entire bone is dimmed. Previously diagnosed with acute mastoid ear inflammation, the only treatment is mastoidal widening surgery that combines medical treatment with systemic antibiotics along with anti-inflammatory. Today, with a diverse and effective generation of antibiotics, some cases of mastoid ear inflammation can be treated internally by injection after citing enlarged drainage holes in the eardrum with close monitoring. doctor's ear, nose and throat.

The only way to prevent the disease is to treat the nasopharyngitis very well when the child is infected. If unfortunately, there is a complication of middle ear infection, then go to the doctor of the ENT for examination and treatment.

Chronic mastitis ear infection

Chronic osteosarcoma is defined as a period of 3 months after the discharge of rotten ears.

Patients often complain of severe head pain in the ear, constant dull pain, sometimes exacerbations. Ears are often rotten or rotten like dead toads - this is a dangerous sign that tells us that cholesteatoma in the ear is capable of eroding bone causing intracranial complications. Examination of the ear shows a large hole, close to the bone, the hole is punctured, the hole is dirty. Measurements of hearing have been shown to reduce hearing, but the degree of hearing loss depends on the extent of the disease. Chronic mastitis ear infections should be operated early to preserve hearing and avoid recurrent infections.
Acute or chronic osteoarthritis can cause many dangerous complications such as meningitis, cerebral abscess, intracranial thrombophlebitis, inflammation of the bones around the skull, paralysis of motor nerves face distortion, abscesses or throat abscesses are very dangerous, is one of the causes of death in the ENT emergency department.

Master Pham Bich Dao