Guidelines
Chronic Mastoiditis

Chronic Mastoiditis

Clinical/Diagnostic Considerations

  • Often associated as a complication of chronic suppurative otitis media
  • ENT should be consulted for debridement.
  • Culture of ear drainage should be taken in a sterile fashion near TM.

Most Likely Pathogens

Empiric Therapy

Topical therapy in the form of otic drops is usually started in conjunction with debridement.

If cultures taken

Once cultures are available, narrow the antimicrobial choice to target the isolated pathogen.

Usual Duration

  • Duration depends on extent of disease and cause.
  • Consult ENT and/or ID.