Abstract:Objective To analyze the clinical characteristics and treatment of acute otitis media with postauricular subperiosteal abscess in children.Methods The clinical data of nine children with the diagnosis of "acute otitis media, postauricular subperiosteal abscess" hospitalized from September 2010 to August 2020 were retrospectively analyzed, inluding the possible etiology, pathogenic bacteria and treatments.Results All nine children had a history of upper respiratory tract infection before the onset, and the course of middle ear symptoms to admission was 2-3 weeks. Two case with intact tympanic membrane was treated with mastoidectomy, myringotomy and ventilation tube insertion. Seven cases with tympanic membrane perforation and pyorrhea were treated with incision and drainage of abscess, and the daily dressing change. The results of bacterial culture of the pus showed that five cases of Streptococcus pneumoniae, two cases of Streptococcus anginosus, and two cases without bacterial growth. After hospitalization for 7-10 days, the swelling subsided and the purulence stopped. The patients were followed up for 12-18 months. The therapeutic effect was satisfactory without recurrence in all 9 cases.Conclusions Acute otitis media with subperiosteal abscess in children is mainly treated by abscess incision or mastoidotomy, supplemented with intravenous antibiotics. Most children with the disease have a good prognosis.
