Mastoiditis secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]

For mastoiditis following chronic or recurrent otitis media, preventing recurrence of the disease involves surgery, assuming the manifestation is not self-limited. Myringotomy with tympanostomy tube and mastoidectomy are the most common surgical preventative measures.

Secondary prevention strategies following mastoiditis include:

• Early, adequate treatment of acute otitis media, which reduces the risk of developing mastoiditis but does not completely eliminate risk
• Prompt treatment of acute mastoiditis and early management of acute otitis media that is not responding to antibiotic therapy, which may decrease the risk of developing complications of mastoiditis
• Early myringotomy in mastoiditis and consideration surgery options, which may decrease the risk of developing complications of mastoiditis^[1]

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