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J Pediatr Infect Dis 2019; 14(02): 052-062
DOI: 10.1055/s-0038-1661331
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Acute Otologic Infections in Pediatric Patients

Courtney B. Tipton
1   The Ohio State University College of Medicine, Columbus, Ohio, United States
,
Kristen L. Honsinger
2   Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, Columbus, Ohio, United States
3   Department of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, United States
,
Michael S. Harris
2   Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, Columbus, Ohio, United States
,
Prashant S. Malhotra
2   Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, Columbus, Ohio, United States
3   Department of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, United States
› Author Affiliations
Further Information

Publication History

26 September 2017

29 March 2018

Publication Date:
06 July 2018 (online)

Also available at
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Abstract

This article summarizes significant acute infections involving the pediatric temporal bone. First, the management of acute otitis media (AOM) is discussed, including the medical and surgical management of invasive intracranial and extracranial complications associated with advanced disease. The clinical and radiographic findings, microbiology, and management of acute mastoiditis are discussed in greater detail, followed by the presentation and treatment of acute otitis externa (AOE). Finally, we discuss infectious considerations in auditory implants. The indications and use of both cochlear implants (CI) and bone conduction hearing implants have rapidly expanded in children, requiring greater understanding of managing infections in the context of these devices.

Keywords

otitis media - mastoiditis - otitis externa - subdural empyema - meningitis - cochlear implants - facial nerve paralysis - labyrinthitis
 

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