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Mastoiditis In Children
WHAT YOU SHOULD KNOW:
Mastoiditis is an infection in the air cells and mastoid bone of your child's skull. The mastoid bone is located behind your child's ear. Mastoiditis is most common in children younger than 4 years who have a history of ear infections. Mastoiditis is often caused by an ear infection that spreads. Your child's ear canal swells and traps fluid inside his ear. Trapped fluid causes bacteria to grow and spread to his mastoid bone.
CARE AGREEMENT:You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.
Your child's mastoiditis infection may spread to other bones in his head, face, and neck. Your child's symptoms may come back, even after treatment. The infection may cause bone loss if it is not treated right away. Mastoiditis may cause permanent hearing loss. Mastoiditis may also result in a brain infection, seizures, facial nerve damage, brain swelling, or meningitis. Meningitis is swelling of the tissue (meninges) that surrounds your child's brain and spine. Mastoiditis may also cause blood clots in your child's sinuses. Your child may need surgery if his mastoiditis is severe. Mastoiditis can become life-threatening if it is not treated.
WHILE YOU ARE HERE:
is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.
is a small tube placed in your child's vein that is used to give him medicine or liquids.
Caregivers will check your child's blood pressure, heart rate, breathing rate, and temperature. They will also ask you or your child about his pain. These vital signs give caregivers information about your child's current health.
These are also called neuro signs, neuro checks, or neuro status. During a neuro check, caregivers see how your child's pupils react to light. They may check his memory and how easily he wakes up. His hand grasp and balance may also be tested. How your child responds to the neuro checks can tell caregivers if his illness or injury has affected his brain.
- Antibiotics help fight or prevent an infection caused by bacteria.
- Pain medicine may be given. Do not wait until the pain is severe before you request more medicine for your child.
- Ibuprofen or acetaminophen may decrease your child's pain and fever.
- A CT scan , or CAT scan, is a type of x-ray that is taken of your child's skull and brain. The CT will show how serious your child's infection is. It will also show if he has bone damage or an abscess in his skull or brain. Your child may be given a dye before the pictures are taken to help caregivers see the pictures better. Tell the caregiver if your child has ever had an allergic reaction to contrast dye.
- A MRI uses a powerful magnet and radio waves to take pictures of the inside of your child's body. An MRI will show if your child's infection has spread. It may also help show if there are any other problems, such as bone loss. Your child may be given dye to help the pictures show up better. Tell the caregiver if your child has ever had an allergic reaction to contrast dye. Your child should not enter the MRI room with anything metal. Metal can cause serious injury. Tell the caregiver if your child has any metal in or on his body.
- A myringotomy is surgery to help release pressure in your child's ear by puncturing a small hole in his eardrum. He may also need middle-ear ventilation tubes (MEVT) placed into his ear to relieve pressure from the fluid.
- A mastoidectomy is surgery to remove any infected part of your child's mastoid bone. Your child may need this surgery if his condition is severe, other treatments are not working, or he has a consistent fever. He may also need mastoidectomy if he has an abscess inside his mastoid bone. An abscess is an area that is swollen with fluid.
- Drainage of an abscess in your child's ear, mastoid bone, or other areas in his skull may be needed. Abscess drainage may be done if your child is not responsive, or if he has severe swelling on his neck or behind his ear.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.