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Medical Disability Advisor  >  Mastoiditis  >  Complications

Mastoiditis


Related Terms


  • Mastoid Empyema
  • Middle Ear Disease

Differential Diagnoses


  • Chronic suppurative otitis media
  • Middle ear trauma
  • Middle ear tumor (neoplasm)

Specialists


  • Family Practice Physician
  • Infectious Disease Internist
  • Neurologist
  • Otolaryngologist
  • Radiologist

Comorbid Conditions


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Factors Influencing Duration


Factors influencing the length of disability include the general health and fitness of the individual before being diagnosed with mastoiditis, evidence of pre-existing diseases affecting any of the major body systems, the presence of any antibiotic-resistant organisms, poor compliance with taking the full course of antibiotic therapy, the infection's response to treatment, the success of surgical intervention, diagnosis of an acute complication requiring surgery, and whether the individual works or lives in a smoke-filled environment.

Medical Codes


ICD-9-CM:
383 - Mastoiditis and Other Related Conditions
383.0 - Mastoiditis, Acute; Abscess of Mastoid; Empyema of Mastoid
383.1 - Mastoiditis, Chronic
383.9 - Mastoiditis

Complications


If treatment of acute or chronic mastoiditis fails, the infection can spread to other areas of the head and neck and cause serious, even life-threatening complications such as meningitis, subdural infection, brain abscess, infection of the petrous bone (petrous apicitis) situated between the inner and middle ear, infection of the temporal bone (osteomyelitis), facial paralysis caused by inflammation of the facial nerve, and facial palsy caused by chronic pressure on the facial nerve. Thrombosis of the sigmoid sinus can lead to sepsis and increased intracranial pressure, must be treated with intravenous antibiotics or surgical drainage, and may even require tying off the internal jugular vein in the neck. Permanent hearing loss can be a complication of chronic mastoiditis or a consequence of the mastoidectomy procedure.

Source: Medical Disability Advisor






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