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Mastoiditis

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

AIDS
Diabetes
Immune system disorders
Obesity
Pulmonary or cardiovascular diseases

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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

Prognosis

The outcome is generally good following antibiotic therapy and surgical treatment of mastoiditis. Infection is usually eliminated in individuals who are otherwise healthy. Treatment of mastoiditis in individuals with weakened immune systems (immunosuppression) is more difficult and may require extensive surgery and treatment with several different antibiotics before the infection resolves. It may also recur. In any case, full recovery is dependent on completion of a full course of antibiotic therapy. Disruption in antibiotic therapy before the prescription is completed can result in a recurrence of the infection and contributes to the growth of antibiotic-resistant organisms.

Surgical procedures for treatment of mastoiditis (myringotomy and mastoidectomy) should result in the removal of infection from the middle ear and mastoid area. The structures of the middle ear are preserved as much as possible.

Source: Medical Disability Advisor

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