Acute otomastoiditis and its complications: role of CT

Radiology. 1985 May;155(2):391-7. doi: 10.1148/radiology.155.2.3983389.


Acute bacterial (suppurative) otomastoiditis responds to antibiotic treatment; radiologic study is required only when there is clinical suggestion of coalescent mastoiditis, intracranial complications, or an underlying chronic disease. Computed tomography (CT) is the method of choice for evaluating otogenic intra- or extra-cranial complications. CT scans can show stages of disease progression when infection has spread by way of soft tissue, blood, and bone pathways into the dural venous sinuses, meninges, labyrinth, facial nerves, epidural and other intracranial spaces. When there is clinical suggestion of acute coalescent mastoiditis, a CT scan of the temporal bone can confirm the presence of rarefying osteitis, coalescence of the air cells, and subperiosteal abscess.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Bacterial Infections / diagnostic imaging
  • Child
  • Child, Preschool
  • Cholesteatoma / complications
  • Cholesteatoma / diagnostic imaging
  • Ear Diseases / diagnostic imaging
  • Ear, Middle / diagnostic imaging
  • Female
  • Humans
  • Male
  • Mastoid / diagnostic imaging
  • Mastoiditis / complications
  • Mastoiditis / diagnostic imaging*
  • Middle Aged
  • Otitis Media / complications
  • Otitis Media / diagnostic imaging*
  • Temporal Bone / diagnostic imaging
  • Tomography, X-Ray Computed*