ArticleThe Laryngoscope2025
The Significance of Subperiosteal Abscess Volume in Acute Mastoiditis.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- The Significance of Subperiosteal Abscess Volume in Acute Mastoiditis.The Laryngoscope · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether the subperiosteal abscess (SPA) volume in acute coalescent mastoiditis (ACM) as measured in imaging studies, should influence the decision-making process between performing mastoidectomy versus needle aspiration or incision and drainage (I&D) as the initial treatment of SPA.
settingSingle tertiary referral center. PATIENTS AND
methodsThe records of all pediatric patients admitted with ACM between 1/2012 and 12/2023 were retrospectively reviewed. Baseline abscess volumes were measured on dedicated segmentation software for analyzing imaging findings. SPA volumes of needle aspirations were compared with those following I&D. Outcomes were compared.
resultsIn total, 99 patients (median [interquartile range] age 26 [11-35] months) were enrolled. The mean ± standard deviation white blood cell (WBC) counts and C-reactive protein (CRP) levels were 14.5 ± 7.0 K/μL and 112 ± 42 mg/dL, respectively. Fifty-seven patients were treated by needle aspiration and 42 by I&D. Age, WBC counts, and CRP levels were similar for both groups, as were SPA volumes as seen on imaging studies 2.0 ± 1.0 cm
conclusionBoth needle aspiration and I&D are safe methods to reduce the infective and inflammatory load and provide pus for culture. Higher volumes (~3 cm LEVEL OF EVIDENCE: 3:
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