Acute and latent mastoiditid in children

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Abstract
The need for mastoidectomy in children has decreased considerably during the last few decades. In the 1950''s and 60''s 8-26 cases (average 14/year) of acute mastoiditis were encountered annually in a population of 400,000. Among nearly 13,000 patients with acute purulent otitis media seen in 1954-1958, 58 (0.4%) developed an acute mastoiditis. During the same 5-yr period, 28 mastoidectomies were performed for chronic mastoiditis. At present only 2-3 cases of acute mastoiditis a yr are seen in a population of over 1 million people. This favorable development is attributable mainly to increased possibilities for early medical care and liberal use of antibiotics at all stages of upper respiratory infection but partly also due to a decrease in the occurrence of such etiological agents as .beta.-hemolytic streptococci.

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