A Rare Case of Pediatric Chronic Mastoiditis Presenting with Subtotal Perforation
P. RajaVarma
Department of Otorhinolaryngology (ENT), Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Sivaraj Ravichandran *
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Jayasri Karthikesan
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Haripriya Gurumoorthy
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Deepasree Balathandayuthabani
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Surya Rajendran
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
Vilvarajeshwaran Balamurugan
E.G.S. Pillay College of Pharmacy, MoU with Government Medical College and Hospital, Orathur, Nagapattinam, Tamil Nadu, India.
*Author to whom correspondence should be addressed.
Abstract
Chronic mastoiditis is rare in children due to early treatment of otitis media. We report a 13-year-old female with chronic suppurative otitis media, mastoid sclerosis, and subtotal tympanic membrane perforation presenting with persistent mucoid otorrhoea. Audiometry showed mild hearing loss, and CT revealed mastoid sclerosis. Preoperative findings of hypokalemia and ECG changes posed anesthetic challenges. She underwent right cortical mastoidectomy with tympanoplasty. This case underscores the importance of timely diagnosis in pediatric otitis media, the role of multidisciplinary care, and the contributions of clinical pharmacists in perioperative management.
Keywords: Pediatric mastoiditis, subtotal perforation, tympanoplasty, hypokalemia, pharmacist role, cortical mastoidectomy