Mastoiditis

Author thumbnail Laura James  |  Published 02 October 2024  | 5 mins read

A young woman grimacing in pain, holding her ear, visibly expressing discomfort on her face.

Mastoiditis is an infection of the mastoid bone, located just behind your ear. This condition often develops as a complication of untreated ear infections and can lead to serious health issues if not promptly addressed. Mastoiditis requires medical treatment and can result in swelling, pain, and other symptoms in the affected area.

Symptoms

When you have mastoiditis, you might experience a range of symptoms that can vary in intensity:

  • Pain behind the ear: A persistent, throbbing discomfort that can be quite intense
  • Swelling: Noticeable puffiness behind or around the ear
  • Redness: The skin behind the ear may appear red and feel warm to the touch
  • Ear drainage: Fluid or pus coming from the ear
  • Fever: An elevated body temperature, often accompanied by chills
  • Hearing loss: Difficulty hearing clearly in the affected ear
  • Headache: A dull or sharp pain in the head, often on the same side as the infected ear

In very young children, especially those under 2 years old, symptoms may also include:

  • Mood changes and irritability
  • Frequent crying
  • Hitting the side of their head
  • Pulling on their ears

Causes

Mastoiditis typically develops from an untreated middle ear infection (otitis media) that spreads to the mastoid bone. Let’s explore some of the main causes:

Middle Ear Infection (Otitis Media)

A bacterial or viral infection in the middle ear can spread to the mastoid bone if not properly treated, leading to mastoiditis. This is the most common cause of the condition. Learn more about Middle ear infection (otitis media).

Cholesteatoma

It’s an abnormal collection of skin cells behind the ear drum in the middle ear, which can affect the structures of the middle ear and even the mastoid bone.

Chronic Ear Infections

Repeated or persistent ear infections can damage the ear structures and increase the risk of developing mastoiditis. This is why prompt and thorough treatment of ear infections is crucial.

Trauma

Physical injury to the ear or head can potentially lead to infection and mastoiditis if not adequately treated. Such injuries may create a pathway for bacteria to enter and infect the mastoid bone.

Immune System Disorders

Individuals with weakened immune systems are more susceptible to infections, including those that can lead to mastoiditis. This is because their bodies may struggle to fight off the initial ear infection effectively.

Treatment

Treating mastoiditis depends on the severity of the infection and may require medical intervention. Here’s how mild and severe cases are typically managed:

Close-up of a woman's hand holding two tablets in one hand and a medication box in the other, illustrating her preparation to take medication.

How to Treat Mild Mastoiditis

  • Antibiotics: Oral or intravenous antibiotics are commonly prescribed to tackle the bacterial infection causing mastoiditis. It’s crucial to complete the entire course as prescribed.
  • Pain relief: Over-the-counter pain relievers can help manage discomfort and reduce fever.
  • Warm compress: Applying a warm, moist cloth to the area behind the ear can help reduce pain and swelling.
  • Keep the ear dry: Avoid getting water in the affected ear to prevent worsening of the condition.
Close-up of a patient's hand in a hospital bed, with an intravenous drip inserted into a vein, delivering medication or fluids.

How to Treat Severe Mastoiditis

  • Hospitalisation: In severe cases, you may need to stay in the hospital for intensive treatment and monitoring.
  • Intravenous antibiotics: Stronger antibiotics may be administered through an IV to effectively combat the infection.
  • Surgery: A procedure called mastoidectomy may be necessary to remove infected mastoid cells and drain abscesses. This involves removing part of the mastoid bone.
  • Follow-up care: Regular check-ups with your healthcare provider are essential to ensure the infection has cleared and to prevent recurrence.

When to Visit a Specialist

It’s important to seek advice from a specialist if you experience:

  • Persistent or severe pain: If the pain behind your ear is intense and doesn’t improve with over-the-counter pain relievers.
  • Signs of serious infection: If you notice signs of a severe infection such as high fever, extensive redness, swelling, or discharge from the ear.
  • Hearing loss: If you experience significant hearing loss in the affected ear.
  • New symptoms during treatment: If you develop new symptoms while being treated for an ear infection, as this could indicate the infection is spreading.

Prevention

To help prevent mastoiditis:

  • Treat ear infections promptly: Seek medical treatment for ear infections to prevent complications.
  • Maintain good ear hygiene: Keep your ears clean and dry, and avoid inserting objects into the ear canal.
  • Manage allergies: Effectively manage allergies to reduce the risk of ear infections.
  • Regular check-ups: Visit an audiologist regularly to monitor ear health and address any concerns early on.
  • Vaccinations: Ensure you and your children are up-to-date with vaccinations, particularly those that protect against bacteria that can cause ear infections.

Takeaway

Mastoiditis is a serious condition that requires prompt medical attention. By understanding its symptoms and causes, you can take action early and prevent potential complications. Remember, early treatment of ear infections is key to preventing mastoiditis. If you’re concerned about your ear health, don’t hesitate to seek professional advice. With proper care and treatment, most cases of mastoiditis can be successfully managed, leading to a full recovery.

FAQs

A swollen ear can indicate various conditions, including infections like otitis externa (swimmer’s ear) or mastoiditis. It could also be due to an injury, allergic reaction, or insect bite. If you notice swelling, especially if it’s accompanied by pain or fever, it’s best to consult a healthcare provider.

An infected ear may appear red, swollen, and feel warm to the touch. In cases of outer ear infections, you might notice discharge or flaking skin. For middle ear infections, you may not see visible signs externally, but you might experience pain, hearing loss, or a feeling of fullness in the ear.

Yes, mastoiditis is a serious condition. If left untreated, it can lead to severe complications such as hearing loss, facial nerve paralysis, meningitis, or brain abscess. That’s why it’s crucial to seek medical attention promptly if you suspect you have mastoiditis.

Treatment for mastoiditis typically involves antibiotics, either oral or intravenous, depending on the severity. In some cases, surgery may be necessary to drain the infection or remove infected bone tissue. Always follow your doctor’s advice for the best treatment plan.

Untreated mastoiditis can lead to several serious complications, including:

  • Hearing loss
  • Facial nerve paralysis
  • Meningitis (infection of the membranes covering the brain and spinal cord)
  • Brain abscess
  • Spread of infection to other nearby structures
  • Sepsis (a life-threatening response to infection)

These potential complications underscore the importance of seeking prompt medical attention if you suspect mastoiditis.