Updated management strategies for mastoiditis and mastoid abscess

Mastoiditis remains a problem in Egypt. Despite the widespread use of antibiotics for otitis media, many patients still present with complications.Treatment options for mastoiditis vary from simple incision and drainage of the tympanic membrane to radical mastoidectomy.There seems to be no unanimous agreement on the best management strategy for this problem.In this study, we will review various management protocols for mastoiditis and mastoid abscess. Along with our experience with 12 cases of mastoiditis and mastoid abscess, we will propose our own management guidelines summarized in an easily accessible flowchart.