A Rare Case of Pediatric Chronic Mastoiditis Presenting with Subtotal Perforation
P. RajaVarma, Sivaraj Ravichandran, Jayasri Karthikesan, Haripriya Gurumoorthy, Deepasree Balathandayuthabani, Surya Rajendran, Vilvarajeshwaran Balamurugan
International Journal of Medical and Pharmaceutical Case Reports · pp. 49–53 · Published 25 Oct 2025
10.9734/ijmpcr/2025/v18i4460Abstract
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.
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