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Antromastoidectomy in Childhood


Authors: M. Urík;  I. Šlapák;  J. Macháč
Authors‘ workplace: Lékařská fakulta, Masarykova univerzita, Brno ;  Klinika dětské otorinolaryngologie, Fakultní nemocnice Brno
Published in: Otorinolaryngol Foniatr, 62, 2016, No. 4, pp. 237-240.
Category: Original Article

Overview

Antromastoidectomy (AMT) is one of the basic surgical interventions employed in the therapy of ear illnesses. The decreasing number of AMTs performed at the Department of Paediatric Otorhinolaryngology (DPORL), Brno, Czech Republic, in recent years has lead to the publication of the present study. Its objective is to analyse and evaluate a group of children patients after AMT in the years 1997-2013 (a time-span of 17 years). During that period, a decrease of as much as 82 per cent in the number of performed AMTs occurred, as well as a reversal in the ratio of acute and planned AMTs in favour of the planned interventions, increasingly frequent operations on boys, a change in the composition of microbial causes of acute mastoiditis (AM) due to the introduction of mass polyvalent pneumococcal vaccination in the Czech Republic, and occurrence of common AM complications despite the introduction of modern antibiotic treatment.

Keywords:
antromastoidectomy, childhood, vaccination


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