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Sessiz mastoidit mastoid hücrelerin kemik yapılarında ve mukozal tabakadaki subklinik enfeksiyöz enflamatuar süreci tanımlamaktadır. Hayatının belli döneminde akut otitis media (AOM) geçiren ve yanlış antibiyotik tercihi veya yetersiz dozda antibiyotik kullanımı sonucunda hastaların kliniğinde gerileme olmasına rağmen bakterilerin eredike olmaması sonucunda sessiz mastoidit gelişmektedir. Bu hastaların kliniğinde genellikle hiçbir semptom olmamakla birlikte bazı hastalarda baş ağrısıyla karışan kulak ağrısı, mastoid bölgede duyarlılık, işitme kaybı, kulakta dolgunluk hissi ve subfebril ateş gibi semptomlar olabilmektedir. Sessiz mastoidit subklinik seyirli olması ve fizik muayenede tipik bulgusunun olmaması sebebiyle gözden kaçmakta ve hastalarda yaşam kalitesini bozan şikayetler oluşturmaktadır. Bu çalışmadaki amacımız kliniğimizde sessiz mastoidit tanısı konularak tedavileri gerçekleştirilen iki olgunun literatür eşliğinde tartışılması ve sessiz mastoiditin öneminin vurgulanmasıdır.
Silent mastoiditis defines the subclinical infectious inflammatory process in the bone structures of the mastoid cells and the mucous layer. Despite the decline in the clinic of patients who suffer from acute otitis media (AOM) during a certain period of their life and due to the use of an antibiotic in the wrong preference or inadequate doses, silent mastoiditis develops as a result of the absence of bacteria in heredity. Although there are usually no symptoms in the clinic of these patients, some patients may have symptoms such as headache, sensitivity in the mastoid area, hearing loss, feeling filled in the ear and subfebril fever. Silent mastoiditis is avoided because of its subclinical publicity and the absence of a typical discovery in the physical examination and creates complaints that deteriorate the quality of life in patients. Our purpose in this study is to discuss the two phenomena of the treatment of silent mastoiditis in our clinic in the literature and to emphasize the importance of silent mastoiditis.
Silent mastoiditis describes the subclinical infectious inflammatory process in the bone structures of the mastoid cells and the mucosal layer. In the diagnosis of acute otitis media (AOM), despite the decrease in the the patients’ clinic status, as a result of the wrong antibiotic preference or inadequate dose of antibiotics, silent mastoiditis develops due to the fact that the bacteria are not eradicated.Although there are usually no symptoms in these patients, some patients may have symptoms such as ear pain feeling like headache, sensitivity in mastoid region, hearing loss, ear fullness and subfebrile fever. Silent mastoiditis is overlooked because of its subclinical course and the lack of typical findings in physical examination.and causes complaints that impair quality of life in patients. The aim of this study is to emphasize the importance of silent mastoiditis and discuss, two cases of silent mastoiditis which diagnosed and treated in our clinic,with the literature.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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