Mastoiditis is an inflammation of the mastoid process behind the ear and the air spaces connecting it to the middle ear cavity. It is usually caused by a middle ear infection but can also result from injuries, respiratory infections like rhinitis or sinusitis, or fractures near the ear. Symptoms include ear pain, swelling behind the ear, hearing loss, pain when eating, discharge from the ear, nausea, vomiting, and headaches. Diagnosis involves imaging tests and physical examination. Treatment consists of antibiotic and steroid ear drops, ear irrigation, analgesics, and sometimes mastoidectomy surgery to remove infected mastoid bone. Nursing care focuses on preventing infection, managing pain, addressing hearing and communication issues, and preventing trauma from

3.  It is an inflammation of mastoid process behind the ear and of the air space
connecting it to the cavity of the middle ear.

4. E
T
I
O
L
O
G
Y
1. Infection of the middle ear.
2.Injury of the mastoid bone and cells.
3.Upper respiratory infection.
- Rhinitis.
- Sinusitis.
4. Related to zygoma fractures.

5. SIGN AND
SYMPTOMS.
Otalgia ( ear pain.)
Swelling of the mastoid bone.
Loss of hearing.
Sever pain at eating time.
Painless discharge from the effected ear.
Nausea, vomiting.
Increased cranial pressure.
Otorrhoea ( purulent discharge.) may be odourless or foul
smelling.
Perforation of the ear drum.

7. C.T. Scan
MRI Mastoid bone
X-ray
Physical
examination.
History Taking

8. MEDICAL
MANAGEMENT
1. Antibiotic and steroid ear drop for infection and
inflammation.
E.g.,Ciplox-D
2. Ear- Irrigation – for purulent drainage.
3. Analgesic drugs, e.g., Aspirin, Nimuslide.

9. SURGICAL
MANAGEMENT
Mastoidectomy : Surgical removal of mastoidectomy.

10. NURSING
MANAGEMENT
1. High risk for infection related to tissue destruction
and chronic disease.
2. Pain related to physical factors.
3. Altered auditory sensory perception related to partial
/ total perforation of tympanic membrane.
4. Impaired verbal communication related to hearing
deficit.
5. High risk for trauma related to balance difficulties.