Ni Ketut Alit A

Nursing Faculty Airlangga University

Surabaya East Java.
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Journals and article related to..

 The epithelial lining of the middle ear
<continous>
The epithelial lining of the mastoid air cells
(Embedded in the temporal bone)

Mastoiditis is a secondary disorder resulting

inadequated treated Otitis Media.

Mastoiditis can be either acute or chornic; it

was leading cause of death in children and
hearing lossmin adults
The clinical manifestations
of mastoiditis include:
Swelling behind the ear
Pain with minimal movement of tragus,
the pinna, or the head.
Cellulitis develops on the skin or external scalp
over mastoid process
Clients withs mastoiditis also have low grade
fever, malaise, and anoreksia
Reveals :
a red, dull, thick, immobile tympanic
membrane with or without perforation
Postauricuar lymph nodes are tender and
enlarge.
Non Surgical management:
Antibotic therapy is aimed at preventing the
continued spread of infection from the otitis
media or mastoiditis.
But it has limited use in the actual treatment
of mastoiditis because of the difficulty of
acchieving effective antibiotic levels within
the bony structure of mastoid.
Culture material is obtained from the ear
drainage or by myringotomy.
 Surgical removal of the infected tissue is
necessary if the client does not respond to
antibiotic administrationwithin a few day.

A simple or modified radical mastoidectomy

with tympanoplasty is the most common
treatment.

All infected tissue must be removed so that

the infection doesnot spread to other
structures.
 Reassures the client that operative will relive
pain
Discusses the reason for the prosedure with
the client and relieve anciety
Cleans the exteral canal with a bacteriostatic
solution
 Avoid straining when you have bowel elimination.
Do not drink through a straw for 2-3 wk
Avoid air travel for 2-3 wk
Stay away from people with cold
Avoid getting your head wet, washing hair,and
showering for 1 wk
Keep yor ear dry for 6 wk by placing a ball cotton
change daily
Avoid rapidly moving the head for 3 wk
Change eardressing every 24 hour
Report excessive drainage
Compication arise :
Infective material has not been removed
completely.
Contamination of other structure outside the
mastoid and middle ear.

Complication include :
Damage to the abducens (NC VI) and facial
cranial nerves (NC VII)
Decreasing ability to look laterally
Dropoping the mouth on the affected side
 Vertigo
Meningitis
Brain abcess
Chronic purulent otitis media
Wound infection
 Early manifestation of mastoiditis
development

PSYCHOSOCIAL ASSESMENT
Fear of losing hearing
Deny that the change occurred
 Pain
Sensory /perceptual alteration (auditory)
Risk of infection
Hipertermi
Anciety
 Write down education guide for client post
surgery with mastoiditis!!