Journal article
Incidental mastoid opacification on computed tomography in the pediatric population
International journal of pediatric otorhinolaryngology, v 128, pp 109688-109688
01 Jan 2020
PMID: 31593875
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: Incidental mastoid opacification (IMO) is a common radiologic finding and source of referral to otolaryngologists. Our objectives were to: 1) determine the rate of IMO in our pediatric population; 2) identify those with clinical mastoiditis; and 3) identify factors necessitating an otolaryngology consultation.
Methods: This was a retrospective chart review at an academic, tertiary, pediatric hospital in an urban setting. Pediatric patients with the keyword 'mastoid' on a computed tomography (CT) scan report were reviewed. The effect of age, gender, season and the use of contrast media on the rate of IMO was also analyzed. Chi-square analysis was used to compare the significance of categorical frequencies.
Results: The rate of IMO in our cohort was 14.2% (164/1157). In children < 8 years of age, the IMO rate was 22.0% compared to 5.6% in children 8-17 years of age (p < .001). The IMO rate in male children was 16.6% compared to 11.0% in female children (p=.007). There was no statistically significant higher rate of IMO during winter (15.1%) compared to summer (9.0%) and in CT scans with contrast (16.0%) compared to without contrast (14.0%). Our department of otolaryngology was formally consulted in 3% (5/164) of IMO cases. None of those patients had clinical mastoiditis.
Conclusions: This is the largest study identifying IMO on CT and in children to date. Although the overall rate of IMO in the pediatric population is 14.2%, it is rarely clinically significant.
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Details
- Title
- Incidental mastoid opacification on computed tomography in the pediatric population
- Creators
- David J. Lafferty - Philadelphia College of Osteopathic MedicineJason E. Cohn - Philadelphia College of Osteopathic MedicineBrian J. McKinnon - St. Christopher's Hospital for Children
- Publication Details
- International journal of pediatric otorhinolaryngology, v 128, pp 109688-109688
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000508742100012
- Scopus ID
- 2-s2.0-85072833622
- Other Identifier
- 991019169539604721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Otorhinolaryngology
- Pediatrics