{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:21:12Z","timestamp":1777422072297,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Acute mastoiditis (AM) is the most common intratemporal complication of acute otitis media in children. In the past decade, reports have indicated a rise in the incidence of AM in the pediatric population. A parallel rise in the use of computed tomography (CT) imaging has occurred. The rise in the use of CT scanning in the pediatric population, entraining with it a rise in pediatric brain irradiation, has led us to question the necessity of using CT for pediatric patients with AM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed the medical files of pediatric patients who had AM in the years 2005 through 2007.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty patients were identified. The gender distribution was equal, and the ages ranged from 4 months to 12 years. Of the 46 patients who were admitted to our institution \u201cde novo,\u201d only 2 underwent CT scanning on admission, and 4 other patients had CT performed during hospitalization. The majority of patients (92%) with AM did not have a CT scan performed and were treated conservatively with no complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In most pediatric patients, CT does not seem to be indispensable in the diagnosis of AM. Conservative therapy and close follow-up seem to suffice for most.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/000348940911800806","type":"journal-article","created":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T05:06:31Z","timestamp":1496120791000},"page":"565-569","source":"Crossref","is-referenced-by-count":37,"title":["Acute Mastoiditis in Children: Is Computed Tomography Always Necessary?"],"prefix":"10.1177","volume":"118","author":[{"given":"Sharon","family":"Tamir","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yehuda","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uri","family":"Peleg","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronen","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Yves","family":"Sichel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,30]]},"reference":[{"key":"bibr1-000348940911800806","first-page":"187","volume-title":"Surgery of the ear.","author":"Shambaugh GF","year":"1967"},{"key":"bibr2-000348940911800806","first-page":"549","volume-title":"Pediatric otolaryngology.","author":"Bluestone CD","year":"1983"},{"key":"bibr3-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1007\/BF01716698"},{"key":"bibr4-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1986.02140250104043"},{"key":"bibr5-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1177\/014556139407300907"},{"key":"bibr6-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7430.19"},{"key":"bibr7-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra072149"},{"key":"bibr8-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1177\/000348948609500302"},{"key":"bibr9-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900234"},{"key":"bibr10-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00425-0"},{"key":"bibr11-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00410-9"},{"issue":"125","key":"bibr12-000348940911800806","first-page":"20S","author":"Romer M","year":"2000","journal-title":"Schweiz Med Wochenschr"},{"key":"bibr13-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-007-0549-1"},{"key":"bibr14-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(98)00080-9"},{"key":"bibr15-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511400212"},{"key":"bibr16-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1086\/430609"},{"key":"bibr17-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00283-4"},{"key":"bibr18-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00287-1"},{"key":"bibr19-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00406-7"},{"key":"bibr20-000348940911800806","first-page":"104","volume":"16","author":"Kangsanarak J","year":"1995","journal-title":"Am J Otol"},{"key":"bibr21-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199507000-00013"},{"key":"bibr22-000348940911800806","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1986.02140250104043"}],"container-title":["Annals of Otology, Rhinology &amp; 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