{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:36:58Z","timestamp":1760985418270,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":13871,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1978,5]]},"abstract":"<jats:p>Acute coalescent mastoiditis is an uncommon sequela of acute otitis media. It occurs principally in the well\u2010pneumatized temporal bone. The findings of fever, pain, postauricular swelling, and otorrhea are classic. Cholesteatoma, on the other hand, being associated with chronic infection, usually occurs in the sclerotic temporal bone. The signs and symptoms are insidious in nature and consist of chronic discharge and hearing loss which result from its mass, bone erosion, and secondary infection.<\/jats:p><jats:p>Of 17 consecutive cases of acute mastoiditis over a six\u2010year period, four were atypical because they were complications of chronic otitis media and cholesteatoma, yet they had the physical findings of acute mastoiditis\u2010sub\u2010periosteal abscess and purulent otorrhea, plus radiographic evidence of mastoid coalescence.<\/jats:p>","DOI":"10.1177\/019459987808600304","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T12:40:03Z","timestamp":1461242403000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Acute Mastoiditis and Cholesteatoma"],"prefix":"10.1002","volume":"86","author":[{"given":"Howard L.","family":"Shaffer","sequence":"first","affiliation":[{"name":"Division of Otorhinolaryngology University of Texas Health Science Center at San Antonio San Antonio Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George A.","family":"Gates","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology University of Texas Health Science Center at San Antonio San Antonio Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William L.","family":"Meyerhoff","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hennepin County Medical Center Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"310","volume-title":"Diseases of the Ear.","author":"Mawson SR","year":"1974"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016485409123995"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016486509126985"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100004023"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100055742"},{"key":"e_1_2_1_7_1","first-page":"45","article-title":"Role of cholesteatoma in etiology of acute mastoiditis","volume":"2","author":"Kacker SK","year":"1968","journal-title":"J Otolaryngol Australia"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1977.00780190054003"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195503000-00004"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1958.00730010429006"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100050404"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1958.00730010413004"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510005489X"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1963.00750020262004"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/019459987808600304","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459987808600304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:04:21Z","timestamp":1760969061000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459987808600304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1978,5]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1978,5]]}},"alternative-id":["10.1177\/019459987808600304"],"URL":"https:\/\/doi.org\/10.1177\/019459987808600304","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1978,5]]},"assertion":[{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}