Treatment for mastoiditis usually includes intravenous fluids, antibiotics, and acetaminophen or nonsteroidal anti-inflammatory medications for pain and fever.
Treatment options for mastoiditis include:
- Intravenous antibiotics for mastoiditis:
- Vancomycin (Lyphocin, Vancocin)
- Ceftriaxone (Rocephin)
- Rifampin (Rifadin, Rimactane)
- Cefotaxime (Claforan)
- Piperacillin and tazobactam sodium (Zosyn)
- Clindamycin (Cleocin)
- Gentamicin (Garamycin)
- Oxacillin (Bactocill)
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Narcotic pain medication:
- A tube is placed in the ear drum to allow fluid to drain from the middle ear.
If the infection responds to intravenous antibiotics, then oral antibiotics are started. If the infection does not improve during treatment with intravenous antibiotics, then surgery may be required.
Surgical options for mastoiditis include:
- Draining fluid from the middle ear space with a needle
- Placing tubes in the ears
- Removing infected tissue from the mastoid bone.
Mastoiditis Questions For Doctor
The following are some important questions to ask before and after treatment for mastoiditis.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for complications?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Continue to Mastoiditis Home Care
- Agrawal S, Husein M, MacRae D. Complications of otitis media: an evolving state. J Otolaryngol. 2005 Jun;34 Suppl 1:S33-9. 
- Leskinen K. Complications of acute otitis media in children. Curr Allergy Asthma Rep. 2005 Jul;5(4):308-12. 
- Spratley J, Silveira H, Alvarez I, Pais-Clemente M. Acute mastoiditis in children: review of the current status. Int J Pediatr Otorhinolaryngol. 2000 Nov 30;56(1):33-40.