Mastoid air cell opacification

Last revised by Daniel J Bell on 1 Jan 2021

Citation, DOI, disclosures and article data

Citation:

Weerakkody Y, Bell D, Deng F, Mastoid air cell opacification. Reference article, Radiopaedia.org (Accessed on 20 Apr 2024) https://doi.org/10.53347/rID-68020

DOI:

https://doi.org/10.53347/rID-68020

Permalink:

https://radiopaedia.org/articles/68020

rID:

68020

Article created:

7 May 2019, Yuranga Weerakkody ◉

Disclosures:

At the time the article was created Yuranga Weerakkody had no recorded disclosures.

View Yuranga Weerakkody's current disclosures

Last revised:

1 Jan 2021, Daniel J Bell ◉

Disclosures:

At the time the article was last revised Daniel J Bell had no recorded disclosures.

View Daniel J Bell's current disclosures

Revisions:

3 times, by 3 contributors - see full revision history and disclosures

Systems:

Head & Neck

Sections:

Gamuts

Tags:

cases

Synonyms:

Opacification of mastoid air cells

Mastoid air cell opacification can occur in a number of situations and can include a spectrum of inflammatory, neoplastic, vascular, fibro-osseous, and traumatic changes.

Possible causes include:

otomastoiditis
- acute otomastoiditis
- chronic otomastoiditis
radiation ³
trauma (temporal bone fracture)
temporal bone masses
- primary neoplasms
- metastases
- hematopoietic neoplasms
  - plasmacytoma ⁶
  - Langerhans cell histiocytosis
Eustachian tube obstructive dysfunction
- inflammation
- nasopharyngeal mass
  - nasopharyngeal carcinoma
  - adenoidal hypertrophy
- trauma
  - intubation
  - surgery
- congenital abnormalities
  - cleft palate

References

1. Singh S, Rettiganti MR, Qin C, Kuruva M, Hegde SV. Incidental mastoid opacification in children on MRI. (2016) Pediatric radiology. 46 (5): 704-8. doi:10.1007/s00247-016-3545-7 - Pubmed
2. Michael H. McDonald, Matthew R. Hoffman, Lindell R. Gentry. When Is Fluid in the Mastoid Cells a Worrisome Finding?. (2013) J Am Board Fam Med. 26 (2): 218. doi:10.3122/jabfm.2013.02.120190 - Pubmed
3. Walker GV, Ahmed S, Allen P, Gidley PW, Woo SY, DeMonte F, Chang EL, Mahajan A. Radiation-induced middle ear and mastoid opacification in skull base tumors treated with radiotherapy. (2011) International journal of radiation oncology, biology, physics. 81 (5): e819-23. doi:10.1016/j.ijrobp.2010.11.047 - Pubmed
4. Amy F. Juliano, Daniel T. Ginat, Gul Moonis. Imaging Review of the Temporal Bone: Part I. Anatomy and Inflammatory and Neoplastic Processes. (2013) Radiology. 269 (1): 17-33. doi:10.1148/radiol.13120733 - Pubmed
5. Polat S, Aksoy E, Serin GM, Yıldız E, Tanyeri H. Incidental diagnosis of mastoiditis on MRI. (2011) European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 268 (8): 1135-1138. doi:10.1007/s00405-011-1506-1 - Pubmed
6. George JC, Caldemeyer KS, Kreipke DL, Chalian AA, Moran CC. Solitary plasmacytoma of the mastoid bone presenting as coalescent mastoiditis. (1994) Archives of otolaryngology--head & neck surgery. 120 (12): 1393-4. Pubmed
7. Lee CA, Aga L, Lie QY, Lin Z. Rhabdomyosarcoma presenting as an acute suppurative mastoiditis. (2004) Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 131 (5): 791-2. doi:10.1016/j.otohns.2003.04.002 - Pubmed