Silent mastoiditis: Two case reports

Silent mastoiditis describes the subclinical infectious inflammatory process in the bone structures of the mastoid cells and the mucosal layer. In the diagnosis of acute otitis media (AOM), despite the decrease in the the patients’ clinic status, as a result of the wrong antibiotic preference or inadequate dose of antibiotics, silent mastoiditis develops due to the fact that the bacteria are not eradicated.Although there are usually no symptoms in these patients, some patients may have symptoms such as ear pain feeling like headache, sensitivity in mastoid region, hearing loss, ear fullness and subfebrile fever. Silent mastoiditis is overlooked because of its subclinical course and the lack of typical findings in physical examination.and causes complaints that impair quality of life in patients. The aim of this study is to emphasize the importance of silent mastoiditis and discuss, two cases of silent mastoiditis which diagnosed and treated in our clinic,with the literature