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In the era of antibiotics, acute coalescent mastoiditis is a very uncommon event, but remains a potentially serious condition. Significant and even lift-threatening complications beyond the tympanomastoid space may occur, including periauricular subperiosteal abscess, facial paralysis, meningitis, brain abscess, etc. However, there have appeared a few papers in the recent Korean literature on acute coalescent mastoiditis. Recently, we encountered with two cases of acute coalescent mastoiditis complicated by subperiosteal abscess. Including incision and drainage of the abscess, parenteral antibiotic therapy was done for several days until the acute stage of infection was controlled. After that, simple mastoidectomy with ventilation tube insertion was carried out. We report these cases with review of literature.
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