Presentation
Discharge from left ear with otalgia. Recent treatment for tonsillar cancer. ?collection ?bone destruction
Patient Data
Soft tissue thickening in the left external auditory canal, with periauricular soft tissue stranding.
Opacification of the middle ear cavity and mastoid air cells.
No bone erosion / destruction; EAC, TMJ, ossicles, mastoid cells all intact.
No intracranial complication; no collection, pneumocephalus, venous thrombosis.
No nodal abnormality.
Other findings:
Post radiotherapy changes in the neck; fat reticulation, fascial / platysmal thickening, gland hyperenhancement, mucosal thickening (see epiglottis on sagittal).
Case Discussion
This is a case of uncomplicated otomastoiditis. There are no features of aggressive disease, namely no bone erosion.
This case also demonstrates typical post-radiotherapy changes in the head and neck, as described in the case findings section.
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Case contributed by Dr Mark Rodrigues with thanks.