Otomastoiditis - uncomplicated
Discharge from left ear with otalgia. Recent treatment for tonsillar cancer. ?collection ?bone destruction
Loading Stack -
0 images remaining
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.
Post radiotherapy changes in the neck; fat reticulation, fascial / platysmal thickening, gland hyperenhancement, mucosal thickening (see epiglottis on sagittal).
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.
Case contributed by Dr Mark Rodrigues with thanks.