CT and MRI identified an avidly enhancing mass that occupied the entire middle ear space and mastoid
cavity and extended into the external auditory canal.
A computed tomography (CT) examination of the temporal bone showed that the right mastoid
area, the middle ear cavity, and the external ear canal were completely obstructed by soft tissue and bone defect and erosion of ossicles were present in the posterior of the mastoid
bone (Figure: B).
Patient was started on Intravenous Ceftriaxone 1 G twice a day and taken up for mastoid
Kronik Otitis Media (KOM), orta kulak ve mastoid
kavitenin en az 3 ay suren kronik enfeksiyon ve inflamasyonu sonucu olusan kulak akintisi, isitme kaybi ve kulak zari perforasyonu olarak tanimlanir (1).
CONCLUSION: The less pneumatized mastoid
and ossicular diseases in elderly patients with chronic perforated otitis media suggest that they had longer lasting and more severe childhood middle ear pathologies than did younger patients.
By using a goniometer, the mean distance from the most protruding point of the helix to the mastoid
bone and the mean concha-to-mastoid
angle were calculated.
During the operation, purulent secretion and eroded bone should be removed, clearing the involved air cells of the zygomatic root as well as the mastoid
Full-thickness sutures passing through the concha cartilage are attached to the mastoid
Because cholesteatoma is commonly a complication of CSOM, there is almost always co-existing inflammatory disease in adjacent mastoid
Thereafter the tympanic membrane was repaired by inserting a fascia into the ear canal, and the mastoid
cavity was sutured by pulling the myoperiosteal flap backward before a thin silicone tube was inserted for drainage.
Clinical examination show sagging of posterior and superior walls of external auditory canal in left side with significant postauricular swelling and palpable lump on right mastoid
A unilocular ZACD appears as radiolucency with well defined borders, while the multilocular type demonstrates numerous small cavities within, which resemble mastoid