| Title |
Cholesteatoma complicated by parapharyngeal abscess that occurred after temporal bone fracture |
| Authors |
Abaturovas, Rokas ; Jakštas, Tomas ; Talijūnas, Andrius ; Balseris, Svajūnas ; Arechvo, Irina |
| DOI |
10.7759/cureus.57523 |
| Full Text |
|
| Is Part of |
Cureus journal of medical science.. London : Springer Nature. 2024, vol. 16, iss. 4, art. no. e57523, p. [1-4].. eISSN 2168-8184 |
| Keywords [eng] |
chronic otitis media ; temporal bone fracture ; peritubal route ; cholesteatoma ; parapharyngeal abscess |
| Abstract [eng] |
Parapharyngeal abscess as a cervical complication of chronic otitis media with cholesteatoma is extremely rare. We present the case of a patient with chronic otitis media and cholesteatoma who developed a parapharyngeal abscess following a blunt head trauma. A 65-year-old man with a history of recurrent right purulent otorrhea presented with symptoms of profuse purulent otorrhea, headache, hoarseness, and difficulty swallowing. Imaging revealed the presence of a right parapharyngeal abscess alongside a temporal bone fracture, suggesting a potential direct spreading route of aggressive chronic suppurative otitis media infection through the bone fracture defects to the parapharyngeal space. The patient underwent abscess drainage via a transcervical approach with simultaneous emergency radical mastoidectomy. Despite the development of septic shock with acute renal failure in the postoperative period, the patient made a full recovery. |
| Published |
London : Springer Nature |
| Type |
Journal article |
| Language |
English |
| Publication date |
2024 |
| CC license |
|
