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June 1994


Arch Otolaryngol Head Neck Surg. 1994;120(6):668-671. doi:10.1001/archotol.1994.01880300082013

Imaging Quiz Case  Esor Balkan, MD; Oktay Dinç, MD; Firat Fişenk, MD; Oǧuz Bircan, MD, Antalya, TurkeyA 19-Year-Old man presented to our clinic with complaints of headaches, irritability, nausea and vomiting, high fever, back pains, a right-sided peripheral type of facial nerve paralysis, a diffuse painful swelling along the right side of the neck, and a localized painful 5×7-cm swelling in his lumbar region.Bilateral roentgenograms showed a large defect in the patient's right mastoid area, and a foul grayish discharge was observed in his right external ear canal. He had had this aural discharge since childhood.Preoperative computed tomographic scans of the temporal bone showed a large soft-tissue defect in the right mastoid area that was adjacent to the posterior cranial fossa (Figure 1, arrowheads).The preoperative computed tomographic scans of the patient's neck revealed a cavity beginning from the skull base, under the right sternocleidomastoid muscle, and

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