Open AccessBezold’s abscess secondary to os tympanicum cholesteatoma in Goldenhar syndrome
Author(s) -
Matteo Minerva,
Silvia Valeggia,
Stefano Fusetti,
Elisabetta Zanoletti,
Renzo Manara,
Davide Brotto
Publication year - 2021
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20200121
Subject(s) - cholesteatoma , medicine , craniofacial , abscess , craniofacial abnormality , temporal bone , brain abscess , anatomy , surgery , radiology , psychiatry
Objectives: The diagnosis of Bezold’s abscess can be challenging especially when craniofacial malformations imply facial and cervical morphological asymmetries. In addition, craniofacial malformations might predispose to the occurrence and atypical diffusion pathways of suppurative processes originating from abnormally developed temporal bone structures.Methods: A 30-year-old female presented with a left laterocervical swelling, worsening over time. The female was affected by Goldenhar syndrome. CT and MRI were performed.Results: CT revealed a dysmorphic os tympanicum and a deep cervical abscess in continuity with its cavity. Drainage of the cervical abscess was performed but a subsequent brain MRI detected a large cholesteatoma that was removed with left lateral petrosectomy.Conclusions: Radiology has a crucial role in the diagnosis and planning of the treatment of Bezold’s abscesses, particularly in syndromic patients. MRI, in this case, helped in diagnosing the presence of the cholesteatoma and consequently appropriately approach the surgical removal.