Extensive Subgaleal with Subperiosteal Abscess and Deep Neck Abscess Secondary to Ear Foreign Body - Uncommon Presentation

Riana Kipiani Abdul Halim, Hafeza Ahmad, Soo Mun Yee, Muhammad Hazim Abdul Ghafar and Iskandar Hailani

Department of ORL-HNS, KPJ Healthcare University College, Malaysia Department of ORL-HNS, KPJ Selangor Specialist Hospital, Shah Alam, Selangor, Malaysia Department of Otorhinolaryngology, Hospital Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia

^*Correspondance to: Riana Kipiani Abdul Halim 

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Abstract:

A 36-year-old lady presented to our casualty with septic shock. She had four days history of fever, scalp swelling and poor oral intake. From the clinical findings, she was diagnosed left mastoiditis secondary to left ear foreign body complicated with extensive scalp and left deep neck abscesses. Computed tomography scans also showed left lateral skull base osteomyelitis changes. She was stabilized with inotrope infusion and fluids resuscitation. She was subjected to Intravenous (IV) antibiotics, abscesses drainage and regular ear cleaning. Mastoidectomy was performed later as she was refractory to the initial treatment. Conservative management as a first line treatment can reduce mastoidectomy related complications. However, mastoidectomy should be reserved for refractory cases and patients with associated cholesteatoma or intracranial complications. The purpose of the article is to discuss the uncommon presentation and on the mastoidectomy treatment for this case with its related literature review.

Keywords:

Mastoiditis; Subperiosteal abscess; Subgaleal abscess; Deep neck abscess; Ear foreign body; Mastoidectomy; Skull base osteomyelitis

Cite the Article:

Riana KAH, Hafeza A, MY Soo, MHA Ghafar, Iskandar H. Extensive Subgaleal with Subperiosteal Abscess and Deep Neck Abscess Secondary to Ear Foreign Body - Uncommon Presentation. Ann Clin Case Rep. 2020; 5: 1897..