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Arch Otolaryngol Head Neck Surg. 1998;124:1047-1050.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 38-YEAR-OLD woman with right-sided hearing loss, otalgia, and multiple episodes of otitis media that were greater on the right side than on the left was referred for evaluation. Physical examination demonstrated a normal-appearing left ear and myringostapediopexy of the right ear associated with a posterosuperior retraction pocket containing squamous debris. An audiogram revealed normal hearing in the left ear and a mild to moderate conductive hearing loss in the right ear; the speech reception threshold was 35 dB in the right ear and 10 dB in the left ear.

A modified radical mastoidectomy with tympanoplasty and possible ossicular chain reconstruction was planned. During elevation of a posterior endaural flap via a postauricular approach, profuse hemorrhage was encountered with elevation of the medial portion of the posterior external auditory canal. Serial computed tomographic scans are shown in Figure 1 and Figure 2.

Figure 1.

Figure 2.

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