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Robert Stokroos, MD, PhD
University Hospital Maastricht, Maastricht, the Netherlands

Arch Otolaryngol Head Neck Surg. 2003;129:683.

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

A 56-YEAR-OLD man presented with a 3-year history of right-sided retroauricular pain radiating toward the occipital area and the upper part of the neck. His hearing ability had diminished slightly on the affected side, and he was experiencing an intermittent, unspecific sense of disequilibrium. The pain had worsened considerably during the past 3 weeks and had imposed a restriction on neck movement. Otologic history revealed that 2 years earlier the patient had a right-sided paracentesis that had been caused by serous otitis media. Since then, he had had an intermittent aural discharge, which had responded to treatment with mixed antibiotic and anti-inflammatory eardrops. His medical history was otherwise unremarkable. He had abused alcohol and nicotine, however, and his personal hygiene was mediocre.

On examination, both the skin of the right external meatus and the tympanic membrane appeared thickened and vascular, but the tympanic membrane was intact . . . [Full Text of this Article]

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