Squamozygomatic mastoiditis.
Acute atypical mastoiditis, with temporal and/or facial edema, is called squamozygomatic mastoiditis. There are only a few reports of this occurrence in the literature, which occurs because of an inflammatory process spread to the zygommatic apophysis, when mastoid pneumatization reaches the zygoma or the squamous portion of the temporal bone. Diagnosis is made based on clinical history, physical exam and mastoid CT scan. Treatment is carried out with antibiotic therapy and surgery.


OBJECTIVE
To present a case of squamozygomatic mastoiditis and review the literature.


METHODS
Report of a case treated in our hospital during the year of 2003 and literature review through the Internet, we also reviewed otolaryngology books from known authors.


CONCLUSIONS
Squamozygomatic mastoiditis is an atypical mastoiditis in which the inflammatory process spreads to the zygomatic apophysis. The infection reaches the temporal bone squamous portion and makes a fistula between this portion and the temporal muscle, shifting the pinna of the ear downwards and it may reach the face, eyes and eyelids. Diagnosis is carried out by clinical history, physical examination and mastoid CT Scan. Treatment is surgical, associated with antibiotic therapy.
Araújo
Patrícia de Pinho Marques
Pde P
Federal University of Rio de Janeiro-UFRJ.
Matos
Janini Oliveira
JO
Madeira
Felipe Barbosa
FB
Araujo
Anderson de S
Ade S
Arruda
Andréia Migueres
AM
Tomita
Shiro
S
D000208:Acute Disease; D005260:Female; D006801:Humans; D008417:Mastoiditis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000382:microbiology; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D016896:Treatment Outcome