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      Nasopharyngeal abscess and facial paralysis as complications of petrous apicitis: a case report.

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      Ear, nose, & throat journal

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          Abstract

          An 83-year-old man with a lifelong history of intermittent otorrhea and hearing loss was referred for management of a facial paralysis of 3 weeks' duration. Computed tomography (CT) of the head detected a neoplasm of the nasopharynx along with chronic otomastoiditis. A followup CT suggested the development of a nasopharyngeal abscess, which was confirmed by needle aspiration. A later coronal-projection CT showed definite bone destruction in the anterior petrous apex, confirming suspicions that a petrous apicitis was responsible for the facial paralysis and abscess. This article describes the management of this patient and reviews the historical, medical, and surgical aspects of petrous apicitis.

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          Author and article information

          Journal
          Ear Nose Throat J
          Ear, nose, & throat journal
          0145-5613
          0145-5613
          May 2001
          : 80
          : 5
          Affiliations
          [1 ] Capital Ear Group, 106 Irving St., Suite 4600, Washington, DC 20010, USA.
          Article
          11393910
          6f860dca-7765-432c-be03-309c60f7d132
          History

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