Skip to main content

Spontaneous drainage of a Bezold neck abscess into the middle-ear cleft: a rare incident

Abstract

Bezold’s abscess is a neck abscess, arising as a complication of acute mastoiditis or active chronic otitis media and cholesteatoma. This condition is rarely reported in the recent literature. A very rare case is presented of spontaneous drainage of Bezold’s neck abscess into the middle ear. Pertinent review of the literature is illustrated.

References

  1. 1

    Gaffney RJ, O’Dwyer TP, Maguire AJ. Bezold’s abscess. J Laryngol Otol 1991; 105: 765–766.

    CAS  Article  Google Scholar 

  2. 2

    Wu J-F, Jin Z, Yang J-M, Liu Y-H, Duan M-L. Extracranial and intracranial complications of otitis media: 22-year clinical experience and analysis. Acta Otolaryngol 2012; 132: 261–265.

    Article  Google Scholar 

  3. 3

    Smith JA, Danner CJ. Complications of chronic otitis media and cholesteatoma. Otolaryngol Clin North Am 2006; 39: 1237–1255.

    Article  Google Scholar 

  4. 4

    Erbek S, Erinanc H, Hizal E, Ozluoglu LN. Expression of disintigrin and metalloproteinase family proteins 10, 12 and 17 in cholesteatoma. J Laryngol Otol 2013; 127: 153–158.

    CAS  Article  Google Scholar 

  5. 5

    Jung JY, Lee DH, Wang EW, Nason R, Sinnwell TM, Vogel JP, et al. P. aeruginosa infection increases morbidity in experimental cholesteatomas. Laryngoscope 2011; 121: 2449–2454.

    Article  Google Scholar 

  6. 6

    Secko M, Aherne A. Diagnosis of Bezold abscess using bedside ultrasound. J Emerg Med 2013; 44: 670672.

    Article  Google Scholar 

  7. 7

    Castillo M, Albernaz VS, Mukerji SK, Smith MM, Weissman JL. Imaging of Bezold’s abscess. Am J Roentgenol 1998; 171: 1491–1495.

    CAS  Article  Google Scholar 

  8. 8

    Freling N, Roele E, Schaefer-Prokop C, Fokkens W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope 2009; 119: 1745–1752.

    Article  Google Scholar 

  9. 9

    Banerjee A, Flood LM, Yates P, Clifford K. Computed tomography in suppurative ear disease: does it influence management? J Laryngol Otol 2003; 117: 454–458.

    CAS  Article  Google Scholar 

  10. 10

    Khan NA, Bhalla RK, de Goede CGEL, Rothera MP, Ismayl O. Acute disseminated encephalomyelitis after mastoid surgery in a child. J Laryngol Otol 2007; 121: 1003–1005.

    CAS  Article  Google Scholar 

  11. 11

    Moloy PJ. Anaerobic mastoiditis: a report of 2 cases with complications. Laryngoscope 1982; 92: 1311–1315.

    CAS  Article  Google Scholar 

  12. 12

    Zevallos JP, Vrabec JT, Williamson RA, Giannoni C, Larrier D, Sulek M, et al. Advanced pediatric mastoiditis with and without intracranial complications. Laryngoscope 2009; 119: 1610–1615.

    Article  Google Scholar 

  13. 13

    Mitchell RN, Cotran RS. In: Kumar V, Cotran RS, Robbins SL, editors. Cell injury, adaptation, and death. Robbins basic pathology. 7th ed. Philadelphia: W.B. Saunders; 2003. 3–31.

    Google Scholar 

  14. 14

    Nyrop M, Bonding P. Extensive cholesteatoma: long-term results of three surgical techniques. J Laryngol Otol 1997; 111: 521–526.

    CAS  Article  Google Scholar 

  15. 15

    Spiegel JH, Lustig LR, Lee KC, Murr AH, Schindler RA. Contemporary presentation and management of a spectrum of mastoid abscesses. Laryngoscope 1998; 108: 822–828.

    CAS  Article  Google Scholar 

  16. 16

    Sanna M, Paolo F, Russo A, Falcioni M. Management of meningoencephalic herniation of the temporal bone: personal experience and literature review. Laryngoscope 2009; 119: 1579–1585.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Kamal G. Effat FRCS(Ed), FRCS(I), DLO.

Additional information

Conflicts of interest

None declared.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and Permissions

About this article

Cite this article

Effat, K.G. Spontaneous drainage of a Bezold neck abscess into the middle-ear cleft: a rare incident. Egypt J Otolaryngol 30, 58–61 (2014). https://doi.org/10.4103/1012-5574.127209

Download citation

Keywords

  • Abscess
  • Bezold’s abscess
  • Cholesteatoma
  • Mastoiditis