Osteoradionecrosis of the temporal bone after external-beam radiotherapy for nasopharyngeal carcinoma is not uncommon following a long posttreatment interval. We describe the case of a man who had experienced this complication 13 years after he had undergone such radiotherapy. His condition resolved after removal of dead bone from the external auditory canal, followed by antibiotic therapy and periodic aural toileting.
References
1.
RamsdenR.T., BulmanC.H., LoriganB.P.Osteoradionecrosis of the temporal bone. J Laryngol Otol1975; 89: 941–55.
2.
JohnD.G., PorterM.J., van HasseltC.A.Beware bleeding from the ear. J Laryngol Otol1993; 107: 137–9.
3.
SikandA., LongridgeN.CSF otorrhea complicating osteoradionecrosis of the temporal bone. J Otolaryngol1991; 20: 209–11.
4.
RudgeF.W.Osteoradionecrosis of the temporal bone: Treatment with hyperbaric oxygen therapy. Mil Med1993; 158: 196–8.
5.
YuenP.W., WeiW.I.Tympanomastoidectomy for chronic suppurative otitis media of irradiated ears of nasopharyngeal carcinoma patients. J Otolaryngol1994; 23: 302–4.
6.
MaK.H., FaganP.A.Osteoradionecrosis of the temporal bone: A surgical technique of treatment. Laryngoscope1988; 98: 554–6.
7.
ThornleyG.D., GullaneP.J., RubyR.R., HeenemanH.Osteoradionecrosis of the temporal bone. J Otolaryngol1979; 8: 396–400.
8.
GuidaR.A., FinnD.G., BuchalterI.H.Radiation injury to the temporal bone. Am J Otol1990; 11: 6–11.
9.
KvetonJ.F., Sotelo-AvilaC.Osteoradionecrosis of the ossicular chain. Am J Otol1986; 7: 446–8.
