Clinical Photo of The Week: Vol1No1

This Case was presented in the latest edition of otolaryngology news:
30-year old female with long-standing history of right muco-purulent Otorrhoea since childhood. No previous ear surgery, but had I&D of post-auricular swelling done by a GP at about age 10 years. O/E findings include right complete LMN facial palsy, large mastoid cavity with mucopurulent Otorrhoea and the finding seen on this picture

Diagnosis: Automastoidectomy complicating chronic otomastoiditis.

The only case of automastoidectomy reported in literature was in 1986 and was due to keratosis obturans (Medline Abstract)

Biodun.