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He reported a previous diagnosis of chronic right otitis media and antecedents of generalised chondromatosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient's right leg had been amputated as an infant. Physical examination revealed deformity of right skull with tumefaction of the ear lobe and retroauricular area, with marked mastoid hyperesthesia. The tympanic membrane could not be seen due to oedema of the external auditory canal.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Computed tomography was performed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), revealing severe dysplastic changes (compatible with chondromatosis) in right temporal and sphenoid bones, with involvement and occupation of tympanic cavity. Because of the history of chondromatosis and the tomography results, scintigraphy and magnetic resonance were requested (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). Results showed active lesions and deformity (probably from osteochondroma) in the stage of becoming malignant, located in the skull (right occipital bone), along with alteration of the mastoid apophysis with an increase in volume.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was admitted for antibiotic treatment (cephalosporins) and removal of the mass occupying the mastoids and middle ear. A cranial approach in the occipital-mastoid area was performed for drainage, curettage and taking a sample of osteochondomatous tissue, after tracheotomy for cervical involvement from the patient's underlying condition.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The pathology report indicated cystic mastoid enchondroma (multiple osteochondromatosis, chondromatosis of skull bones).</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: León FM, Gómez Quiroz C, Zernotti ME. Encondroma de mastoides secundario a encondromatosis generalizada. Acta Otorrinolaringol Esp. 2014;65:271–272.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1007 "Ancho" => 950 "Tamanyo" => 147270 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 731 "Ancho" => 1000 "Tamanyo" => 97041 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 849 "Ancho" => 1000 "Tamanyo" => 140416 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006500000004/v1_201408141153/S2173573514000830/v1_201408141153/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006500000004/v1_201408141153/S2173573514000830/v1_201408141153/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000830?idApp=UINPBA00004N" ]
Journal Information
Vol. 65. Issue 4.
Pages 271-272 (July - August 2014)
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Vol. 65. Issue 4.
Pages 271-272 (July - August 2014)
Images in Otorhinolaryngology
Enchondroma of the Mastoid Secondary to Generalised Enchondromatosis
Encondroma de mastoides secundario a encondromatosis generalizada
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