Ear, Nose & Throat Community
Mastoid Complication...ATFP or Petrous Apex?
About This Community:

This patient support community is for discussions relating to ear, nose and throat issues, ear infections, nasal polyps, sore throats, and swollen glands.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Mastoid Complication...ATFP or Petrous Apex?

I'm a 39 yr old female & 22 mo post-op a 2nd radical mastoidectomy (both rt ear). The first, 18 yrs ago, due to cholesteatoma w/extensive disease. All remnants removed & my hearing lost. The second, due to a benign fibrous connective mass, again w/extensive disease. Prior to 2nd surgery ct scan showed dehiscence of 3mm w/in anterior wall of eac & 2mm of tegmen tympani. Second also complicated by staph infection.

Additional post surgical problems: CHRONIC head, neck, jaw & ear pain, rt side. Also, all pre-surgical complaints. Dull, deep & constant. Also elevated wbc & bp since surgery. Have seen 12 medical/dental professionals...including IDS (6 wks IV antibiotics), Ortho (tmj eval, custom dental splint), Neuro (on 3 daily meds, 2-4 meds PRN & trigger point injections-now 2 mo intervals)-past 12 mo-current. Diagnosis:ATFP (Believes multiple superficial nerves damaged during surgery...only because somewhat responsive to meds. But, admits pain has been very difficult to manage.)

In my research of chronic mastoiditis I had read an article pertaining to the petrous apex. Is it plausible that the petrous apex may be involved in my case? That perhaps there is entrapment of infection or inflammation? Or would I be more symptomatic? It seems it can be defined with proper imaging. What particular imaging would be necessary? If not plausible is there another treatment course that may be explored? Chronic pain has dictated to me for over 2 years...I hope to find a solution sooner than later.  Any imput would be appreciated & I thank you for your time, in advance.








Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Ear, Nose & Throat Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Ear, Nose, Throat Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ