Need Help understanding and option - Urgent Please reply

[Zee74]

What it is?
What can be done ?
How dangerous this is?
What time frame to react?
What are the chances of success?

Here is the text from MRI/CT SCAN:

Clinical Finding:
K/c of malignant otitus externa
C/o bilateral ear deafness - unable to hear for right ear completely
NOTE: This CT is compared with outside MRI dated 20-06-2013

Axial images were obtained before and after contrast.

There is evidence  of opacification of bilateral mastoid air cells more so on right side with comparative destruction of mastoid air cells on right.

No soft issue mass seen in external auditory canal.
No definite bony erosion is seen in the base of skullbones and petrous apex.
no definite mass seen in nasopharyngeal region.
No abnormal post contrast tentorial enhancement is seen in this study
Sections through the paranasal sinuses on both sides.
Section through the brain show no intracranial bleed, mass or gross area of infarction.
No midline shift is seen
The ventricles and cortical sulci are normal
The brain stem and the posterior fossa show no lesion.
No unusual enhancement is noted after contrast injection

conclution
Compared with previous outside MRI dated 20-6-2013 bilateral mastoiditis is unchanged since previous study
no evidence of aggravation of disease process is seen in this study.

SS/AI

[Zee74]

Thank you very much for your reply I guess doctors are not suggesting surgical options may be because of the malignant nature. Patient has lost lot of weight and his consultant seems helpless now and referring him here and there he has received a treatment of 300+ IV tanzo injections.

What do you suggests. Patient is willing to travel abroad if there is any need. His diet has reduce to almost nothing in a day. If you required I can forward you report we have or if you suggest some we can get it and forward it to you so you could decide whether he can receive any further help from you guy's end or it is a dead end for him now. The length of his decease is about 2 years now.

Please Advice.

[Paderla Anitha, DNB]

Hi, otitis externa is inflammation of the external ear, but this does not usually affect the mastoids. The mastoids are bony tissue which is present behind the ears. When the middle ear is affected, this can sometimes spread to the mastoids. And sometimes even intracranially. The report states that the mastoid bones are involved, but it has not spread intracranially. Depending on whether there is an active infection your doctor may decide on conservative or surgical management, please discuss with him. Regards.