Bender B, Widmann G, Riechelmann H, Schmutzhard J
Universitätsklinik für Hals-, Nasen und Ohrenheilkunde der Medizinischen Universität Innsbruck, Österreich.
HNO. 2011 Apr;59(4):376-9. doi: 10.1007/s00106-010-2206-7.
A 46-year-old male patient with an unresectable hypopharyngeal carcinoma was treated with primary radio-chemotherapy. At follow-up, the patient presented with a red ear drum and combined hearing loss. Because of radiotherapy-induced tubal dysfunction, paracentesis was performed. Biopsy of the polypoid middle ear mucosa revealed petrous bone infiltration of hypopharyngeal carcinoma. MRI studies revealed paracarotideal tumor infiltration to the petrous bone and the middle ear arising from a cervical retropharyngeal lymph node metastasis.