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Case Reports in Otolaryngology
Volume 2017, Article ID 7054943, 3 pages
https://doi.org/10.1155/2017/7054943
Case Report

Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess

Faculty of Life Sciences, University of Manchester, Manchester M13 9PL, UK

Correspondence should be addressed to Thomas B. Layton; moc.liamg@notyalnimajnebsamoht

Received 26 August 2016; Accepted 8 February 2017; Published 23 February 2017

Academic Editor: Frank R. Miller

Copyright © 2017 Thomas B. Layton. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Squamous cell carcinoma of the temporal bone is a rare and destructive malignancy and represents both diagnostic and therapeutic challenge. The complex regional anatomy of the temporal bone requires equally intricate surgical techniques to adequately resect the tumour mass during surgical excision. Adjuvant radiotherapy is offered to patients with advanced disease and has been showed to confer a survival benefit in carefully selected patients. One feared complication of radiotherapy is osteoradionecrosis and is a major obstacle faced in the treatment of head and neck cancers. The case presented here is a rare example of a patient who was successfully treated for SCC of the temporal with both surgical resection and adjuvant radiotherapy who subsequently developed two major complications: first, osteoradionecrosis of the temporal bone that leads to penetrating osteomyelitis; second, the formation of a large cerebellar abscess that required surgical drainage. This case is a rare example of the complications that are possible following radiotherapy to the head and the close follow-up that is required in patients.