Zygomatic root abscess: A rare entity not to be forgotten!

Area of Science:

• Otolaryngology
• Infectious Diseases
• Radiology

Background:

• Zygomatic root abscess is a rare extracranial complication of otitis media.
• Few cases have been reported in medical literature.
• This study presents an unusual case in a 24-year-old adult.

Observation:

• The patient presented with a one-month history of right zygomatic swelling.
• Otoscopic examination showed external auditory canal wall sagging with an intact tympanic membrane.
• High-resolution computed tomography (HRCT) revealed a rim-enhancing lesion near the zygomatic process and fluid-filled mastoid air cells.

Findings:

• The patient was diagnosed with a zygomatic root abscess.
• Management involved a combination of antibiotics and staged surgical interventions.
• The patient experienced a full recovery.

Implications:

• This case provides insights into the infection pathways leading to zygomatic root abscess.
• It emphasizes the importance of recognizing clinical manifestations for timely diagnosis.
• Effective management involves staged surgical intervention and antibiotic therapy for favorable outcomes.