After petrosectomy,14 ear operations and 5 FESS operations.

---

Case history:

2004 grommet l.s. (Szent István Hospital)

June, October 2005: deviacio septi nasi, sinusitis ethmoidalis chr. (Szent István Hospital)

2006: mastoidectomia, atticoantrotomia, tympanoplastica. (MÁV Hospital)

January 2008: retympanoplastica, in hypo tympanum cholesteatoma tissue was found. (ÁEK Hospital)

August 2008: chronic inflammation, atticoantrotomia, tympanoplastica, on the area of the left side

mastoid process the removal of minimal granulatio, bone sanatio, grommet removal. (ÁEK)

July 2009: revision operation, Histological description: cholesteatomas chr. otitist, mastoidectomy

from tissue removed. (BAZ County Hospital)

January 2010: wound revision, cholesteatoma, its histic removal. a CT examination depicted a

gelatinous substance on the area that was operated. (BAZ County Hospital)

June 2010: parenteralis antibiotic therapy for 3 days. (Klion, Augmentin). (BAZ County Hospital)

July 2010: tympanotomia, revision operation, grommet implant. (BAZ County Hospital)

November 2011: wound cavity revision and PC, myringotomia - CT Scan. (BAZ County Hospital)

March 2011: wound revision, cholesteatoma recidiva , removal of a wound-line scar tissue from the

inner parts of the earlier wound surface. (BAZ County Hospital)

July 2011: mastoidectomy, atticoantrotomy, removal of cholesteatoma in upper wall of the auditory

canal area. (BAZ County Hospital)

Novemeber 2011: Acute mastoiditis, canal wall down mastoidectomy. (BAZ County Hospital)

March 2012: tympanoplastica IV/BSR. (POTE)

October 2012: revision operation – duraprolapsus towards the mastoid cavity. Considerable dura

herniatio. (Bajcsy- Zsilinszky Hospital)

January 2013: 50 days intensive antibiotic treatment against Lyme disease. My condition remained

unchanged after the treatment. Lyme disease is not proved to be the cause of my illness. (Flór Ferenc

Hospital)

March 2013: sinusitis ethmodialis chr. l.s.- endoscopy, FESS. (Flór Ferenc Hospital)

June 2013: FESS l.s. (Flór Ferenc Hospital)

September 2013: endoscopy operation in ethmoid cells, septumplastica, FESS l.s. (Pétertfy Sándor.

Hospital)

November 2013: tympanoplastica l.s., canal wall down formation. Preliminary CT shows image that

implies Chronicus osteomyelitis. Chronic osteitis within the mastoid bone cell system. Dual, fingertip-

size dehiscence of the tegmen. The dura mater is free. (ÁÉK)

April 2014: ethmoiditis chr. l.s., navig. FESS l.s. (SOTE)

April 2014: malignant tumour (basalioma) of the skin of the ear and an acoustic duct, histologically

not proven. Diagnose: chondrodermatitis helicis nodularis. (ÁEK)

June 2014: the chronic inflammatory origin of the wound is confirmed by a newer biopsy. (SOTE)

June 2014: the suspense of „basalioma” comes up again, excision, implantation of a thick skin flap

from the neck.

The skin flap built into the auricle dies totally.

The skin wound place on the neck heals properly. The chronic inflammatory origin of the wound again

proves true. (Oncology)

September 2014: hyperemia in the upper wall of the ear canal. MR, 09/01/2014: basalomia in the

mastoid area (Oncology)

September 2014 – February 2015: possibility of Wegener granulomatosis arises (Dél-Pesti Hospital).

Intensive steroid treatment – diagnosis: the symptoms are not connected with it presumably. (Rókus

Hospital)

May 2015: subtotalis petrosectomia, osteomyelitis: in the mastoid cells. (POTE)

May-June 2015: The area behind the ear is swollen, tensive pain, air comes from it. Subcutaneous

emphysema. Repeated suction with a needle, pressure bandage. I did not receive other treatment.

(ÁEK)

July 2015 July- October 2015: persistent pain localized in the left face. Diagnoses: caries cervicalis

dent 2,7 root canal treatment, calculus, TMI dysfunctio, cysta rad. dent (2,7), alveolitis reg. dental 2,7,

then in September removal, 2,8 dental then its removal. Wounds heal well. (János Hospital)

November 2015: neurocranium native MR: multiple post-operative state on the left of the area of the

mastoid cell system, antrum. Discreet white matter lesions on the left side, presumably the remains of

microvascular damage. „Arachnoid granulatio is believed to be on the left side.” (POTE)

December 2015: SPECT-CT, Tc-99m MDP: the seen enrichment is not typical osteomyelitis, is

primarily the consequence of the earlier operation. „Inflammatory signals in the left temporo-

mandibular joint.” (DEOEC)

April 2016: MRI with contrast agent, inner ear: The surgical cavity is filled with granulation tissue,

within which multiple, smaller or larger extenuation is formed, along the edge of which thin contrast

accumulation is visualized. The change is novum compared to the earlier examination. Opinion: The

morphology indicates inflammation. (Budapest)

May 2016: MRI with contrast agent, neurocranium: The left side of the lesion previously described is

shown. Fat-looking signal is shown, on the edge of the lesion. Chronic inflammation connective

tissue, in the middle, contrast accumulation are visualized. Opinion: The brain lesions are not visible.

Postoperative conditions, chronic inflammatory tissue of the surgical area on the left. (Budapest)

August 2016: SPECT-CT, Tc-99m MDP: Increased activity is detected in the surgical area,

especially under air filled tympanic cavity in the residual mastoid cells

September 2016: CT with contrast agent, inner ear: Coverage of the majoríty of residual small volume

mastoid cells. Outer ear canal has not been visualized, its area shows adipose tissue inclusions in the

skin flap. Pneumatized tympanic cavity, uneven moderate thickening of the walls. Free Eustachian

tube can be identified. Opinion: partial inflammatory covering in the surgical cavity on the left

side. The tympanic cavity is pneumatized, an inflammatory process as origin of uneven wall

thickening is not excluded in this area. (Debrecen)