2021 Volume 67 Issue 1 Pages 37-43
Bezold abscess is a rare complication of acute otitis media with mastoiditis presenting as a laterocervical abscess. Acute mastoiditis may develop anatomically in six directions and may cause complications. As one such complication, a Bezold abscess occurs due to the inferior medial and mastoid directions. We herein report a 43-year-old man who progressed from otitis media to Bezold abscess with a history of schizophrenia and poor overall understanding of his disease. He was referred to our hospital with left head pain and swelling. Computed tomography revealed mastoiditis with neck abscesses. The patient received a post- auricular incision for drainage of the neck abscess under local anesthesia ; mastoidectomy was not performed. After the operation, intravenous antibiotics and saline irrigation for the wound were continued, and the inflammation was relieved. The patient was discharged 12 days after surgery.