1995 Volume 1995 Issue Supplement83 Pages 34-39
This report presents temporal bone findings from a 61-year-old woman who was diagnosed with Wegener's granulomatosis. She had facial palsy on the left side for 17 months prior to her death. Facial palsy improved with prednisone and endoxan, but she died of endoxan-induced pneumonitis. Histopathological examination of the left temporal bone revealed that the tympanic cavity was filled with granulation tissue and a fungus ball of Aspergillus. It was thought that the facial palsy resulted from the inflammation of the middle ear because of Wegener's granulomatosis through dehiscence of the facial canal.