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Preformed pathways: пїЅ Acute petrositis Congenital dehiscence: Dehiscence in Fallopian facial пїЅ Facial paralysis canal and foor of hypotympanum over the jugular bulb пїЅ Labyrinthine fstula Patent sutures: Petrosquamous suture пїЅ Labyrinthitis Temporal bone fractures: the fibrous scar permits fi Labyrinthine fstula fi Serous labyrinthitis infection fi Suppurative labyrinthitis Surgical defects: Stapedectomy, fenestration and expoпїЅ Extratemporal positive of dura пїЅ Postauricular abscess Perilymphatic fstula: Congenital or acquired пїЅ Zygomatic abscess Normal anatomy openings: Infection of labyrinth and пїЅ BezoldпїЅs abscess пїЅ Meatal abscess (LucпїЅs abscess) from labyrinth to the meninges пїЅ Behind the mastoid (CitelliпїЅs Abscess) пїЅ Oval and round windows пїЅ Parapharyngeal and retropharyngeal abscesses пїЅ Internal acoustic meatus пїЅ Intracranial пїЅ Cochlear aqueduct пїЅ Extradural (epidural) abscess пїЅ Endolymphatic duct and sac fi Middle cranial fossa fi Posterior cranial fossa пїЅ Subdural empyema clInIcal FeatureS пїЅ Meningitis the signs of impending intracranial problems embrace: пїЅ Brain abscess fi Ear ache: Appearance of ear ache (deep boring nature) in fi Temporal lobe of cerebrum fi Cerebellum circumstances of persistent otorrhea signifies impending intracranial пїЅ Lateral sinus thrombophlebitis complications till except prove in any other case. 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