An Unusual Case of Parry–Romberg Syndrome with Chronic Otitis Media: An Incidental Diagnosis or Underlying Cause?

Abstract

Here, we present a case of a 17-year-old female, who presented to us with bilateral squamous active chronic otitis media and underwent surgery for the same, along with progressive atrophy of the right side of the face for the past 2 years. A 17-year-old female patient presented to us with progressive hemiatrophy of the right side of the face for 2 years and foul-smelling discharge from both ears, also for 2 years. She subsequently underwent a modified radical mastoidectomy of the left ear. Parry–Romberg syndrome is a rare acquired disorder, causing progressive hemiatrophy of the skin and soft tissues of the face, along with, in some cases, atrophy of the muscles, cartilage, and underlying bone. There is no proven underlying etiology, and treatment consists of a delay of disease progression, a wait-and-watch policy, and esthetic restoration of the face once the disease progression halts.