Authors presented a case of a 15-year-old girl diagnosed with otitis media with effusion complicated by petrositis. Otitis media with effusion is not a common cause of petrositis. The condition occurs mostly in adults, rarely in the pediatric population. Patients with suspected petrositis require magnetic resonance and computed tomography imaging. Conservative treatment is not sufficient when symptoms appear. Surgical treatment is essential to complete removal of inflamed tissues. A few surgical approaches are recommended (e.g., middle fossa approach).
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