Zygomatic abscess complicating coalescent air cell infection and acute otitis media in a pediatric patient with facial swelling and temporomandibular joint subluxation

Acute otitis media is a localized infection. Advanced cases demonstrate local spread and abscess formation in the mastoid, temporomandibular joint, and zygomatic root if anatomy allows. We present a case of acute otitis media complicated by an abscess of a pneumatized zygomatic root extending into the temporomandibular joint treated by incision and drainage.