Abstract
A 73-year-old patient was addressed to our department of medical imaging for combined CT imaging of the head and petrous bone. The patient had fallen from his height on his mandibula and reported pain in the area of the left temporo mandibular joint. The pain was associated by external otorrhagia. At physical otoscopic exam there was some narrowing of the external auditory canal in which blood was visible. Neurootologic symptoms were absent.