Maria, a 9-year-old girl, told the clinic physician that her âear lump hurtâ and she kept âgetting dizzy and falling down.â As she told her story, she pointed to her mastoid process. An otoscopic examination of the external acoustic meatus revealed a red swollen eardrum, and her throat was inflamed. Her condition was described as mastoiditis with secondary labyrinthitis. Describe the most likely route of the infection and the infected structures in Mariaâs case. Also explain the cause of her dizziness and falling.