August 22, 2013 | Helen Xu, MD; Natasha Pollak, MD, MS; and Michael M. Paparella, MD
Thiersch skin grafting is an old but highly effective surgical technique in otology. We frequently place a Thiersch graft after otologic procedures that either create a mastoid cavity or result in reduced skin coverage of a portion of the external auditory canal. The purpose of...
June 12, 2013 | Amanda B. Sosulski, MD and James D. Hayes, MD
We present a case of recurrent cicatricial stenosis of the external ear canals caused by ectodermal dysplasia, specifically Rapp-Hodgkin syndrome, in a 45-year-old woman. No form of medical or surgical management has produced durable patency of the patient's ear canals, and her...
The differential diagnosisfor cavernous hemangioma of the external auditory canal includes attic cholesteatoma with aural polyp, glomus tumor, arteriovenous malformation, granulation tissue, and carcinoma of the EAC.
January 24, 2013 | Leonardo Manzari, MD; Paola Scagnelli, MD
Superior semicircular canal dehiscence and an abnormally wide internal auditory meatus are clinical entities characterized by vestibular and cochlear symptoms. These symptoms are induced by hypersensitivity of labyrinthine receptors secondary to a bone defect of the otic...
December 31, 2012 | Nuno Marcal, MD; Sofia Campelos, MD; Luis Dias, MD; Matos Goncalves, MD; Gabriel Pereira, MD; Tiago Godinho, MD
Primary cutaneous T-cell lymphoma is rare. Cutaneous lymphoma is defined as primary when there is an absence of nodal or systemic disease during the first 6 months following diagnosis. We report what we believe to be the first documented case of a primary cutaneous CD30-...
November 1, 2012 | Moshe Hain, MD; Edit Feldberg, MD; and Doron Halperin, MD
We report the case of a 73-year-old man who developed metastatic small-cell lung cancer to the bony external auditory canal (EAC). The patient had only recently been diagnosed with his primary carcinoma. The metastasis presented as a bulky, fleshy, bleeding mass in the right...
July 5, 2012 | Joseph A. Ursick, MD; Derald E. Brackmann, MD
External auditory canal cholesteatomas, which result from the deposition of squamous epithelium deep to the skin of the external canal, can be caused by postsurgical implantation, radiation, or trauma.
July 5, 2012 | Andrew I. Ahn, MD; Mary K. Wren, MD; Ted A. Meyer, MD, PhD
Skull base plasmacytomas are rare and difficult to differentiate clinically and radiologically from other tumors of the head and neck. Because of the risk of progression to multiple myeloma, early diagnosis is essential. We report the case of a 65-year-old...