External auditory canal osteoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Mass of the left external auditory canal.

Patient Data

Age: 15 years
Gender: Male

There is a pedunculated bony mass arising from the posterior wall of the left external auditory canal, obliterating the canal.

Case Discussion

The CT features of a unilateral focal, pedunculated bony overgrowth most consistent with an osteoma of the external auditory canal.

On imaging, the main differential diagnosis is an exostosis of the external auditory canal (surfer's ear) which usually is bilateral with broad-based bony overgrowth.

 

Additional contributor: C. Boukaaba, MD

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