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A man in his 70s with a history of a right middle ear lesion resected twice in the previous year at an outside institution was referred for a recurrent right ear mass. He initially presented with progressive bilateral hearing loss, more profound in the right ear, and denied otalgia, otorrhea, tinnitus, vertigo, or feeling of fullness. He recalled a distant history of military noise exposure but no other clinically significant otologic history. The physical examination revealed an erythematous, bulging tympanic membrane without perforation.
Tu NC, Adam SI, Michaelides EM. A Recurrent Right Ear Mass. JAMA Otolaryngol Head Neck Surg. 2014;140(4):379-380. doi:10.1001/jamaoto.2013.6635