FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 5-YEAR-OLD child presented with a unilateral conductive hearing loss noted on audiometry after a failed school hearing screening. His medical history was remarkable for pneumococcal septicemia at 9 months, as well as the surgical removal of a left-sided branchial cleft cyst at 12 months of age. There was a family history of hearing loss, which included the father and paternal grandfather, both of whom had subjective unilateral hearing loss. Microscopic otoscopy was performed and revealed a left-sided pink mass in the posterosuperior aspect of the tympanum, which was in contact with the tympanic membrane. The results of examination of the right ear, as well as those of the rest of the head and neck, were unremarkable.
Perry BP, Scher RL, Gray L, Bossen EH, Tucci DL. Pathologic Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1998;124(6):714-716. doi:10.1001/archotol.124.6.714