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Clinical Problem Solving: Pathology
February 16, 2009

Pathology Quiz Case 2

Author Affiliations
 

JULIA C.IEZZONIMD

Arch Otolaryngol Head Neck Surg. 2009;135(2):216-220. doi:10.1001/archoto.2008.543-a

A 15-year-old boy was referred to our otolaryngology clinic for evaluation of a left middle ear mass. His history was remarkable for a stable left-sided conductive hearing loss. At the age of 9 years, he had undergone a left exploratory tympanotomy at an outside facility, with the intraoperative finding of a “soft-tissue mass overlying the oval window.” The procedure was terminated without further intervention. As an infant, the patient had undergone 2 open-heart surgical procedures: one for coarctation of the aorta at 3 months of age and one for a ventral septal defect repair at 9 months of age. There was no family history of hearing loss.

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