R. NICKBRYANMDPATRICIA A.HUDGINSMD
Intraoperatively, a large granuloma was identified in the posterior superior quadrant of the middle ear. It was removed along with the titanium prosthesis and the temporalis fascia graft that had covered the oval window niche. A new temporalis fascia graft was placed over the oval window, and a stainless steel prosthesis was placed. After surgery, the patient reported minimal improvement in his hearing but resolution of his unsteadiness. Final pathologic examination of the middle ear contents confirmed granulation tissue and a diagnosis of reparative granuloma.
Radiology Quiz Case 2: Diagnosis. Arch Otolaryngol Head Neck Surg. 2005;131(5):463-464. doi:10.1001/archotol.131.5.463-b