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Clinical Problem Solving
April 2014

A Recurrent Right Ear Mass

Author Affiliations
  • 1Medical student at Yale University School of Medicine, New Haven, Connecticut
  • 2Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut
  • 3Yale–New Haven Hospital, New Haven, Connecticut
JAMA Otolaryngol Head Neck Surg. 2014;140(4):379-380. doi:10.1001/jamaoto.2013.6635

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.