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December 1977

Resident's Page: Pathologic Quiz Case 1

Arch Otolaryngol. 1977;103(12):740-742. doi:10.1001/archotol.1977.00780290076012

A 33-year-old man had a one-year history of decreased hearing and intermittent foul-smelling otorrhea of the right ear. On examination, the right external auditory canal was occluded by a soft, pink, smooth, rounded mass. A biopsy specimen was consistent with a diagnosis of chronic otitis externa. The tomograms of the petrous temporal bones revealed the right middle ear space to be less pneumatized than the left.

The right external auditory canal mass was removed in piecemeal fashion under general anesthesia (Fig 1). The medical history was important in that ten years before the patient was treated for a mass in his nasopharynx (Fig 2).

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