The otoscopic view is that of a left ear canal in a 24-year-old man. A hard, slow-growing, bone-like mass is seen extending from the superior external auditory canal wall. Only a small slit of the external canal opening remains at the inferior edge of the canal. Treatment involves the repeated conservative surgical excision of the obstructing fibrous dysplasia and of abnormal bone within the external auditory canal and, in some cases, also in the middle ear. Repeated surgery is required as needed every few months or years, depending on the rate of growth.
From Gap, France (Dr. Deguine). From the Pulec Ear Clinic, Los Angeles (Dr. Pulec).
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