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    External Auditory Canal Osteoma A Case Report

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    International Journal of Innovative Science and Research Technology
    EAC osteomas are rare, benign, unilateral, solitary tumour

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    External Auditory Canal Osteoma A Case Report

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    International Journal of Innovative Science and Research Technology
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    EAC osteomas are rare, benign, unilateral, solitary tumour

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    External Auditory Canal Osteoma a Case Report

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    EAC osteomas are rare, benign, unilateral, solitary tumour

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views4 pages

    External Auditory Canal Osteoma A Case Report

    Uploaded by

    International Journal of Innovative Science and Research Technology
    EAC osteomas are rare, benign, unilateral, solitary tumour

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    © All Rights Reserved
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    of 4

    Volume 8, Issue 1, January – 2023 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    External Auditory Canal Osteoma: A Case Report


    DR.P. HIMA SREENIDHI1, DR.G. SIVA PRASAD2
    POSTGRADUATE1, ASSISTANT PROFESSOR2
    DEPARTMENT OF ENT, KURNOOL MEDICAL COLLEGE, KURNOOL, INDIA

    Abstract:- EAC osteomas are rare, benign, unilateral, II. CASE REPORT
    solitary tumour, which are slow growing. usually
    asymptomatic and are found incidentally. But they A 28 year old male patient presented to ENT
    rarely present with conductive hearing loss, otalgia, outpatient department with complaints of mass in the right
    mass, aural fullness, tinnitus in large lesion completely external auditory canal for 1 year. He also complained of
    occluding the EAC. Diagnosis is based on clinical decreased hearing and blocking sensation in the right ear
    examination, radiographic imaging, and histopathology. during the last 3 months. They were insidious in onset and
    They are often confused with EAC exostosis and must be gradually progressive, no aggravating and relieving factors.
    differentiated from EAC osteomas. We present a case of There is no history of ear pain, discharge, tinnitus,
    28yrs old male patient presented to ENT Department giddiness. He denied history of swimming or trauma.
    with complaints of mass in the right external auditory
    On clinical examination, mass is seen completely
    canal for 1 year and decreased hearing and blocking
    sensation in the right ear during the last 3 months. After occluding the EAC. It is hard in consistency, non-tender.
    examination and imaging, it was diagnosed as right EAC Tympanic membrane could not be visualised due to
    osteoma. surgical excision via post auricular approach complete occlusion of EAC. A pure tone audiometry
    was done. revealed a 45 dB conductive hearing loss while another ear
    was normal. High resolution CT scan of temporal bone
    Keywords:- Osteoma, EAC, Exostosis. revealed bony mass in the Right EAC measuring 2x0.7cm
    with underlying soft tissue density. Patient underwent
    I. INTRODUCTION excision of the Rt EAC osteoma under local anaesthesia
    using a postauricular approach.
    EAC osteomas are rare, benign tumours which are
    unilateral, solitary, pedunculated mass arising from the After elevating the tympanomeatal flap, a mass is seen
    lateral part of the bony EAC.1 They are slow growing. arising from the posterior wall, initially with the micro
    Incidence estimated to be 0.05% of total Otologic surgery. 1 curette we tried to curette it out, then with the microdrill the
    Osteomas have been described in all regions of the temporal pedicle was drilled, and osteoma was removed. Medially
    bone, including the middle ear, internal auditory canal, there was wax and keratin debris on removal revealed
    semi-circular canals, squamous temporal bone, mastoid and normal tympanic membrane. The ear canal is packed with
    in the external auditory canal.2 They are usually gel foams. The mass was sent for histopathological
    asymptomatic and discovered incidentally. They rarely examination. Post-operative period was uneventful, and
    present with conductive hearing loss, otalgia, aural fullness, patient was discharged on postoperative day3.
    Tinnitus, or mass in EAC. Diagnosis is based on clinical
    examination, radiographic imaging, and histopathology. Histopathological Examination revealed features
    Here we present a case of Rt EAC osteoma. suggestive of osteoma which consist of lamellated bone
    surrounding fibrovascular channels with minimal
    osteocytes.

    Fig. 1: Otoendoscopic image of Rt external auditory canal osteoma

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    Volume 8, Issue 1, January – 2023 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165

    Fig. 2: HRCT temporal bone Axial view showing osteoma in the Rt EAC

    Fig. 3: Coronal view showing Rt EAC Osteoma

    Osteoma in the
    Rt EAC
    Fig. 4: Excision of Rt EAC osteoma via post auricular approach

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    Volume 8, Issue 1, January – 2023 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165

    Fig. 5: Post operative image on day 3, intact tympanic membrane seen after the excision of osteoma

    III. DISCUSSION A recent development in the field of osteoma surgery


    is the piezoelectric device. It is a bony scalpel that uses
    Osteomas are rare benign tumours of the temporal ultrasonic frequency micro vibrations so that soft tissues
    bone, that can present in any part of the temporal bone with will not be damaged even on accidental contact with the
    EAC being the most common site. Osteoma of EAC usually cutting tip.9
    arise in the lateral part of the bony EAC, and its base is
    located at the tympanomastoid or tympanosquamous suture
    lines.3 The etiology of osteoma includes trauma, glandular IV. CONCLUSION
    causes like a pituitary dysfunction, surgery, radiotherapy,
    persistent infection. The precise etiology is still unknown, it EAC osteoma are rare benign slow growing tumour.
    is thought to be a true bone tumour.4,5,10 But in our case, no Usually asymptomatic and found incidentally. surgical
    such cause is present. excision is treatment of choice in symptomatic patient with
    large lesions.
    Osteomas are often confused with exostosis which
    share a very similar picture with osteoma in terms of REFERENCES
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