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Mesotympanic sarcoidosis

Published online by Cambridge University Press:  08 March 2006

A S Banerjee
Affiliation:
Department of Otolaryngology, Guy’s & St Thomas’ Hospital NHS Trust, London, UK.
M J Gleeson
Affiliation:
Department of Otolaryngology, Guy’s & St Thomas’ Hospital NHS Trust, London, UK.

Abstract

Sarcoidosis often presents with signs and symptoms within the head and neck. In this region, it most commonly affects the nose, larynx, parotid and cervical lymph nodes. Within the ear, it usually causes sensorineural hearing loss of varying severity. We report a patient in whom sarcoidosis involved the middle ear and presented with a conductive hearing loss. Granulomata were found in the middle ear during an exploratory tympanotomy. The granulomatous process had caused necrosis of the long process of incus and was also encasing the chorda tympani nerve. Histological examination confirmed the diagnosis.

Type
Research Article
Copyright
© 2005 Royal Society of Medicine Press

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