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PEDIATRICS Vol. 113 No. 4 April 2004, pp. e371-e373

ELECTRONIC ARTICLE

Foreign Body Granuloma of the External Auditory Canal

Kevin C. Harris, MD*, Stephen F. Conley, MD{ddagger},* and Joseph E. Kerschner, MD*

* Otolaryngology and Communication Sciences
{ddagger} Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

External auditory canal polyps are most commonly inflammatory in nature but may also manifest more severe disease. Prolonged conservative therapy may delay the correct diagnosis and appropriate intervention. A case is presented of a child with chronic otorrhea treated for 4 months with topical drops and antibiotics. On referral, a large external auditory canal polyp was confirmed to represent a foreign body granuloma covering a large electrical cap, with erosion approaching the facial nerve. External auditory canal polyps that fail to respond promptly to conservative medical therapy warrant a computed tomography scan and surgical exploration with biopsy.

Key Words: aural polyp • external auditory canal • EAC • foreign body granuloma

Abbreviations: EAC, external auditory canal • CT, computed tomography • LCH, Langerhans’ cell histiocytosis

Received for publication Jun 20, 2003; Accepted Nov 20, 2003.