RT Journal A1 Talmi YP, Ziv J, Shimberg R, Finkelstein Y, Zohar Y, Wood BP T1 RAdiological case of the month JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1989 FD November 1 VO 143 IS 11 SP 1351 OP 1352 DO 10.1001/archpedi.1989.02150230109036 UL http://dx.doi.org/10.1001/archpedi.1989.02150230109036 AB A 15-year-old girl was admitted for evaluation of fullness of her left ear. Her physician had made a diagnosis of left external otitis. The physical examination results were normal except for an extremely narrowed left external auditory canal. The narrow lumen was engulfed by bony overgrowth, and no local edema or signs of inflammation were seen. Audiologic evaluation demonstrated a moderate conductive hearing loss. A computed tomographic scan of the region was performed (Figure).Denouement and DiscussionĀ  Monostotic Fibrous Dysplasia of the Temporal BoneĀ  Computed tomographic scan demonstrating narrowing of the left external auditory canal caused by an expansile bone lesion of the temporal bone (curved arrow). The regional bone was characterized by a "ground-glass" appearance. A small cholesteatoma is located between the tympanic membrane and the bony lesion (black arrow).The patient underwent surgical exploration of the ear. The nearly obliterated lumen was widened, and the canal was cleaned