TY - JOUR T1 - RAdiological case of the month AU - Talmi YP, Ziv J, Shimberg R, Finkelstein Y, Zohar Y, Wood BP Y1 - 1989/11/01 N1 - 10.1001/archpedi.1989.02150230109036 JO - American Journal of Diseases of Children SP - 1351 EP - 1352 VL - 143 IS - 11 N2 - 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 SN - 0002-922X M3 - doi: 10.1001/archpedi.1989.02150230109036 UR - http://dx.doi.org/10.1001/archpedi.1989.02150230109036 ER -