title: Langerhans cell histiocytosis in bilateral mastoid cavity.
abstract: A 39-year-old male was admitted to our clinic with symptoms of headache, dizziness, nausea, otalgia, otorrhea, tinnitus, and hearing loss in both ears for 3 weeks. Physical examination revealed edema in the tympanic membrane and external ear canal, and pain by palpation in the mastoid area bilaterally. There was no nystagmus, and the rest of the physical examination was otherwise normal. Temporal bone high resolution computed tomography (CT) showed a lesion causing erosion in the mastoid cortex, tegmen tympani, ossicles, and in the bone covering the sigmoid sinus bilaterally. There was also erosion in the superior semicircular canal and petrous bone on the left side. Cortical mastoidectomy was performed under general anesthesia. Histopathologic examination of the tissue revealed Langerhans cell histiocytosis (LCH). In this paper a case with LCH, presenting with bilateral mastoid involvement which has been rarely reported in the literature, is discussed with the existing literature.
authors.affiliation: Ankara Ataturk Training and Research Hospital ENT, Department Bilkent, 06800 Ankara, Turkey.
authors.forename: Kazım
authors.initials: K
authors.lastname: Bozdemir
authors.forename: Behçet
authors.initials: B
authors.lastname: Tarlak
authors.forename: Hasan
authors.initials: H
authors.lastname: Cakar
authors.forename: Ahmet
authors.initials: A
authors.lastname: Doblan
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kutluhan
authors.forename: Imdat
authors.initials: I
authors.lastname: Dilek
authors.forename: Nuran
authors.initials: N
authors.lastname: Adıyaman Süngü