title: Obstruction of the external auditory meatus secondary to a giant pyogenic granuloma.
abstract: Pyogenic granuloma is a benign lesion of the skin and mucosa commonly known to occur in the head and neck region. The current literature has not yet identified its occurrence within the conchal bowl, a condition that leads to obstruction of the external auditory meatus. We present the case of a 28-year-old man who presented with a history of 3-4 weeks of a rapidly enlarging pedunculated lesion within the conchal bowl of the right ear and conductive hearing loss. Initial management included excision under local anaesthesia. The histological report concluded that it was a pyogenic granuloma. Later, reoccurrence was treated with a more definitive excision under general anaesthesia. During follow-up, the operative site was seen to have healed by secondary intention without reoccurrence. Although a pyogenic granuloma within the conchal bowl is benign, early therapeutic excision is important for histological diagnosis as much as to relieve consequential secondary obstruction and conductive hearing loss.
authors.affiliation: Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK.
authors.forename: Sooda
authors.initials: S
authors.lastname: Rehman
authors.affiliation: Department of ENT, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Loizou
authors.affiliation: Department of ENT, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK.
authors.forename: Pranay Kumar
authors.initials: PK
authors.lastname: Singh
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D004431:Ear, External / Q000473:pathology* / Q000601:surgery; D005672:Fusidic Acid / Q000008:administration & dosage* / Q000031:analogs & derivatives; D017789:Granuloma, Pyogenic / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D006314:Hearing Loss, Conductive / Q000209:etiology*; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D008297:Male; D009824:Ointments; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D009824:Ointments; C000610910:fusidin H; D005672:Fusidic Acid; D006854:Hydrocortisone