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Mesotympanic sarcoidosis.

A S Banerjee1, M J Gleeson

  • 1Department of Otolaryngology, Guy's & St Thomas' Hospital NHS Trust, London, UK. rasmayi2000@yahoo.co.uk

The Journal of Laryngology and Otology
|September 15, 2005
PubMed
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Sarcoidosis, a systemic inflammatory disease, can affect the ear. This case highlights sarcoidosis presenting as conductive hearing loss due to middle ear granulomas, a rare manifestation.

Area of Science:

  • Otorhinolaryngology
  • Pathology
  • Immunology

Background:

  • Sarcoidosis commonly affects the head and neck, typically involving the nose, larynx, parotid glands, and cervical lymph nodes.
  • Ocular and sensorineural hearing loss are the usual ear manifestations of sarcoidosis.

Observation:

  • A patient presented with conductive hearing loss, an atypical symptom for sarcoidosis affecting the ear.
  • Exploratory tympanotomy revealed granulomata within the middle ear.

Findings:

  • The granulomatous process in the middle ear led to necrosis of the long process of the incus.
  • The sarcoidosis also encased the chorda tympani nerve, indicating significant local inflammatory involvement.

Implications:

Related Experiment Videos

  • This case expands the understanding of sarcoidosis's otologic manifestations, emphasizing the potential for middle ear involvement and conductive hearing loss.
  • Highlights the importance of considering sarcoidosis in the differential diagnosis of unexplained middle ear pathology and hearing impairment.