Related Experiment Video
Updated: Feb 7, 2026

High-Speed Human Temporal Bone Sectioning for the Assessment of COVID-19-Associated Middle Ear Pathology
Published on: May 18, 2022
Idiopathic, Infectious and Reactive Lesions of the Ear and Temporal Bone
Kelly R Magliocca1, Esther X Vivas2, Christopher C Griffith3
1Department of Pathology and Lab Medicine, Emory University, 550 Peachtree St. NE, Atlanta, GA, 30308, USA. kmagliocca@emory.edu.
Abstract:
A number of infectious, inflammatory and idiopathic lesions develop within otologic tissues that may share similar clinical and/or microscopic features. This review first provides a working classification for otitis externa, and then otitis media and includes two recently described entities, eosinophilic otitis media and otitis media with ANCA-associated vasculitis. Next, the microscopic findings of a spectrum of otopathologic conditions are described, including post-inflammatory conditions such as tympanosclerosis and aural polyps, an overview of animate aural foreign body as well as iatrogenic aural foreign body reactions. Finally, a review of fungal disease affecting the ear with a brief synopsis of Candida auris, a recently described and virulent organism, is presented.
Insights
This review classifies external and middle ear infections, including rare forms like eosinophilic otitis media. It details microscopic findings for various ear conditions and fungal infections, such as Candida auris.
Area of Science:
- Otolaryngology
- Pathology
- Infectious Diseases
Background:
- Otologic tissues are susceptible to diverse lesions, including infectious, inflammatory, and idiopathic types.
- Many otologic conditions present with overlapping clinical and microscopic features, complicating diagnosis.
- Accurate classification and understanding of these lesions are crucial for effective patient management.
Purpose of the Study:
- To provide a structured classification of otitis externa and otitis media.
- To describe the microscopic findings of a wide range of otopathologic conditions.
- To review fungal infections of the ear, including emerging pathogens like Candida auris.
Main Methods:
- Literature review and synthesis of existing research on otologic pathologies.
- Classification of otitis externa and otitis media based on current understanding.
- Detailed description of microscopic features for various ear conditions.
Main Results:
- A working classification for otitis externa and otitis media is proposed.
- Two distinct entities, eosinophilic otitis media and otitis media with ANCA-associated vasculitis, are included.
- Microscopic findings for post-inflammatory conditions, foreign body reactions, and fungal diseases are presented.
Conclusions:
- Comprehensive classification aids in differentiating complex otologic conditions.
- Understanding microscopic features is key to diagnosing diverse otopathologies.
- Awareness of emerging fungal threats like Candida auris is essential for otologic practice.
Related Concept Videos
Anatomy of the Ear
Cross-reactivity
Reactivity of Enols
Reactivity of Enolate Ions
Radical Reactivity: Overview
¹H NMR of Labile Protons: Temporal Resolution
The –OH proton in alcohols typically appears in the range of δ 2 to 5 ppm but can vary depending on the specific...

