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.

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.

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