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A Massive Ear Canal Mass Resulting from an Embedded Arthropod
Rachel Grimes1, Savannah Stockton2, Amanda Barrett3
1Medical College of Georgia, Augusta University, Augusta, Georgia.
Summary
A rare case of a massive ear mass caused by an embedded arthropod obstructing the external auditory canal (EAC) was successfully treated with surgical excision. This highlights the need to consider unusual causes for ear masses.
Area of Science:
- Otolaryngology
- Pathology
- Medical Entomology
Background:
- Masses obstructing the external auditory canal (EAC) can have diverse etiologies.
- Unusual causes, such as embedded arthropods, present unique diagnostic and therapeutic challenges.
Purpose of the Study:
- To report a case of a massive ear mass caused by an embedded arthropod.
- To discuss the diagnostic and therapeutic implications of this rare condition.
Main Methods:
- A 35-year-old female prisoner presented with a large exophytic mass obstructing the right EAC.
- Surgical excision, including mastoidectomy and canaloplasty, was performed.
- Pathological examination revealed a degenerating arthropod within a reactive myofibroblastic and vascular mass.
Main Results:
- Surgical excision successfully removed the mass.
- Histopathology confirmed the presence of a degenerating arthropod.
- The patient showed a good response to treatment with no signs of recurrence.
Conclusions:
- Unusual etiologies, like arthropod impaction, must be considered in cases of ear masses, particularly in specific populations.
- Refined diagnostic and therapeutic strategies are essential for managing such rare clinical scenarios.
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