Exostoses of the external auditory canal

Case contributed by Bruno Di Muzio
Diagnosis certain

Patient Data

Age: 90 years
Gender: Female

CT scans shows sessile, small and bilateral exostoses causing not significant narrowing of the external auditory canal. 

Annotated image

CT scans shows sessile, small and bilateral exostoses causing not significant narrowing of the external auditory canal. 

Case Discussion

The main radiological differential diagnosis is made with osteoma. Osteomas and exostoses have distinct clinical and histopathologic features, being distinguished by its radiological features:

  • Exostoses: usually multiple, bilaterally and broad based.
  • Osteomas: usually solitary and pedunculated.

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