Synovial chondromatosis extending to the ear canal: An unusual cause of conductive hearing loss.
Rony Mollot, Jean Philippe Giot, Loric Galmard et al.
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Case in brief
A 70-year-old woman presented with progressive right-sided conductive hearing loss and painless preauricular swelling. Examination showed stenosis of the external auditory canal, audiometry confirmed conductive hearing loss, and imaging revealed numerous calcified nodules, suggesting temporomandibular joint synovial chondromatosis extending toward the ear canal. Surgical excision by arthrotomy removed the chondromas completely. Histopathology confirmed synovial chondromatosis, and postoperative pure-tone audiometry showed normalization of hearing.
What made this case unusual
The temporomandibular joint lesion extended to the external auditory canal, causing stenosis and conductive hearing loss—an exceptionally rare association described in the report.
Diagnostic / clinical pearl
In unexplained conductive hearing loss with preauricular swelling or external auditory canal stenosis, consider temporomandibular joint pathology, including synovial chondromatosis.