Angiofibrolipoma of the Ear Canal

Authors

  • Abraham Jacob MD,

    Corresponding author
    1. Abraham Jacob, MD, Departments of Otolaryngology—Head and Neck Surgery and Pathology, The Ohio State University, Columbus, Ohio, U.S.A.
    • Abraham Jacob, MD, Department of Otolaryngology—Head and Neck Surgery, The Ohio State University, 456 West 10th Avenue, Room 1024-B, Columbus, Ohio 43210, U.S.A.
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  • Jeffrey Kneile MD,

    1. Abraham Jacob, MD, Departments of Otolaryngology—Head and Neck Surgery and Pathology, The Ohio State University, Columbus, Ohio, U.S.A.
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  • D Bradley Welling MD, PhD

    1. Abraham Jacob, MD, Departments of Otolaryngology—Head and Neck Surgery and Pathology, The Ohio State University, Columbus, Ohio, U.S.A.
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Abstract

Objectives/Hypothesis: Described is the first reported case of an angiofibrolipoma of the ear canal in a patient who presented with right-sided conductive hearing loss and a medial canal stenosis.

Study Design: Case report.

Results/Conclusion: This variant of lipoma contains mature adipocytes, blood vessels, and dense collagenous tissue. The physical examination can be misleading, and the diagnosis requires histopathological examination. The patient was treated with complete surgical excision, tympanoplasty, canalplasty, and skin grafting to the external auditory canal.

His pure-tone average improved from 37 to 11 dB, and his air-bone gap was closed completely.

The lipoma has not recurred in the 6-month period following surgery.

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