Medial canal fibrosis

Medial canal fibrosis is characterized by fibrous tissue formation in the medial part of the bony external auditory canal.

Clinical presentation 

Patients can present with conductive hearing loss, otorrhea and/or a history of chronic otitis.

Radiographic features

Early stage
  • a thickened tympanic membrane with edematous and mildly thickened medial external auditory canal mucosa
Late stage
  • crescentic area of soft tissue thickening overlying the lateral tympanic membrane surface and extending laterally in to fill the medial external auditory canal
  • no bony erosive changes

Differential diagnosis

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