{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:33:26Z","timestamp":1761708806091},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T00:00:00Z","timestamp":1349049600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112002162_sec1\"><jats:title>Objective:<\/jats:title><jats:p>We present the first published description of a painful paraganglioma of the external auditory canal. Atypical histopathology made the diagnosis difficult. We discuss the potential pitfalls of clinical diagnosis and treatment of such a case.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002162_sec2\"><jats:title>Clinical presentation:<\/jats:title><jats:p>A 49-year-old woman presented with left-sided otalgia, hearing loss and tinnitus. Physical examination revealed a firm swelling arising from the superior portion of the left external auditory canal. A clinical diagnosis of otitis externa was made.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002162_sec3\"><jats:title>Intervention:<\/jats:title><jats:p>There was minimal response to medical treatment. The swelling was aspirated, leading to brisk bleeding. A tumour was suspected from the computed tomography scan, and confirmed by a biopsy. The patient underwent excision of the paraganglioma. The histopathology was atypical, making diagnosis difficult.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002162_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Such unusual masses of the external ear should always be borne in mind, especially when dealing with atypical presentations of commonly encountered diseases. Clinicians should have a low threshold for early intervention with imaging and biopsy.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112002162","type":"journal-article","created":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T06:23:15Z","timestamp":1349072595000},"page":"1278-1280","source":"Crossref","is-referenced-by-count":6,"title":["External auditory canal paraganglioma: an atypical presentation"],"prefix":"10.1017","volume":"126","author":[{"given":"N","family":"Grover","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Amen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Gallimore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Brookes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,10,1]]},"reference":[{"key":"S0022215112002162_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100122698"},{"key":"S0022215112002162_ref3","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001905599"},{"key":"S0022215112002162_ref7","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197506000-00016"},{"key":"S0022215112002162_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1993.103.s60.7"},{"key":"S0022215112002162_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0267-3"},{"key":"S0022215112002162_ref4","first-page":"306","volume-title":"Tumours of the Upper Respiratory Tract and Ear","author":"Hyams","year":"1988"},{"key":"S0022215112002162_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100093968"},{"key":"S0022215112002162_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1988.01860200056018"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112002162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T17:26:05Z","timestamp":1556126765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112002162\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,1]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["S0022215112002162"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112002162","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,1]]}}}