{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T23:13:29Z","timestamp":1782170009729,"version":"3.54.5"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,9]]},"abstract":"<jats:p>Pyogenic granuloma is a benign lesion of the skin and mucosa commonly known to occur in the head and neck region. The current literature has not yet identified its occurrence within the conchal bowl, a condition that leads to obstruction of the external auditory meatus. We present the case of a 28-year-old man who presented with a history of 3\u20134\u2005weeks of a rapidly enlarging pedunculated lesion within the conchal bowl of the right ear and conductive hearing loss. Initial management included excision under local anaesthesia. The histological report concluded that it was a pyogenic granuloma. Later, reoccurrence was treated with a more definitive excision under general anaesthesia. During follow-up, the operative site was seen to have healed by secondary intention without reoccurrence. Although a pyogenic granuloma within the conchal bowl is benign, early therapeutic excision is important for histological diagnosis as much as to relieve consequential secondary obstruction and conductive hearing loss.<\/jats:p>","DOI":"10.1136\/bcr-2015-211196","type":"journal-article","created":{"date-parts":[[2015,12,8]],"date-time":"2015-12-08T12:57:58Z","timestamp":1449579478000},"page":"bcr2015211196","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Obstruction of the external auditory meatus secondary to a giant pyogenic granuloma"],"prefix":"10.1136","volume":"2015","author":[{"given":"Sooda","family":"Rehman","sequence":"first","affiliation":[{"name":"Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Loizou","sequence":"additional","affiliation":[{"name":"Department of ENT, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranay Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of ENT, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,12,7]]},"reference":[{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5178.137801"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-4388.28078"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.3","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12091"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.4","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-95"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.5","doi-asserted-by":"publisher","DOI":"10.1159\/000367935"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.6","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.061646"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.1991.tb00931.x"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.8","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1973.01620230026010"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.9","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25246"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.10","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-8-178"},{"key":"2025082623105831000_2015.dec07_1.bcr2015211196.11","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1097\/MAO.0000000000000398","article-title":"Facial nerve schwannomas presenting as occluding external auditory canal masses: a therapeutic dilemma","volume":"35","author":"Alyono","year":"2014","journal-title":"Otol Neurotol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:11:10Z","timestamp":1756275070000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211196"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,7]]},"references-count":11,"alternative-id":["10.1136\/bcr-2015-211196"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211196","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,7]]}}}