Aural Squamous Papilloma in a 5-year-old: A Rare Case Report with Literature Review.
Gauri Shashikant Patil, Navya Nandini, Mayur Ingale et al.
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Case in brief
A 5-year-old boy had chronic itching, aural fullness, and a progressively enlarging warty lesion in the left external auditory canal. Examination showed an irregular mass filling the cartilaginous canal and conchal skin, obscuring the tympanic membrane. The lesion was excised under otomicroscopy, and a postauricular split-thickness skin graft covered the denuded cartilage to help prevent canal stenosis. Histopathology confirmed squamous papilloma with ceruminous gland hyperplasia.
What made this case unusual
The case highlights squamous papilloma presenting in a very young child, with an extensive lesion involving both the cartilaginous canal and conchal skin. Vertical transmission was proposed as a possible etiological route, not established as the cause.
Diagnostic / clinical pearl
Include aural squamous papilloma in the differential diagnosis of an external auditory canal mass in a child; histopathology can confirm the diagnosis.
Why it matters
Although malignant transformation is exceptionally rare, the report notes that long-term follow-up is required.