Abstract
Eosinophilic granuloma is one of the three clinical variants of Histiocytosis-X (eosinophilic granuloma, Hand-Schüller-Christian and Letterer-Siwe disease). Involvement of the temporal bone is relatively rare and initially silent. However, it can erode the mastoid cortex, destroy the tegmen and extend into the cranial vault, as well as erode the semicircular canals or cochlea. It usually presents as an aural polyp or postauricular swelling. Chronic ottorhea is what brings the patient to the ORL-Clinic. It is frequently confused with infectious diseases or neoplastic conditions of the temporal bone. In this paper we report 6 cases of eosinophilic granuloma in the temporal bone, discuss the plain radiological and CT findings and review the literature.
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Favara BE, Jaffe R (1987) Pathology of Langerhans cell histiocytosis. In: Osband ME, Pochedly C (eds) Hematology/oncology clinics of North America, Vol 1: 1. Saunders, Philadelphia
Lichtenstein L (1953) Histiocytosis-X: integration of eosinophilic granuloma of bone, “Letterer-Siwe disease” and “Schuller-Christian disease” as related manifestations of a single nosologic entity. Arch Pathol 56:85
Zinkham WH (1976) Multifocal eosinophilic granuloma: natura history, etiology and management. Am J Med 60:457
Gotoff SP, Esterly NB (1974) Histiocytosis J Pediatr 85:592
Channon BT, Newton WA (1986) Suppressor cell dysfunction in children with Histiocytosis-X. J Clin Immunol, 6:510
Vawter GF (1972) Does Letterer-Siwe disease exist? Or who's not afraid of infantile histiocytosis? In: Vuk Sanovic MM (ed) Clinical pediatric oncology: research, diagnosis, treatment and prognosis of malignant tumors. Mt Kisco, Futura p 165
Avery ME, McCafee JG, Guild HG (1957) The course and prognosis of reticuloendotheliosis (eosinophilic granulomas Schüller-Christian disease, and Letterer-Siwe disease): a study of forty cases. Am J Med 22:636
Tos M (1966) A survey of Hand-Schüller-Christian's disease in otolaryngology. Acta Otolaryngol (Stockh) 62:217
Tos M (1969) Facial palsy in Hand-Schüller-Christian's disease. Arch Otolaryngol 90:563
McCaffrey TV, McDonald TJ (1979) Histiocytosis-X of the ear and temporal bone: review of 22 cases. Laryngoscope 9:1735
Kelemen, G (1960) Histiocytosis involving the temporal bone. Laryngoscope 70:1284
Toohill RJ, Kidder TM, Eby LG (1973) Eosinophilic granuloma of the temporal bone. Laryngoscopy 83:877
Shambaugh GE Jr (1967) Surgery of the ear, 2nd edn. WB Saunders, Philadelphia
Mehta DN, Ramani GV, Chatterjee AK, Subramanyam CSV (1974) Eosinophylic granuloma of the temporal bone. Laryngoscopy Otology 88:185
Schuknecht HF, Papaspyrou S (1980) Histiocytosis-X. Otolaryngol Head Neck Surg 88:544
Ochner SF (1966) Eosinophilic granuloma of the bone: experience with 20 cases. AJR 97:719
Schajowicz F, Slullitel J (1973) Eosinophilic granuloma of bone and its relationship to Hand-Schüller-Christian and Letterer-Siwe syndromes. J Bone Joint Surg 55B:545
Kimmelmann CP, Nielsen E, Snow JB (1984) Histiocytosis-X of temporal bone. Otolaryngol Head Neck Surg 92:588
Peuchot M, Eftekhari E, Van Tassel P, Cangir A (1988) Computed tomography in Histiocytosis-X of the temporal bone. CT: Journal Comput Tomogr 12:9
Mitnick JS, Pinto RS (1980) Computed tomography in the diagnosis of eosinophilic granuloma. J Comput Assist Tomogr 4:791
Cunningham MJ, Curtin HD, Butkiewicz BL (1988) Histiocytosis-X of the temporal bone: CT findings. J comput Assist Tomogr 12(1):70–74
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Hadjigeorgi, C., Parpounas, C., Zarmakoupis, P. et al. Eosinophilic granuloma of the temporal bone: Radiological approach in the pediatric patient. Pediatr Radiol 20, 546–549 (1990). https://doi.org/10.1007/BF02011387
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DOI: https://doi.org/10.1007/BF02011387