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Case Reports in Otolaryngology
Volume 2013, Article ID 957926, 3 pages
Case Report

Langerhans Cell Histiocytosis in Bilateral Mastoid Cavity

1Ankara Ataturk Training and Research Hospital ENT, Department Bilkent, 06800 Ankara, Turkey
2Şehitkamil State Hospital ENT Department, 27500 Gaziantep, Turkey
3Ankara Ataturk Training and Research Hospital, Hematology Department Bilkent, 06800 Ankara, Turkey
4Ankara Ataturk Training and Research Hospital, Pathology Department Bilkent, 06800 Ankara, Turkey

Received 7 April 2013; Accepted 26 May 2013

Academic Editors: J. I. De Diego and N. Perez

Copyright © 2013 Kazım Bozdemir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 39-year-old male was admitted to our clinic with symptoms of headache, dizziness, nausea, otalgia, otorrhea, tinnitus, and hearing loss in both ears for 3 weeks. Physical examination revealed edema in the tympanic membrane and external ear canal, and pain by palpation in the mastoid area bilaterally. There was no nystagmus, and the rest of the physical examination was otherwise normal. Temporal bone high resolution computed tomography (CT) showed a lesion causing erosion in the mastoid cortex, tegmen tympani, ossicles, and in the bone covering the sigmoid sinus bilaterally. There was also erosion in the superior semicircular canal and petrous bone on the left side. Cortical mastoidectomy was performed under general anesthesia. Histopathologic examination of the tissue revealed Langerhans cell histiocytosis (LCH). In this paper a case with LCH, presenting with bilateral mastoid involvement which has been rarely reported in the literature, is discussed with the existing literature.