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Surfer’s Ear

History:  56-year-old gentleman  with “intermittent sinus congestion, which he thinks is exacerbated by surfing and is improved with sinus rinses after surfing.”

Exostosis of External Auditory Canal (Surfer’s Ear)

  • Bilateral circumferential narrowing of the EAC in someone who is repeatedly exposed to cold water.
  • Can cause conductive hearing loss if severe.
  • Ddx: osteoma.