Nodular fasciitis (NF) is generally regarded as a benign, reactive, tumor-like proliferation of myofibroblasts that typically occurs in the extremities. The head and neck region is a common location for NF, but NF of the auricular region is rare.
We are reporting a, 17-year-old female, presented to our clinic with left external auditory canal swelling for the past one month. It was gradually increased in size. Bloody in nature and associated with pain. The swelling was friable, and we proceeded with excision biopsy under GA (General anaesthesia). Intraoperatively, the growth's primary site is at the superior wall of EAC (external Auditory Canal) size 1.5cmx1cm, it was only confined to the EAC, anteriorly and was not involving the posterior part. Biopsy result showed Nodular Fasciitis. Patient was reviewed one-week post excision and noted recurrence at anterior part of EAC. Proceeded with HRCT temporal, which was reported as, an enhancing mass seen involving the outer part of left EAC, measuring 2.9(AP)x 2.3cm(W)x 1.5cm(CC). We proceeded with Total excision of Left Nodular Fasciitis and triamcinolone injection. Post operatively, the wound was healing well and secondary suturing was done. We reviewed patient after 4 weeks, wound healed with no recurrence.
In our case, we were able to excise the Left EAC Nodular Fasciitis completely with the guidance of HRCT temporal. We are reporting this case in view of NF is a rare growth at the auricular region.