Keratin Granuloma

A granulomatous process may result in the external ear canal when keratin squames become implanted into the deeper tissues following traumatic laceration [39]. The granuloma contains foreign body-type giant cells, his-tiocytes, lymphocytes, plasma cells and flakes of keratin. The latter are strongly eosinophilic and birefringent in polarised light. Aural polyps frequently contain such granulomas, but the keratin is then more likely to be derived from a middle ear cholesteatoma (see below).

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