Multiple myeloma presenting with external ear canal mass

J Laryngol Otol. 1998 May;112(5):469-71. doi: 10.1017/s0022215100140800.


The manifestations of multiple myeloma are protean and related to bony osteolytic lesions, and to medullar and renal insufficiency. We report a patient who presented with otalgia as the inaugural symptom of multiple myeloma. Local irradiation combined with systemic chemotherapy led to the disappearance of the temporal bone mass and the accompanying symptoms. To date, 24 months after the diagnosis, the patient is still in remission. The literature on otological involvement in multiple myeloma is reviewed. Symptoms are non-specific and include hearing loss, tinnitus, dizziness, facial paralysis, and otalgia. The diagnosis of multiple myeloma should be considered in the presence of a temporal bone mass.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Earache / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Multiple Myeloma / complications*
  • Multiple Myeloma / diagnosis
  • Temporal Bone*
  • Tomography, X-Ray Computed