Soft tissue lesion of the ear canal – Now you see it, now you don’t

Spontaneous herniation of the temporomandibular joint along a bony defect in external auditory canal is an uncommon condition that may lead to otologic symptoms. A 43-year-old gentleman presented with otalgia and soft tissue lesion, which flattens upon opening jaw. Computed tomography scan temporal region confirmed presence lesion herniated through wall defect. This should be included differential diagnoses mass, despite infrequently encountered. It important inspect during movement jaw when noted, so as not miss this diagnosis.