case_images: PMC10870940_01
case_images: PCCT images (SIEMENS NAEOTOM Alpha) of the right temporal bone. (A) The axial image shows contact of the tophaceous gout (TG) with the malleus (M). (B) The coronal image shows contact with the tympanic segment of the facial nerve (T) and the malleus (M). The incus (I) is not affected.
case_images: jbsr-108-1-3421-g1.jpg
case_images: PMC10870940_01_jbsr-108-1-3421-g1.jpg
case_images: F1
case_images: The mass was medially in contact with the tympanic segment of the facial nerve canal and laterally with the malleus (Figure 1).
case_images: Intraoperative view of the middle ear, where the tophaceous gout is seen as a white and crystalline mass (arrows).
case_images: jbsr-108-1-3421-g2.jpg
case_images: PMC10870940_01_jbsr-108-1-3421-g2.jpg
case_images: F2
case_images: Intraoperatively, the mass was white and relatively soft with a crystalline appearance (Figure 2).
case_images: A hematoxylin and eosin-stained slide (scale 50 microm) shows the presence of empty needle-like structures with a feathery appearance, characteristic of gout tophi (Courtesy of A. Vanstapel MD, PhD).
case_images: jbsr-108-1-3421-g3.jpg
case_images: PMC10870940_01_jbsr-108-1-3421-g3.jpg
case_images: F3
case_images: Pathological examination of the mass confirmed the radiological suspicion of a gout tophus (Figure 3).