A chart review of 440 patients with neurofibromatosis seen at the Chil
dren's Hospital of Philadelphia Neurofibromatosis Clinic between 1980
and 1991 was performed to look for otologic manifestations. Neurofibro
matosis 1 was present in 434 patients, and neurofibromatosis 2 was pre
sent in 6. A total of 31 otologic abnormalities related to neuro fibro
matosis were found in 28 patients. Neurofibromas of the external ear,
including the pinna and the external auditory canal, were the most com
mon finding. Middle ear neurofibromas were found in two patients. Acou
stic neuromas were seen exclusively in patients believed to have neuro
fibromatosis 2, One cerebellopontine angle neurofibrosarcoma was found
in a patient with neurofibromatosis 1.