Vestibular schwannoma: Unusual recurrence presenting as an external auditory canal mass

yVestibular schwannomas (VS) commonly are limited to the internal auditory canal (IAC) and cerebellopontine angle. Extension-to labyrinth is less freq uent, and involvement of the middle ear or external acoustic canal (EAC) is very rare. In this report we present the case of a 41-year-old woman with a VS, which recurred after a previous surgical removal 4 years before. The tumor involved the IAC cochlea, vestibule, semicircular canals, cavum tympa ni, mastoid cells, and EAC. Total removal of the tumor was achieved by a tr ansotic approach, without neurological sequela.