External ear canal cholesteatoma (EECC) is rare in ear, nose and throa
t (ENT) practice. Two cases, one bilateral, are described. Computed to
mography demonstrates the extent of bony involvement. Erosion of the e
xternal canal should not be overlooked when reviewing CT of the petrou
s bone in cases of discharge from the ear. EECC may necessitate surger
y and delay in the diagnosis of EECC can result in progressive bony de
struction.