Three patients, all children, are presented with a diagnosis of eosinophilic granuloma isolated to the temporal bone. In two cases the disease was unilateral, and in the third, bilateral disease was encountered. General evaluations, audiometric studies, and laboratory findings will be discussed. X‐rays will be shown as well as photomicrographs of the gross and microscopic lesions to supplement this discussion. Our approach was surgical in all four ears involved. Radiation therapy was not utilized. A thorough review of the literature on this subject will accompany the presentations of these cases. Long term results have been satisfactory and will be correlated with those in the literature treated by other methods.

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