A Case of Middle Ear Adenoma

Kikuchi, Saori; Sakumoto, Makoto; Okabe, Yozo; Furukawa, Mitsuru

doi:10.5631/jibirinsuppl1986.1995.supplement85_28

Cited by 2 publications

(2 citation statements)

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“…Most case reports of middle ear adenomatous masses are first thought to be cholesteatoma based on radiological findings. [3][4][5] However, CTwith contrast will confirm the enhancing features of the MEA on postcontrast imaging. Apart from cholesteatoma, the differential diagnosis should include glomus tympanicum and facial nerve schwannoma.…”

Section: Discussionmentioning

confidence: 99%

“…2 In general, MEA are rare tumors with few cases reported in the literature. [1][2][3][4][5][6][7][8] They can present with vague symptoms, which usually lead to delayed diagnosis, even years following the initiation of their symptoms. Although their management is believed to be surgical, the outcomes of such intervention are poorly documented because of the rarity of MEA.…”

Section: Introductionmentioning

confidence: 99%

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Temporal Bone Adenoma: A Comprehensive Analysis of Clinical Aspects and Surgical Outcome on a Very Rare Entity

AlSalman

Crowther

McLellan

et al. 2020

J Neurol Surg B Skull Base

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Objective The aim of this study is to present our experience in dealing with middle ear adenomas (MEAs), very rare tumors of the middle ear. Methods The medical notes of individuals with MEAs treated in tertiary referral; academic settings were retrospectively reviewed. We recorded the presenting symptoms, imaging findings, and pathology results. We additionally examined our surgical outcomes, follow-up period, recurrence, and morbidity. Results We identified four patients with MEAs: two males and two females with an average age of 36.25 years (range = 27–51 years). Despite the detailed imaging studies, including computed tomography and magnetic resonance imaging with intravenous contrast administration, a biopsy was essential in setting the diagnosis. Total surgical resection was achieved in all patients without any recurrence over an average of 6 years (range = 3–10 years). Complete ipsilateral deafness was the commonest surgical morbidity due to footplate infiltration by the tumor. Conclusion Total surgical resection is the treatment of choice in MEAs to minimize the risk for recurrence; this can come with morbidity, mostly sensorineural deafness. Given the very limited literature, long-term follow-up is recommended.

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Section: Discussionmentioning

confidence: 99%