Primary mucocele of the mastoid: An incidental finding

Tonni, Daniela; Sessa, Michele; Zinis, Luca Oscar Redaelli de

doi:10.1002/ccr3.2690

Cited by 5 publications

(10 citation statements)

References 10 publications

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“…Temporal bone mucocele cases are rare in the literature 1 – 3 , 5 – 15 , with only a few reported instances, some 1 – 3 , 5 , 6 , 14 , 15 of which are listed in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

“…The accepted pathogenic basis of mucocele is obstruction of a natural drainage pathway, although gradually enlarging mucus retention cyst is also suggested as an alternative hypothesis in temporal bone. Mucoceles can develop as a primary condition or as a secondary condition resulting from persistent inflammation, trauma, scarring from prior surgery or radiotherapy, or, less frequently, neoplasms 1 – 3 . We present a rare case of 60-year-old male with temporal-mastoid mucocele with hypertrophy of the temporal bone.…”

Section: Introductionmentioning

confidence: 99%

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Temporal bone mucocele with extension to mastoid in a 60-year-old male: a case report and literature review

Shah,

Muskan,

Dahal

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: Mucoceles, characterized by cystic lesions with sterile mucus accumulation, mostly occur in the paranasal but rarely affect the temporal-mastoid bone. The pathogenesis involves obstruction of natural drainage or cyst enlargement. Here, we present a rare case of temporal-mastoid mucocele with temporal hypertrophy. Case Presentation: A 60-year-old male presented with progressive painless right temporal region swelling associated with diminished hearing, headache, fever and ear symptoms. Audiometry indicated profound hearing loss in the right ear. CT of the right temporal bone and MRI brain revealed a large, destructive lesion involving the right temporal mastoid suggesting temporal-mastoid mucocele. Surgical excision of the mucocele and mastoid exploration were performed. Postoperative recovery was uneventful, with significant improvement in symptoms. Clinical Discussion: Temporal bone mucoceles are rare, with few cases reported in the literature. Their etiology remains unclear, although chronic otitis media may be associated in some cases. Clinical presentations may vary, ranging from asymptomatic to symptoms such as serous otitis media, retroauricular edema, or cholesteatoma. Expansion of the mucocele cavity can lead to bone erosion or remodeling, potentially causing hearing loss. Differentials should include cholesteatoma, histiocytosis, and cholesterol granuloma. Imaging such as temporal bone CT and MRI are crucial for diagnosing, with characteristic findings on T2W images helping in differentiation. Surgical treatment, such as mastoidectomy with marsupialization or complete lesion removal, is indicated to prevent complications and reduce the risk of recurrence. Conclusion: This study reports a unique case of concomitant temporal-mastoid mucocele with involvement of organs of hearing with temporal bone hypertrophy.

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“…Temporal bone mucocele cases are rare in the literature 1 – 3 , 5 – 15 , with only a few reported instances, some 1 – 3 , 5 , 6 , 14 , 15 of which are listed in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Temporal bone mucocele with extension to mastoid in a 60-year-old male: a case report and literature review

Shah,

Muskan,

Dahal

et al. 2024

Annals of Medicine &Amp; Surgery

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“…As previously alluded to, when performing mSTP, the authors remove enough bone to fully visualize and remove disease, but do not usually perform extensive bony exenteration of uninvolved bone as originally described in the literature (12). In contrast to the paranasal sinuses, where retained mucosa in an obliterated cavity risks mucocele formation, mucocele development in the obliterated temporal bone is exceedingly rare (34,35). Many of these patients have sclerotic mastoids and extensive bone removal may add unnecessary time and risk to the operation.…”

Section: Discussionmentioning

confidence: 99%

Quality-of-Life Outcomes After Modified Subtotal Petrosectomy With Ear Canal Closure for Chronic Otitis Media

et al. 2022

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ObjectiveTo assess quality-of-life (QoL) outcomes after modified subtotal petrosectomy with ear canal closure (mSTP) for chronic otitis media.Study DesignSurvey study.SettingTertiary referral center.PatientsPatients with chronic otitis media.InterventionsmSTP.Main Outcome MeasuresSurvey results from enrolled patients on the validated disease-specific Chronic Ear Survey (CES) and Chronic Otitis Media Outcome Test-15 (COMOT-15) regarding their current state of health and, if surgery was performed within 3 years of enrollment, their state of health before mSTP.ResultsA total of 23 patients were studied, including 19 who underwent surgery within 3 years of enrollment. Postoperatively, mean total CES scores were 80 and COMOT-15 scores were 41, with a higher CES and a lower COMOT-15 indicating better QoL. There were statistically significant improvements after mSTP in the CES activity restriction (25% difference; p = 0.008), symptom (17% difference; p = 0.007), and medical resource (13% difference; p = 0.03) domain and total (18% difference; p = 0.006) scores. In addition, there were statistically significant improvements in the COMOT-15 ear symptom (−22% difference; p < 0.001) domain and total (−16% difference; p = 0.01) scores; however, improvements in the hearing function and mental health domains did not achieve statistical significance. Postoperative COMOT-15 total scores were significantly better for patients who underwent aural rehabilitation compared to those who did not (−17% difference; p < 0.001).ConclusionModified subtotal petrosectomy with ear canal closure is a useful intervention for patients with recalcitrant chronic otitis media, offering improved QoL in appropriately selected patients. Aural rehabilitation, when feasible, provides the potential for further QoL improvement.

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“…Ihr Auftreten im Mastoid (▶abb. 13) ist sehr selten, wobei in der Literatur fast ausschließlich Fallberichte existieren [271][272][273][274][275][276][277][278][279]. Im Falle von knöchernen Erosionen und Destruktionen am Mukozelenrand kann es zu intra-und extrakraniellen Komplikationen kommen [280].…”

Section: Otogene Primäre Mukozele Des Mastoidsunclassified

“…Mucoceles show signs of chronic sterile infection and have the ability to cause bony remodelling or reabsorption. Mucoceles may be primary or secondary to chro-nic inflammation, trauma, scarring from previous surgery or radiotherapy and, less common, to neoplasia [268][269][270]. Their occurrence in the mastoid (▶Fig.…”

Section: Otogenic Primary Mucocele Of the Mastoidmentioning

confidence: 99%

Seltene Erkrankungen des Mittelohres und der lateralen Schädelbasis

Weiss

2021

Laryngorhinootologie

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ZusammenfassungOtalgie, Otorrhoe, Tinnitus und Hörminderung zählen zu den häufigsten ohrbezogenen Symptomen, die zum Aufsuchen eines Hals-Nasen-Ohrenarztes führen. Weiterhin spielen Gleichgewichtsstörungen und Affektionen der Hirnnervenfunktion für eine Konsultation eine Rolle. In großen akademischen Zentren, aber auch in der HNO-ärztlichen Grundversorgung kommt der Erkennung von seltenen Erkrankungen des Mittelohres und der lateralen Schädelbasis eine zentrale Rolle zu, da sie häufig eine interdisziplinäre Zusammenarbeit erfordern um die korrekte Diagnose zu stellen und eine adäquate Behandlung zu initiieren. Die folgende Arbeit gibt einerseits eine Übersicht über seltene Formen von osteologischen, neoplastischen, hämatologischen, autoimmunologischen und infektiologischen Erkrankungen sowie Fehlbildungen, die sich im Mittelohr und der lateralen Schädelbasis manifestieren können, andererseits soll ein Überblick über internistische Erkrankungen gegeben werden, deren Manifestation im Mittelohr selten ist. Die Kenntnis von seltenen Erkrankungen des Mittelohrs und der Schädelbasis ist für die Qualitätssicherung in der Patientenversorgung und insbesondere auch bei entsprechenden chirurgischen Maßnahmen wesentlich. Insbesondere bei untypischen, komplizierten und langwierigeren Krankheitsverläufen muss an seltene Differenzialdiagnosen gedacht werden.

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Primary mucocele of the mastoid: An incidental finding

Cited by 5 publications

References 10 publications

Temporal bone mucocele with extension to mastoid in a 60-year-old male: a case report and literature review

Temporal bone mucocele with extension to mastoid in a 60-year-old male: a case report and literature review

Quality-of-Life Outcomes After Modified Subtotal Petrosectomy With Ear Canal Closure for Chronic Otitis Media

Seltene Erkrankungen des Mittelohres und der lateralen Schädelbasis

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