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Middle-ear lipoma as a cause of otomastoiditis

Published online by Cambridge University Press:  29 June 2007

Joseph L. Edmonds ,
Janet M. Woodroof  and
Gregory A. Ator
Joseph L. Edmonds
Affiliation:
Department of Otolaryngology, University of Kansas, USA.
Janet M. Woodroof
Affiliation:
Department of Pathology, University of Kansas, USA.
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Abstract

We present a case report which describes a rare cause of a common clinical problem; eustachian tube dysfunction. A seven-year-old child presented with a history of chronic draining ears, despite rigorous medical therapy and multiple ventilation tubes. At myringotomy a mass was noted in the middle ear, and she was taken to the operating room for exploration. The patient was found to have a pedunculated lipoma arising from the anterior medial aspect of the middle-ear cleft producing intermittent obstruction of the eustachian tube orifice. This case represents the fourth case of a middle-ear lipoma in the world literature. We present a review of the literature and an exploration of possible aetiologies of this unusual entity in the differential diagnosis of eustachian tube dysfunction.

Keywords

LipomaEustachian tubeOtitis mediasuppurative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 12 , December 1997 , pp. 1162 - 1165
Copyright
Copyright © JLO (1984) Limited 1997

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Footnotes

Paper presented at the American Laryngological, Rhinological and Otological Society, Middle Section Meeting, Kansas City, Missouri, USA, 25 January 1997.

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