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Primary meningioma of the middle ear: case report

Published online by Cambridge University Press:  23 November 2009

M George ,
C Ikonomidis ,
M Pusztaszeri  and
P Monnier
M George*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois, Vaud, Switzerland
C Ikonomidis
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois, Vaud, Switzerland
M Pusztaszeri
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois, Vaud, Switzerland
P Monnier
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois, Vaud, Switzerland
*
Address for correspondence: Dr Mercy George, Department of Otolaryngology Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne 1011, Switzerland. Fax: +41 21 3142607 E-mail: roymercy@hotmail.com
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Abstract

Objective:

To report a rare case of primary meningioma of the middle ear.

Method:

We describe the case of a 55-year-old woman who presented with decreased hearing and fullness in the left ear, with a middle-ear mass. We also review the world literature regarding primary extracranial meningioma of the middle ear and its management.

Results:

Primary middle-ear meningioma, a rare clinical entity, was diagnosed in this patient based on an initial transmastoid biopsy. Magnetic resonance imaging with gadolinium enhancement excluded the presence of an intracranial component. Complete excision of the tumour was achieved using a combined approach tympanoplasty. The patient had an uneventful post-operative course.

Conclusion:

Meningiomas, although rare in the middle ear, need to be included in the differential diagnosis of middle-ear lesions presenting to the otolaryngologist. This case emphasises the management strategy required when dealing with a middle-ear mass.

Keywords

Middle EarMeningiomaMastoid
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 572 - 574
Copyright
Copyright © JLO (1984) Limited 2009

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