A rare osseous mass of the middle ear: Endoscopic management of a middle ear osteoma – A case report
Endoscopic management of a middle ear osteoma
Keywords:
Middle ear osteoma, endoscopic ear surgery, conductive hearing loss, ossicular chainAbstract
Middle ear osteomas are extremely rare benign tumors of the temporal bone and are most commonly associated with conductive hearing loss due to ossicular chain involvement. We report the case of a 24-year-old female who presented with left-sided hearing loss, intermittent otalgia, and taste disturbance. Radiological evaluation revealed a well-defined bony lesion within the middle ear. The patient was treated successfully using an endoscopic transcanal approach. Histopathological examination confirmed the diagnosis of osteoma. Postoperative audiometry demonstrated marked hearing improvement. This case highlights the rarity of middle ear osteomas and emphasizes the effectiveness of endoscopic ear surgery as a minimally invasive treatment option.
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References
Nielsen GP, Rosenberg AE. Update on bone-forming tumors of the head and neck. Head Neck Pathol. 2007;1:87-93.
Greinwald JH, Simko EJ. Diagnosis and management of middle ear osteomas. Ear Nose Throat J. 1998;77:134-9.
Cho YS, Kim JH, Hong SH, Chung WH. A huge osteoma of the middle ear. Int J Pediatr Otorhinolaryngol. 2005;69:1569-74.
Temirbekov D, Celikyurt C. Middle ear osteoma causing Eustachian tube obstruction. J Otol. 2020;15:161-5.
Yoon YS, Yoon YJ, Lee EJ. Incidentally detected middle ear osteoma. Am J Otolaryngol. 2014;35:524-8.
Presutti L, Gioacchini FM, Alicandri-Ciufelli M. Endoscopic ear surgery. Otolaryngol Clin North Am. 2016;49:1255-67.
Gyo K, Aoyagi M, Kojima H, Sakurai Y, Iwasaki S, Takahashi M. Taste disturbance following middle ear surgery. Acta Otolaryngol. 1996;116:107-10.
Uzun C, Adali MK, Koten M, Karasalihoglu AR. Evaluation of taste disturbance after middle ear surgery. Otol Neurotol. 2003;24:943-6.
Kuwabara M, Matsumoto Y, Motegi M, Chikamatu K. A case of spongiotic osteoma arising in the supratubal recess. Cureus. 2025;17:e82860.
Swartz JD, Harnsberger HR. The temporal bone: imaging of benign lesions. Radiol Clin North Am. 1998;36:819-53.
Harnsberger HR, Wiggins RH 3rd. Diagnostic Imaging: Head and Neck. 3rd ed. Philadelphia: Elsevier; 2016.
Waldron CA. Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg. 1993;51:828-35.
Sires BS, Hengerer AS, Rosenberg SI. Osteoid osteoma of the temporal bone: case report and literature review. Otolaryngol Head Neck Surg. 1990;102:288-92.
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Copyright (c) 2026 Bilal Si̇zer, Ediz Yorgancılar
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