Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-26T08:22:29.000Z Has data issue: false hasContentIssue false
  • English
  • Français

Ossicular chain reconstruction using costal cartilage in malleoincudal osteoma

Published online by Cambridge University Press:  20 October 2021

F Piazza Open the ORCID record for F Piazza [Opens in a new window]  and
A Frisina Open the ORCID record for A Frisina [Opens in a new window]
F Piazza*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, ASST Carlo Poma Mantova, Mantua, Italy
A Frisina
Affiliation:
Department of Otolaryngology, San Bortolo Hospital, Vicenza, Italy
*
Author for correspondence: Prof Fabio Piazza, Department of Otolaryngology–Head and Neck Surgery, ASST Carlo Poma Mantova, Strada Lago Paiolo 10, 46100 Mantua, Italy E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

To report an extremely rare case of malleoincudal osteoma that led to conductive hearing loss despite an unusually normal otomicroscopic appearance, and to highlight the usefulness of costal cartilage for ossicular chain reconstruction after tumour removal.

Case report

A 37-year-old woman presented with a 2-year history of progressive, right-sided hearing loss. Physical examination revealed a normal tympanic membrane. Pure tone audiometry showed a right-sided conductive hearing loss. High-resolution computed tomography revealed a right-sided epitympanic mass arising from the malleus head and contiguous with the incus. The patient underwent a closed mastoido-epitympanectomy. The malleus head and the incus with associated malleoincudal osteoma were removed. Ossicular chain reconstruction using costal cartilage was performed at the time of tumour removal.

Conclusion

The possibility of a middle-ear osteoma must be considered in cases of unilateral and progressive conductive hearing loss with a normal otomicroscopic appearance in patients with no history of ear infection, trauma or prior surgery, and with no family history of hearing loss. Surgical treatment is indicated in cases of significant conductive hearing loss. To our knowledge, this is the first case report of malleoincudal osteoma in which the ossicular chain was reconstructed using costal cartilage.

Keywords

OsteomaMalleusIncusHearing Loss, ConductiveOssicular Prosthesis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 3 , March 2022 , pp. 268 - 270
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Prof F Piazza takes responsibility for the integrity of the content of the paper

References

Yoon, YS, Yoon, YJ, Lee, EJ. Incidentally detected middle ear osteoma: two cases reports and literature review. Am J Otol 2014;35:524–8CrossRefGoogle ScholarPubMed
Milroy, MB, Phelps, PD, Michaels, L, Grant, H. Osteoma of the incus. J Otolaryngol 1989;18:226–8Google ScholarPubMed
Ramadan, HH. Osteoma of the malleus. Am J Otol 1994;15:807–9Google ScholarPubMed
Arensburg, B, Belkin, V, Wolf, M. Middle ear pathology in ancient and modern populations: incudal osteoma. Acta Otolaryngol 2005;125:1164–7CrossRefGoogle ScholarPubMed
Yung, M. Cartilage tympanoplasty: literature review. J Laryngol Otol 2008;122:663–72CrossRefGoogle ScholarPubMed
Quaranta, N, Fernandez-Vega Feijoo, S, Piazza, F, Zini, C. Closed tympanoplasty in cholesteatoma surgery: long-term (10 years) hearing results using cartilage ossiculoplasty. Eur Arch Otorhinolaryngol 2001;258:20–4CrossRefGoogle ScholarPubMed
Chole, RA, Kim, HJ. Ossiculoplasty with presculpted banked cartilage. Oper Tech Otolaryngol Head Neck Surg 1996;7:38–44CrossRefGoogle Scholar
Farrior, JB, Nichols, SW. Long-term results using ossicular grafts. Am J Otol 1996;17:386–92Google ScholarPubMed
Glasscock, ME, Jackson, CG, Know, GW. Can acquired immunodeficiency syndrome and Creutzfeld-Jakob disease be transmitted via otologic homografts? Arch Otolaryngol Head Neck Surg 1988;114:1252–5CrossRefGoogle Scholar
Lubbe, D, Fagan, JJ. Revisiting the risk involved in using homograft ossicles in otological surgery. J Laryngol Otol 2008;122:111–15CrossRefGoogle ScholarPubMed