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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.

References

Abdullah, V., Williamson, P., Gallimore, A., Shah, N. S. (1993) Middle ear lipoma. Journal of Laryngology and Otology 107: 1151–1152.CrossRefGoogle ScholarPubMed
Agarwal, P. N., Mishra, S. D., Pratap, V. K. (1975) Primary liposarcoma of the mastoid. Journal of Laryngology and Otology 89: 1079–1082.CrossRefGoogle ScholarPubMed
Akaan-Penttila, E. (1982) Middle ear mucosa in newborn infants. Acta Otolaryngologica 93: 251–259.CrossRefGoogle ScholarPubMed
Buch, N. H., Jorgensen, M. B. (1964) Eustachian tube and middle ear. Archives of Otolaryngology 79: 472–480.CrossRefGoogle ScholarPubMed
Ezinger, F. M., Weiss, S. W. (1995) Soft Tissue Tumors. 3rd Edition, Mosby, St. Louis, pp 384–390, 431–466.Google Scholar
Michaels, L. (1989) Biology of cholesteatoma. Otolaryngologic Clinics of North America 22: 869–881.Google ScholarPubMed
Olson, J. E., Glasscock, M. E., Britton, B. H. (1978) Lipomas of the internal auditory canal. Archives of Otolaryngology 104: 431–436.CrossRefGoogle ScholarPubMed
Pensak, M. L., Glasscock, M. E., Gulya, A. J., Hays, J. W., Smith, H. P., Dickens, J. R. (1986) Cerebellopontine angle lipomas. Archives of Otolaryngology - Head and Neck Surgery 112: 99–101.CrossRefGoogle ScholarPubMed
Sade, J. (1986) Middle ear mucosa. Archives of Otolaryngology 84: 41–47.Google Scholar
Selesnick, S. H., Edelstein, D. R., Parisier, S. C. (1990) Lipoma of the middle ear: An unusual presentation in a four-year-old child. Otolaryngology - Head and Neck Surgery 102: 82–84.CrossRefGoogle Scholar
Stegehuis, H. R., Guy, A. M., Anderson, K. R. (1985) Middle-ear lipoma presenting as airways obstruction: case report and review of literature. Journal of Laryngology and Otology 99: 589–591.CrossRefGoogle ScholarPubMed
Truwit, C., Barkovich, A. (1990) Pathogenesis of intracranial lipoma: An MR study of 42 patients. American Journal of Neuroradiology 155: 855–864.Google Scholar
Youmans, J. R. (1982) Neurologic Surgery, W. B. Saunders, Philadelphia, pp 2928.Google Scholar