A rare pathology of the petrous part of the temporal bone: adenoma of the middle ear

• Published in: HNO 2020-01, Vol.68 (1), p.55
• Main Authors: Sudhoff, H, Gehl, H-B, Brasch, F, Riemann, R, Todt, I
• Format: Article
• Language: ger
• Subjects: Adenoma - diagnosis; Adenoma - pathology; Adenoma - therapy; Ear Neoplasms - diagnosis; Ear Neoplasms - pathology; Ear Neoplasms - therapy; Ear, Middle; Endoscopy; Female; Humans; Middle Aged; Temporal Bone
• ISSN: 1433-0458
• DOI: 10.1007/s00106-019-00753-8

Adenomas are very rare tumors of the middle ear. They are benign neoplasms originating from the glandular components of the mucous membrane of the middle ear. The middle ear adenoma was first described by Hyams and Michaels in 1976, which was named an adenomatous tumor. This article reports the case of a 50-year-old female patient, who presented with recurrent right-sided dull otalgia and pulse synchronous tinnitis, which began 1 year prior to presentation, with the suspected diagnosis of a glomus tympanicum tumor. Following the otorhinolaryngological examination and imaging an unclear mesotympanal space-occupying lesion was detected. A transmeatal endoscopic complete removal of the tumor was carried out. The histopathological investigations enabled the diagnosis of an adenoma of the middle ear. Adenomas are a rare differential diagnosis of tumors of the middle ear. In cases with a suitable localization an adequate exposure and removal of this rare tumor can be achieved by a transmeatal endoscopic access.