Eustachian tube mature teratoma

Eustachian tube teratoma: A case report

“…The age of the 9 patients ranged from 1 d to 48 years, with a median of 10-mo-old. The cases had various clinical manifestations, as follow: foul-smelling left otorrhea[ 8 ], peripheral palsy of the seventh cranial nerve[ 5 ], a tongue-like structure which protruded when the patient cried and retracted into the mouth when swallowing[ 9 ], a history of refractory otitis media and a nasopharyngeal mass[ 3 ], a discharging left ear since infancy[ 10 ], respiratory distress in a premature infant[ 11 ] with recurrent otitis media and chronic otorrhea of the left ear[ 12 ], and a history of chronic otitis of the right ear from infancy[ 13 ]. However, all these manifestations were due to obstruction of the channel or oppression of the surrounding structures.…”

Transtubal Photo of the Middle Ear in a Newborn after Removal of a Pharyngeal Teratoma

“…These masses can extend upward in the direction of the middle ear or downward to the nasopharynx and oropharynx. 4…”

Teratoma of the middle ear: A real entity or a non-entity?

“…Talmi et al [28] reported a teratoma of the mastoid region in a neonate. In addition, reports exist of head and neck teratomas that appear to be centered in the Eustachian tube, with extension to involve the middle ear [29,30]. Perhaps of greatest concern, at least one teratoma involving the middle ear has been shown to encompass immature elements [24]; in addition, at least one frankly malignant teratocarcinosarcoma (composed of recognizable benign teratomatous elements admixed with clearly malignant components) has been identified in the nasopharyngeal area, extending to involve the Eustachian tube [31].…”