Transient Facial Palsy in Two Cases of Benign, Very Rare Middle Ear Tumors (Carcinoid Tumor and Myxoma)

Zehlicke, Thorsten; Punke, C.; Boltze, Christoph; Pau, Hans Wilhelm

doi:10.1097/nrl.0b013e31814b8dd1

Cited by 7 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Myxomas of the temporal bone may have local destructive properties causing otorrhea, hearing loss, headache and facial palsy depending on the site of involvement (1,3,7). Surgery is considered as the first choice of treatment, because the myxomas are not radiosensitive (4,8).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Myxoma of the Middle Ear Mimicking Chronic Otitis Media

Olgun

Közen

Danyeli

et al. 2018

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

Myxoma is a benign connective tissue tumor that arises mostly from the heart. Temporal bone myxomas are extremely rare and these patients should be evaluated for the Carney complex association. Herein, our aim was to present a middle ear myxoma case operated with an initial diagnosis of chronic otitis media (COM) and to underline the fact that myxomas should be kept in mind in the differential diagnosis of aural polyps.

show abstract

Section: Discussionmentioning

confidence: 99%

“…It can also arise from the head and neck region especially from the mandible and maxilla (2). Although very rarely encountered, myxomas can be seen in different parts of the temporal bone and other parts of the head and neck region (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Myxoma of the Middle Ear Mimicking Chronic Otitis Media

Olgun

Közen

Danyeli

et al. 2018

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Ear, eyelid and other cutaneous myxomas are detected prior to the cardiac myxoma in the majority of patients 4 . Importantly, the ear canal and temporal bone lesions often are accompanied by hearing loss 5 while myxomas of the middle ear may cause facial palsy 6 …”

Section: Discussionmentioning

confidence: 99%

“…4 Importantly, the ear canal and temporal bone lesions often are accompanied by hearing loss 5 while myxomas of the middle ear may cause facial palsy. 6 Cutaneous myxomas present as papules or nodules that usually have a smooth surface and are white, skin-colored, opalescent or pink. They appear between birth and the fourth decade.…”

Section: Discussionmentioning

confidence: 99%

Myxoma of the ear lobe in a 23‐month‐old girl with Carney complex

et al. 2011

View full text Add to dashboard Cite

Myxomas of the ear are extremely uncommon, especially in young children. A 23-month-old girl born to a family with known Carney complex, a condition that predisposes to multiple myxomas, presented with a large, cauliflower-like mass located on the back of her right ear. Histopathologically, the lesion was composed of scattered spindle-shaped or stellate cells with abundant associated mucin and a very sparse inflammatory infiltrate containing lymphocytes and neutrophils. The patient was a carrier of a protein kinase A regulatory subunit 1A (PRKAR1A) mutation; PRKAR1A mutations cause Carney complex in most patients with this rare disorder. This is the earliest presentation of an ear lobe myxoma reported in the literature.

show abstract

“…Acute peripheral facial paralysis may be rarely due to two rare middle ear tumours: myxoma and carcinoid tumour [9]. One should consider this rare cause in differential diagnosis.…”

Section: Myxomamentioning

confidence: 99%

Middle ear myxoma: a diagnostic dilemma and its management, a case report

Dutta

Gure

Pal

2018

Egypt J Otolaryngol

View full text Add to dashboard Cite

The aim of this study was to present a rare case report of myxoma of the mastoid cleft/temporal bone with intracranial extension and its management and follow-up. A 13-year-old girl presented with discharge from the right ear with gradually progressive hearing loss for the last 4-5 years and facial palsy of grade III on the right side for the last 4-5 months. She was diagnosed as having chronic otitis media, squamosal type, and underwent canal wall down mastoidectomy on the same ear 6 months back. On examination, an aural polyp occupying the whole of the mastoid cavity along with mucopurulent discharge and lower motor neuron facial palsy were seen on the right side. high resolution ct scan (HRCT) of the temporal bone showed a soft tissue mass occupying the whole of the mastoid cavity breaching bony confinements, extending up to the posterior fossa, extradurally, and engulfing the facial nerve. The patient underwent reexploration of the right mastoid cavity under general anaesthesia and a soft jelly-like substance was removed from whole of the mastoid cavity, extending anteriorly up to the Eustachian tube, inferiorly up to the jugular bulb, posteriorly up to the retrosigmoid cells, superiorly up to the tegmen plate, extending medially intracranially up to the posterior fossa dura through Trautmann's triangle and engulfing the facial nerve from the first genu to the stylomastoid foramen. Facial nerve decompression was performed along with disease clearance and wide conchomeatoplasty. The patient developed grade IV facial palsy postoperatively. The histopathology report of the dissected jelly-like soft tissue revealed myxoma. The patient is at present under regular follow-up and there is no recurrence after 6 months, although facial palsy is still persisting as grade IV. Myxoma of the temporal bone or the mastoid cleft is a rare entity. Complete surgical excision is the treatment of choice in this case, although recurrence is very common. The clinical presentation, management and outcome of this tumour are discussed in view of available literature.

show abstract

Transient Facial Palsy in Two Cases of Benign, Very Rare Middle Ear Tumors (Carcinoid Tumor and Myxoma)

Cited by 7 publications

References 7 publications

Myxoma of the Middle Ear Mimicking Chronic Otitis Media

Myxoma of the Middle Ear Mimicking Chronic Otitis Media

Myxoma of the ear lobe in a 23‐month‐old girl with Carney complex

Middle ear myxoma: a diagnostic dilemma and its management, a case report

Contact Info

Product

Resources

About