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Primary lymphoma of the temporal bone.
D L Tucci1, P R Lambert, D J Innes
1Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health Sciences Center, Charlottesville 22908.
Archives of Otolaryngology--Head & Neck Surgery
|January 11, 1992
Summary
Primary temporal bone lymphoma is rare, with only two cases reported. Patients presented with ear infection, hearing loss, and facial nerve issues, which resolved with chemotherapy.
Area of Science:
- Oncology
- Otolaryngology
- Neurology
Background:
- Lymphoreticular neoplasms rarely involve the temporal bone, typically as secondary sites.
- Primary temporal bone lymphoma is exceptionally uncommon in medical literature.
Observation:
- Two cases of primary temporal bone lymphoma are presented: an elderly man and a boy.
- Both patients exhibited symptoms of ear infection, hearing loss, and facial nerve paresis.
Findings:
- Facial nerve paresis in both patients resolved following chemotherapeutic intervention.
- The study highlights the importance of considering malignancy in persistent middle ear infections with facial paralysis.
Implications:
- Computed tomography and biopsy are recommended for unresponsive middle ear infections.
- Facial paralysis in this context should raise suspicion for underlying malignancy, necessitating further investigation.