Related Experiment Video
Updated: Jun 26, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
Tinnitus as an unusual presentation of Schneiderian papillomatosis
1Department of Otolaryngology and Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Dublin, Ireland. rohana.oconnell@gmail.com
Introduction:
Primary Schneiderian papillomatosis of the middle ear and mastoid cavity is extremely rare. It is frequently associated with intermittent unilateral otorrhoea and mass in the middle ear and mastoid cavity.
Methods:
Case presentation, symptoms, diagnostic criteria, management and literature review are discussed.
Conclusion:
Schneiderian papillomatosis is an important differential diagnosis of mass in the middle ear and mastoid cavity, and tinnitus as a presenting symptom has not been reported before. Primary radical treatment is essential in preventing tumour recurrence.
Insights
Primary Schneiderian papillomatosis, a rare middle ear tumor, can present as aural masses and discharge. Tinnitus is a newly reported symptom, emphasizing radical treatment for preventing recurrence.
Area of Science:
- Otolaryngology
- Pathology
- Oncology
Background:
- Primary Schneiderian papillomatosis (PSP) of the middle ear and mastoid is exceptionally rare.
- Often presents with unilateral otorrhoea and aural masses.
Observation:
- This case highlights PSP as a critical differential diagnosis for middle ear masses.
- Tinnitus is identified as a previously unreported presenting symptom.
Findings:
- The study discusses case presentation, diagnostic criteria, and management of PSP.
- Literature review supports the findings on PSP's clinical presentation and treatment.
Implications:
- Early and radical surgical intervention is crucial for preventing tumor recurrence.
- Recognizing PSP, including its varied presentations like tinnitus, improves patient outcomes.
