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Myxoma Arising from the Middle Ear: A Case Report.

Çağatay Han Ülkü1, Demet Aydoğdu2, Rukiye Erdem1

  • 1Department of Otolaryngology Head and Neck Surgery, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.

The Journal of International Advanced Otology
|February 19, 2020
PubMed
Summary

This case study highlights an extremely rare middle ear myxoma. Surgical removal was successful, with the patient remaining asymptomatic and showing no recurrence after 36 months.

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Area of Science:

  • Otorhinolaryngology
  • Surgical Pathology

Background:

  • Head and neck myxomas are rare, typically originating in the mandible, maxilla, or oral cavity.
  • Metastases from other sites, like cardiac myxomas, can involve the head and neck.
  • Myxomas in the middle ear represent an exceptionally uncommon anatomical location.

Observation:

  • A 42-year-old woman presented with a year of progressive right ear fullness and hearing loss.
  • High-resolution computed tomography (HRCT) identified an isodense soft tissue mass in the right mastoid and middle ear.
  • The mass was surgically excised using a canal wall up tympanomastoidectomy.

Findings:

  • Complete en bloc resection of the middle ear myxoma was achieved.
  • Post-operative follow-up at 36 months revealed no recurrence.
  • The patient remained asymptomatic with complete resolution of her initial complaints.

Implications:

  • This case underscores the importance of considering rare pathologies in the middle ear, even with typical symptoms.
  • Successful surgical management of middle ear myxomas is feasible with complete resection.
  • Long-term follow-up is crucial for confirming the absence of recurrence in myxoma cases.