Myxoma Arising from the Middle Ear: A Case Report

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.