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Osteomas of temporal bone: a rare presentation.

Nethra Dinakaran¹, Vivekanandan Balakumar², Prasanna Kumar Saravanam³

¹Otorhinolaryngology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

BMJ Case Reports

|April 23, 2022

Summary

A rare temporal bone osteoma, a benign tumor of mature bone, caused a woman

Keywords:

Ear, nose and throat Neurootology Pathology

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Published on: May 23, 2021

Area of Science:

Otolaryngology
Neurosurgery
Oncology

Background:

Osteomas are benign, slow-growing tumors composed of mature lamellar bone.
Temporal bone osteomas, particularly in the external auditory canal, can cause symptoms like ear pain and hearing loss.
Surgical intervention is recommended for temporal bone osteomas with potential complications.

Observation:

A 36-year-old woman presented with ear discharge, pain, hearing loss, and occasional bleeding.
Diagnosis revealed a temporal bone osteoma eroding the lateral semicircular canal and facial canal.
The osteoma was surgically excised, and the affected areas were reconstructed.

Findings:

The case highlights a complex presentation of a temporal bone osteoma.
Erosion of critical structures, including the lateral semicircular canal and facial nerve canal, was observed.
Successful surgical management involved complete osteoma excision and reconstruction.

Implications:

This case underscores the importance of timely diagnosis and surgical management of temporal bone osteomas.
Effective treatment can prevent further complications and restore function.
Further research into the management of complex temporal bone osteomas is warranted.