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High-Speed Human Temporal Bone Sectioning for the Assessment of COVID-19-Associated Middle Ear Pathology

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Kimura's Disease in Temporal Bone: A Case Report.

Deeptabha Misra¹, Avvaru Satya Kiran¹, Aseesh Dora¹

¹Department of ENT, Government ENT Hospital, Hyderabad, Telengana India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|June 17, 2024

Summary

This summary is machine-generated.

This case report details Kimura's disease, a rare condition, affecting the temporal bone. Surgical intervention and histopathology confirmed the diagnosis in a 27-year-old male with ear pain and discharge.

Keywords:

Case report Kimura’s disease Temporal bone

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Area of Science:

Otorhinolaryngology
Pathology
Radiology

Background:

Kimura's disease is a rare benign lymphoproliferative disorder.
It typically affects the head and neck region, but involvement of the temporal bone is exceptionally uncommon.
Early diagnosis and management are crucial to prevent complications.

Purpose of the Study:

To report a rare case of Kimura's disease involving the temporal bone.
To highlight the diagnostic challenges and management strategies for this condition in this specific anatomical location.
To contribute to the literature on extranodal Kimura's disease.

Main Methods:

A comprehensive evaluation including clinical examination, hematological tests, High-Resolution Computed Tomography (HRCT) of the temporal bone, and histopathological analysis was performed.
Surgical management involved right-sided canal wall down mastoidectomy and Type 1 Tympanoplasty.
Histopathological examination of the excised tissue was crucial for diagnosis.

Main Results:

Clinical presentation included right ear pain and discharge for two months.
HRCT revealed a heterogeneous lesion in the right middle ear, mastoid, and extending towards the jugular foramen, with bone erosion.
Histopathology confirmed Kimura's disease with characteristic findings of dilated blood vessels and hemorrhage.

Conclusions:

Kimura's disease can present atypically in the temporal bone, mimicking other pathologies.
Multimodality evaluation, including advanced imaging and histopathology, is essential for accurate diagnosis.
Surgical management followed by histopathological confirmation is the standard approach for temporal bone Kimura's disease.