Primary adenoma of the middle ear

Primary neoplasms of the ear are indeed unusual. Adenomatous middle ear tumors are even more unusual and have been, in previous presentations, uniformly labeled adenocarcinoma. Radical therapeutic approaches have therefore often been recommended. More recent literature has confidently established the existence of the entity of benign primary middle ear adenoma. In two reports only twenty-three cases have been recorded. The purpose of this article is to add two such cases to the literature. Current concepts in diagnosis and histopathogenesis are presented. Treatment guidelines are suggested.