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The "temporocele"

M Hashash¹, M Attallah, I Joharjy

¹Department of Otorhinolaryngology, King Saud University College of Medicine and Hospital, Riyadh, Kingdom of Saudi Arabia.

The Journal of Otolaryngology

|December 1, 1995

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A rare case of spontaneous extracranial pneumatocele in a child is presented, highlighting a new term, temporocele, for this condition. This finding aids in understanding and classifying air-filled swelling outside the skull.

Area of Science:

Otolaryngology
Neurosurgery
Radiology

Background:

Spontaneous extracranial pneumatocele is a rare clinical entity characterized by air accumulation outside the cranial cavity.
Accurate terminology and classification are essential for understanding and managing such conditions.

Observation:

A 10-year-old girl presented with a fluctuant, air-filled swelling in the left tympanoparietomastoid region.
Surgical exploration revealed bony septae, an elevated cranial boundary, and ivory, cancellous bone over the zygoma.
No direct communication to the mastoid air cells was identified, and mastoid pneumatization was normal.

Findings:

The case describes a spontaneous extracranial pneumatocele without apparent connection to the middle ear or mastoid air cells.
Histopathological examination revealed characteristic bony structures contributing to the air collection.

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Implications:

The authors propose 'temporocele' as a novel, simple term for this specific type of extracranial pneumatocele.
This new terminology aims to simplify classification and improve communication among clinicians managing similar cases.
Understanding the unique anatomical findings is crucial for accurate diagnosis and surgical planning.