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Middle-ear lipoma as a cause of otomastoiditis

Published online by Cambridge University Press:  29 June 2007

Joseph L. Edmonds
Affiliation:
Department of Otolaryngology, University of Kansas, USA.
Janet M. Woodroof
Affiliation:
Department of Pathology, University of Kansas, USA.

Abstract

We present a case report which describes a rare cause of a common clinical problem; eustachian tube dysfunction. A seven-year-old child presented with a history of chronic draining ears, despite rigorous medical therapy and multiple ventilation tubes. At myringotomy a mass was noted in the middle ear, and she was taken to the operating room for exploration. The patient was found to have a pedunculated lipoma arising from the anterior medial aspect of the middle-ear cleft producing intermittent obstruction of the eustachian tube orifice. This case represents the fourth case of a middle-ear lipoma in the world literature. We present a review of the literature and an exploration of possible aetiologies of this unusual entity in the differential diagnosis of eustachian tube dysfunction.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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Footnotes

Paper presented at the American Laryngological, Rhinological and Otological Society, Middle Section Meeting, Kansas City, Missouri, USA, 25 January 1997.

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