A rare presentation of a middle ear osteoma of the incus case report

Middle ear osteoid osteomas are rare, and they can be misdiagnosed as otosclerosis. Conductive hearing loss, aural fullness, tinnitus and rarely otorrhoea are presenting symptoms. A rare paediatric case is highlighted here. The aim is to consider this amongst differential diagnosis and the operative...

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Main Authors: Kiran Jumani, Miljyot Singh Sangha, Ashok Adams, Delisha Naaz, Victoria Bryant
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Acta Oto-Laryngologica Case Reports
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Online Access:https://www.tandfonline.com/doi/10.1080/23772484.2024.2355116
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author Kiran Jumani
Miljyot Singh Sangha
Ashok Adams
Delisha Naaz
Victoria Bryant
author_facet Kiran Jumani
Miljyot Singh Sangha
Ashok Adams
Delisha Naaz
Victoria Bryant
author_sort Kiran Jumani
collection DOAJ
description Middle ear osteoid osteomas are rare, and they can be misdiagnosed as otosclerosis. Conductive hearing loss, aural fullness, tinnitus and rarely otorrhoea are presenting symptoms. A rare paediatric case is highlighted here. The aim is to consider this amongst differential diagnosis and the operative technique has also been discussed. A 10-year-old girl with a one-year history of intermittent bloody otorrhoea presented to the Whipps Cross paediatric otology clinic. CT and MRI scan demonstrated an intrinsic lesion centred on the incus. Otoendoscopic examination and radiological investigations deemed the lesion of undetermined significance. A transcanal endoscopic excision of this lesion was performed. Histology revealed a lesion consistent with an osteoid osteoma. Osteoid osteomas of the middle ear represent an important differential diagnosis to consider when assessing patients with otalgia, otorrhea, tinnitus and an associated conductive deafness.
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series Acta Oto-Laryngologica Case Reports
spelling doaj-art-ff2cfdd47d124e10a7e6dc597b1b58692025-08-20T02:49:20ZengTaylor & Francis GroupActa Oto-Laryngologica Case Reports2377-24842024-12-0191646710.1080/23772484.2024.2355116A rare presentation of a middle ear osteoma of the incus case reportKiran Jumani0Miljyot Singh Sangha1Ashok Adams2Delisha Naaz3Victoria Bryant4Department of Ear, Nose and Throat, Whipps Cross University Hospital, Barts Health NHS Trust, London, UKDepartment of Ear, Nose and Throat, Whipps Cross University Hospital, Barts Health NHS Trust, London, UKDepartment of Neuroradiology, Barts Health NHS Trust, London, UKFaculty of Medicine and Dentistry, Queen Mary University of London, London, UKDivision of Cellular Pathology, Barts Health NHS Trust, London, UKMiddle ear osteoid osteomas are rare, and they can be misdiagnosed as otosclerosis. Conductive hearing loss, aural fullness, tinnitus and rarely otorrhoea are presenting symptoms. A rare paediatric case is highlighted here. The aim is to consider this amongst differential diagnosis and the operative technique has also been discussed. A 10-year-old girl with a one-year history of intermittent bloody otorrhoea presented to the Whipps Cross paediatric otology clinic. CT and MRI scan demonstrated an intrinsic lesion centred on the incus. Otoendoscopic examination and radiological investigations deemed the lesion of undetermined significance. A transcanal endoscopic excision of this lesion was performed. Histology revealed a lesion consistent with an osteoid osteoma. Osteoid osteomas of the middle ear represent an important differential diagnosis to consider when assessing patients with otalgia, otorrhea, tinnitus and an associated conductive deafness.https://www.tandfonline.com/doi/10.1080/23772484.2024.2355116OsteomaincusENTotorrhoeadeafness
spellingShingle Kiran Jumani
Miljyot Singh Sangha
Ashok Adams
Delisha Naaz
Victoria Bryant
A rare presentation of a middle ear osteoma of the incus case report
Acta Oto-Laryngologica Case Reports
Osteoma
incus
ENT
otorrhoea
deafness
title A rare presentation of a middle ear osteoma of the incus case report
title_full A rare presentation of a middle ear osteoma of the incus case report
title_fullStr A rare presentation of a middle ear osteoma of the incus case report
title_full_unstemmed A rare presentation of a middle ear osteoma of the incus case report
title_short A rare presentation of a middle ear osteoma of the incus case report
title_sort rare presentation of a middle ear osteoma of the incus case report
topic Osteoma
incus
ENT
otorrhoea
deafness
url https://www.tandfonline.com/doi/10.1080/23772484.2024.2355116
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