Middle ear osteoma causing progressive facial nerve weakness: a case report

Salivary gland choristoma is an extremely rare middle ear pathology. We present the case of a 10-year-old girl with unilateral conductive hearing loss. Tympanotomy showed a nonspecific middle ear mass, absence of stapes, anomaly of incus, and displaced facial nerve. It was not possible to remove the mass completely. Histology confirmed salivary gland choristoma. The hearing in this case can be improved with a bone-anchored hearing aid.

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Case Report: Case report: A rare case of middle-ear Rhabdomyosarcoma in a 4-year-old boy

F1000Research ◽

10.12688/f1000research.20558.1 ◽

2019 ◽

Vol 8 ◽

pp. 1734

Author(s):

Richard Menzies-Wilson ◽

Gentle Wong ◽

Prodip Das

Keyword(s):

Case Report ◽

Facial Nerve ◽

Middle Ear ◽

Rare Case ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Excisional Biopsy ◽

Embryonal Rhabdomyosarcoma ◽

Aural Polyp ◽

The Right

We present a rare case of a four-year-old boy with a botyroid embryonal rhabdomyosarcoma of the right middle ear. Rhabdomyosarcoma is a soft tissue malignancy which is thought to originate from embryonic mesenchymal cells of striated skeletal muscle. It is a disease primarily of children and is exceptionally rare in parameningeal regions. The diagnosis is often delayed and easily misdiagnosed as aural polyp. Therefore, advanced disease is common at the time of diagnosis. A four-year-old boy presented with a four-month history of recurrent left ear blood and pus discharge, otalgia and fevers. He attended his GP three times and paediatric A&E 13 times where he received antibiotics for presumed otitis media and externa. He was eventually referred to the otolaryngology department and underwent an examination under anaesthesia of ear and excisional biopsy of a suspicious aural polyp. Staging chest CT and PET scan showed no loco-regional spread or distal metastasis. Magnetic resonance imaging demonstrated absence of invasion into adjacent organs. Histology confirmed embryonal rhabdomyosarcoma, botryoid subtype. Subsequent to the initial excision of the polyp, he was started on an ifosfamine, vincristine and actinomycin (IVA) chemotherapy regime in three weekly cycles for nine cycles with concomitant radiotherapy. Two weeks subsequent to his first chemotherapy dose he presented with a House-Brackmann II-III facial nerve palsy but no other middle ear complications. He was started on intravenous antibiotics and dexamethasone. The facial nerve palsy incompletely resolved with treatment.

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Pintail Comb Injury as a Rare Cause of Penetrating Temporal Bone Trauma With Facial Paralysis

Ear Nose & Throat Journal ◽

10.1177/0145561320968933 ◽

2020 ◽

pp. 014556132096893

Author(s):

Dylan Jacob Cooper ◽

Stanley Pelosi

Keyword(s):

Hearing Loss ◽

Case Report ◽

Facial Nerve ◽

Tympanic Membrane ◽

Temporal Bone ◽

Facial Paralysis ◽

Middle Ear ◽

Complete Resolution ◽

Bone Trauma ◽

Nerve Dysfunction

We present a case of novel penetrating temporal bone trauma with a pintail comb causing facial paralysis. We describe a 42-year-old woman with acute facial paralysis, hearing loss, and dizziness following accidental tympanic membrane puncture. The patient underwent middle ear exploration with tympanoplasty and was found to have an intact but severely edematous facial nerve. The patient demonstrated less than 90% degeneration under electroneuronography and was treated medically without decompression, and by 6 months had exhibited complete resolution of facial nerve dysfunction with normal hearing. This case report highlights a unique cause of penetrating temporal bone trauma and supports the utility of electroneuronography in predicting the likelihood of recovery and need for decompression in patients where the facial nerve has obvious signs of trauma but remains grossly intact.

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Case Report: Case report: A rare case of middle-ear Rhabdomyosarcoma in a 4-year-old boy

F1000Research ◽

10.12688/f1000research.20558.2 ◽

2019 ◽

Vol 8 ◽

pp. 1734

Author(s):

Richard Menzies-Wilson ◽

Gentle Wong ◽

Prodip Das

Keyword(s):

Case Report ◽

Facial Nerve ◽

Middle Ear ◽

Rare Case ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Excisional Biopsy ◽

Embryonal Rhabdomyosarcoma ◽

Aural Polyp ◽

The Right

We present a rare case of a four-year-old boy with a botyroid embryonal rhabdomyosarcoma of the right middle ear. Rhabdomyosarcoma is a soft tissue malignancy which is thought to originate from embryonic mesenchymal cells of striated skeletal muscle. It is a disease primarily of children and is exceptionally rare in parameningeal regions. The diagnosis is often delayed and easily misdiagnosed as aural polyp. Therefore, advanced disease is common at the time of diagnosis. A four-year-old boy presented with a four-month history of recurrent left ear blood and pus discharge, otalgia and fevers. He attended his GP three times and paediatric A&E 13 times where he received antibiotics for presumed otitis media and externa. He was eventually referred to the otolaryngology department and underwent an examination under anaesthesia of ear and excisional biopsy of a suspicious aural polyp. Staging chest CT and PET scan showed no loco-regional spread or distal metastasis. Magnetic resonance imaging demonstrated absence of invasion into adjacent organs. Histology confirmed embryonal rhabdomyosarcoma, botryoid subtype. Subsequent to the initial excision of the polyp, he was started on an ifosfamine, vincristine and actinomycin (IVA) chemotherapy regime in three weekly cycles for nine cycles with concomitant radiotherapy. Two weeks subsequent to his first chemotherapy dose he presented with a House-Brackmann II-III facial nerve palsy but no other middle ear complications. He was started on intravenous antibiotics and dexamethasone. The facial nerve palsy incompletely resolved with treatment.

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Late Surgical Decompression of Facial Nerve in Bell's Palsy: A Case Report

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0032-1314414 ◽

2012 ◽

Vol 73 (S 02) ◽

Author(s):

L. M. Marques ◽

J. Pimentel ◽

P. Escada ◽

G. Neto D'Almeida

Keyword(s):

Case Report ◽

Facial Nerve ◽

Bell’S Palsy ◽

Surgical Decompression ◽

Bell's Palsy

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TRANSIENT FACIAL NERVE PALSY AFTER SCALP BLOCK FOR AWAKE CRANIOTOMY: A CASE REPORT

Indian Journal of Case Reports ◽

10.32677/ijcr.2018.v04.i05.011 ◽

2018 ◽

Vol 4 (5) ◽

pp. 369-371

Author(s):

Rajashree U Gandhe . ◽

Chinmaya P Bhave . ◽

Avinash S Kakde . ◽

Neha T Gedam .

Keyword(s):

Case Report ◽

Facial Nerve ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Awake Craniotomy ◽

Scalp Block

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Endoscopic Surgery of Congenital Cholesteatoma in the Anterior Epitympanic Recess: A Case Report of a Rare Location

Ear Nose & Throat Journal ◽

10.1177/0145561320969249 ◽

2020 ◽

pp. 014556132096924

Author(s):

Hong Chan Kim ◽

Hyung Chae Yang ◽

Hyong-Ho Cho

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Middle Ear ◽

Endoscopic Surgery ◽

Minimally Invasive Approach ◽

Ear Surgery ◽

Invasive Approach ◽

Congenital Cholesteatoma ◽

Rare Location ◽

Histopathological Type

Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.

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Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

Ear Nose & Throat Journal ◽

10.1177/01455613211000295 ◽

2021 ◽

pp. 014556132110002

Author(s):

Aleksander Zwierz ◽

Krystyna Masna ◽

Paweł Burduk

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Literature Review ◽

Middle Ear ◽

Surgical Procedures ◽

Preoperative Diagnosis ◽

Proper Treatment ◽

Second Stage ◽

Middle Ear Adenoma ◽

Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

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Facial Nerve Reconstruction with Free Vascularized Composite Nerve Flap from Intrapetrous Portion to Terminal Branches—Case Report

Indian Journal of Plastic Surgery ◽

10.1055/s-0041-1729667 ◽

2021 ◽

Author(s):

Pedro C. Cavadas ◽

Magdalena Baklinska

Keyword(s):

Case Report ◽

Soft Tissue ◽

Facial Nerve ◽

Free Flap ◽

Nerve Reconstruction ◽

Nerve Stump ◽

Stylomastoid Foramen ◽

Facial Nerve Reconstruction ◽

Delayed Reconstruction

AbstractThe case presented here is a delayed reconstruction of a facial nerve defect after radical parotidectomy without a useful nerve stump at the stylomastoid foramen. A composite free flap was used to reconnect the nerve’s intrapetrous portion to the peripheral branches and reconstruct the soft-tissue deficit.

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