Department of Otolaryngology Head and Neck Surgery, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.
Department of Radiology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.
J Int Adv Otol. 2020 Aug;16(2):282-285. doi: 10.5152/iao.2019.7276.
The primary head and neck myxomas are rare, generally arising from the mandible, maxilla, and oral cavity. Other anatomical areas, such as cardiac myxomas, may also have metastases to the head and neck regions. The middle ear is an extremely rare location for myxomas. Myxoma slowly grows and is usually asymptomatic until it affects the surrounding structures. Surgical treatment is performed with a complete en bloc resection where possible. We report a case of a 42-year-old woman with myxoma arising from the right middle ear because of her tumor's rare anatomical region. Her main complaints were progressive fullness and loss of hearing which she felt for approximately 1 year on the right ear. High-resolution computed tomography (HRCT) revealed an isodense soft tissue mass localized in the right mastoid bone and the middle ear. The mass was totally removed by canal wall up tympanomastoidectomy. At the last follow-up examination on 36 months after the surgery, the patient was asymptomatic, and there were no signs of recurrence.
原发性头颈部黏液瘤较为罕见，通常起源于下颌骨、上颌骨和口腔。其他解剖部位，如心脏黏液瘤，也可能有转移到头颈部。中耳是黏液瘤极其罕见的部位。黏液瘤缓慢生长，通常在影响周围结构之前无症状。如有可能，通过整块切除术进行手术治疗。我们报告了一例 42 岁女性右中耳黏液瘤病例，其肿瘤位于罕见的解剖区域。她的主要症状是右耳渐进性饱满和听力丧失，大约 1 年前开始出现这些症状。高分辨率计算机断层扫描（HRCT）显示右乳突骨和中耳内等密度软组织肿块。通过鼓室上鼓室切开术完全切除了肿块。在手术后 36 个月的最后一次随访检查中，患者无症状，无复发迹象。
