Alamar A, Sánchez-Alcón M D, Pérez Garrigues H, Morera C
Servicio de Otorrinolaringología, Hospital Universitario, La Fe.
An Otorrinolaringol Ibero Am. 1994;21(4):403-8.
Osteomas of the middle ear are extremely rare. Those of the mastoid process being most frequent encountered als the tympanic sitting. Extracanalicular osteomas of the temporal bone are scarce. Bibliography about this particular subject account for 60 communications, only 9 with reference to the middle ear. The AA. report the case of an osteoma of the left incus in an 17-years-old boy, suffering a progressive deafness dating from 3 years term. The otoscopy showed a reddish mass protruding in the tympanum. TC and MNR provided evidence of a mass involving de auditory ossicula. Through an exploratory tympanotomy could be removed the anomaly. Histopathology make sure the diagnosis of osteoma. The AA. remark some clinical and surgical features of the piece compared with the other 10 cases reported in the literature reviewed.
中耳骨瘤极为罕见。乳突骨瘤最为常见,其次是鼓室骨瘤。颞骨外耳道外骨瘤较为少见。关于这一特定主题的文献有60篇报道,其中仅9篇涉及中耳。作者报告了一名17岁男孩左侧砧骨骨瘤的病例,该男孩自3年前起患有进行性耳聋。耳镜检查显示鼓膜内有一红色肿物突出。CT和磁共振成像显示有肿物累及听小骨。通过探查性鼓室切开术可切除该异常肿物。组织病理学确诊为骨瘤。作者将该病例的一些临床和手术特征与文献综述中报道的其他10例病例进行了比较。