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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 8. no 2. June 2009  

 Original articles
Ceruminoma in the middle ear behind an intact tympanic membrane – case report
Wiesław Konopka, Marzena Mielczarek, Jurek Olszewski

Middle ear neoplasms occur rarely, especially those originating from ceruminal glands. Ceruminoma was described for the first time in 1976. Clinical symptoms depend on the size, expansion (the extent of damage done to the surrounding structures) and histological type of the tumour. Sometimes progressive conductive hearing loss is the only symptom of progressive, painless tumour development in the middle ear.
The article describes the case of a 53 year old woman admitted to hospital due to 3 year-long, progressing hearing loss and tinnitus in the right ear. The right tympanic membrane was intact, matt, without the reflex, protruding in posterior and superior quadrants. Pure tone audiometry revealed conductive hearing loss. Computer tomography of temporal bones revealed a hyperdensive structure filling partially the right tympanic cavity. The patient was subjected to antromastoidectomy, anterior and posterior tympanotomy with removal of the tumour from the right tympanic cavity and epitympanic recess. Ceruminous adenoma was diagnosed from the results of histopathological examination.

keywords: ceruminoma, ucho środkowe, ceruminoma, middle ear

pages: from 93 to 95

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