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Ossicular chain reconstruction using costal cartilage in malleoincudal osteoma

Published online by Cambridge University Press:  20 October 2021

F Piazza Open the ORCID record for F Piazza [Opens in a new window]  and
A Frisina Open the ORCID record for A Frisina [Opens in a new window]
F Piazza*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, ASST Carlo Poma Mantova, Mantua, Italy
A Frisina
Affiliation:
Department of Otolaryngology, San Bortolo Hospital, Vicenza, Italy
*
Author for correspondence: Prof Fabio Piazza, Department of Otolaryngology–Head and Neck Surgery, ASST Carlo Poma Mantova, Strada Lago Paiolo 10, 46100 Mantua, Italy E-mail: prof.piazza@hotmail.it
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Abstract

Objectives

To report an extremely rare case of malleoincudal osteoma that led to conductive hearing loss despite an unusually normal otomicroscopic appearance, and to highlight the usefulness of costal cartilage for ossicular chain reconstruction after tumour removal.

Case report

A 37-year-old woman presented with a 2-year history of progressive, right-sided hearing loss. Physical examination revealed a normal tympanic membrane. Pure tone audiometry showed a right-sided conductive hearing loss. High-resolution computed tomography revealed a right-sided epitympanic mass arising from the malleus head and contiguous with the incus. The patient underwent a closed mastoido-epitympanectomy. The malleus head and the incus with associated malleoincudal osteoma were removed. Ossicular chain reconstruction using costal cartilage was performed at the time of tumour removal.

Conclusion

The possibility of a middle-ear osteoma must be considered in cases of unilateral and progressive conductive hearing loss with a normal otomicroscopic appearance in patients with no history of ear infection, trauma or prior surgery, and with no family history of hearing loss. Surgical treatment is indicated in cases of significant conductive hearing loss. To our knowledge, this is the first case report of malleoincudal osteoma in which the ossicular chain was reconstructed using costal cartilage.

Keywords

OsteomaMalleusIncusHearing Loss, ConductiveOssicular Prosthesis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 3 , March 2022 , pp. 268 - 270
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Prof F Piazza takes responsibility for the integrity of the content of the paper

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