Asian Journal of Research in Surgery

Middle Ear Adenoma with Uncommon Presentation: A Case Report

Edde Dih Haimedah *

Military Hospital, Nouakchott, Mauritania.

Hamed Bamine

Military Hospital, Nouakchott, Mauritania.

Hacen Hamoud

Military Hospital, Nouakchott, Mauritania.

Tijani Mohamed Abdel Malik

Military Hospital, Nouakchott, Mauritania.

Heiba Mohamed

Military Hospital, Nouakchott, Mauritania.

Ledour Abdelvetah

Military Hospital, Nouakchott, Mauritania.

*Author to whom correspondence should be addressed.

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Abstract

Adenomas of the middle ear are even rarer. Although considered benign tumors, they carry a risk of recurrence and malignant transformation. We present a 37-year-old patient with a hypoacusis of the left ear with purulent otorrhea on a non-marginal tympanic perforation as symptomatology. The audiogram showed transmission deafness, and the scanner found a fleshy attic mass with a preserved ossicular chain. The patient underwent an antro-atticotomy with mass excision, the anatomopathological result of which was in favor of an adenoma of the middle ear. The patient has shown no recurrence for almost 2 years. In conclusion, middle ear adenomas are rare neoplasms and have no specific symptoms or clinical presentation. Total exploration and extirpation is required for treatment, and microscopic and immunohistochemical examinations are mandatory for a definitive diagnosis.

Keywords: Case report, adenoma, middle ear, atticotomy

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