Title:
Neuroendocrine adenoma of the middle ear (NAME) mimicking as chronic otitis media with an episode of facial nerve palsy
Authors:
P. V. Tomazic , A. Beham , A. Lackner , T. Ropposch , U. Stockreiter and C. Walch 1
Institutions:
ENT-UniversityHospitalGraz,DivisionofNeurootology,MedicalUniversityGraz; InstituteofPathology,Medical UniversityGraz
Keywords:
Neuroendocrinetumour;adenoma;middleear;facialnerveparalysis;otitismedia
Pages:
121 - 125
Abstract:
Neuroendocrine adenoma of the middle ear (NAME) mimicking as chronic otitis media with an episode of facial nerve palsy. Objectives: Toincreaseawarenessofneuroendocrineadenomasofthemiddleear(NAME),rare lesions often mistaken for other entities or chronic otitis media. Histogenesis remains controversial, although the consensustendstowardapluripotentstemcellofthemiddleearmucosaastheoriginofthelesion.Thetumouris characterisedbydualdifferentiationwithexocrineandendocrinecomponents.Themostcommonsymptomsarecon- ductivehearingloss,tinnitusandvertigo.Thetreatmentofchoiceiscompletesurgicalremovalofthetumourwithno adjuvantradiotherapybeingrequired. Case report: Wereportthecaseofa23-year-oldmanpresentingwithchronicotitismedia,conductivehearingloss, vertigoandtinnituswho,someyearspreviously,hadsufferedfromanepisodeoffacialnervepalsy.Conservativetherapy failedandsosurgerywasperformed.Tumour-likemasseswereencounteredandhistologicalandimmunohistochemical examinationrevealedaneuroendocrineadenomaofthemiddleear. Conclusion: Thisrareentityshouldbeconsideredasdifferentialdiagnosiswhentreatingchronicinflammatorydisease notrespondingtoconservativetherapyordealingwithunclearexpansiveprocessesofthemiddleear.MRIscansshould beperformedsinceCTscansareinconclusive.
Issue:
Vol. 7, 2011, 2nd trimester


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Neuroendocrine adenoma of the middle ear (NAME) mimicking as chronic otitis media with an episode of facial nerve palsy