The Journal of International
Advanced Otology
Case Report

Middle Ear Osteoma Causing Mixed Hearing Loss: A Case Report


Department of Otolaryngology Head and Neck Surgery, and Skull Base Surgery, Centre Hospitalier Universitaire (CHU) de Bordeaux, Bordeaux, France

J Int Adv Otol 2018; 14: 493-496
DOI: 10.5152/iao.2018.5265
Read: 3223 Downloads: 894 Published: 03 September 2019



Osteomas of the middle ear are rare benign tumors. Their consequences and symptoms are due to their specific location, such as the promontory or the epitympanum and their contact with the facial nerve, the semicircular canal, the ossicles, and the oval or round windows. We report a very unusual case of middle ear osteoma (MEO) in a 23-year-old male patient causing a right mixed hearing loss by contacting and overwhelming the incus and stapes. The lesion was also closely attached to the tympanic portion of the fallopian canal. Since the stapes was not clearly visible behind the lesion, careful observation was preferred to surgery owing to the high risk of inner ear damage and facial palsy with removal of the lesion. MEOs are rarely situated at this critical site. Regular clinical and computerized tomography monitoring is warranted to check their growth. This case also supports the etiological theory of chronic middle ear inflammation causing osteomas.

Cite this article as
: Molher J, de Mones del Pujol E, do Santos Zounon A, Darrouzet V, Bonnard D. Middle Ear Osteoma Causing Mixed Hearing Loss: A Case Report. J Int Adv Otol 2018; 14(3): 493-6.

EISSN 2148-3817