Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Middle Ear Teratoma: Clinical and Imaging Features

Author(s): Jun-hua Liu, Wen-hu Huang, Yin Liu, Fang Zhang* and Yan Sha*

Volume 19, Issue 11, 2023

Published on: 02 February, 2023

Article ID: e170123212813 Pages: 9

DOI: 10.2174/1573405619666230117140658

Price: $65

Abstract

Background: Teratoma is a true neoplasm composed of a number of different types of tissue derived from the three germinal layers but rarely occurs in the middle ear (ME). The features of middle ear teratomas (MET) have not been well described.

Objective: The objective of this study is to explore the clinical and imaging features of MET, and report 2 rare cases of MET with ear malformation that have never been reported.

Materials and Methods: The clinical, CT and MRI data of 8 patients with a pathological diagnosis of MET were collected and retrospectively mined, and 14 patients with MET reported in previous literature were also reviewed.

Results: ① Female, left ear predominance in MET, and the most common symptoms were otorrhea and hearing loss. ② On CT and MRI, the MET presented as an irregular soft tissue mass that was heterogeneous, with fatty tissue and involved multiple sites, and the ET and tympanum were correspondingly expanded and locally destroyed. ③ Mictotia with MET in two patients was presented, which was the first report.

Conclusion: MET has female sex and left ear predominance. CT and MRI can be used to diagnose MET and display its extent and its relationship to the carotid canal in detail. Complete surgical excision is the definitive treatment.

Graphical Abstract

[1]
Coppit GL III, Perkins JA, Manning SC. Nasopharyngeal teratomas and dermoids: A review of the literature and case series. Int J Pediatr Otorhinolaryngol 2000; 52(3): 219-27.
[http://dx.doi.org/10.1016/S0165-5876(00)00288-3] [PMID: 10841951]
[2]
Nawaz A, Matta H, Shawis R, et al. Teratomas in infancy and childhood: A 10-year experience. Ann Saudi Med 1998; 18(4): 356-9.
[http://dx.doi.org/10.5144/0256-4947.1998.356] [PMID: 17344693]
[3]
Rondenet C, Boudjemaa S, Sileo C, Garabedian EN, Ducou le Pointe H, Blondiaux E CT. and MR imaging findings of teratoma of the Eustachian tube. Diagn Interv Imaging 2017; 98(3): 269-71.
[http://dx.doi.org/10.1016/j.diii.2016.10.008] [PMID: 28038916]
[4]
Ruah CB, Cohen D, Sadé J. Eustachian tube teratoma and its terminological correctness. J Laryngol Otol 1999; 113(3): 271-4.
[http://dx.doi.org/10.1017/S0022215100143774] [PMID: 10435143]
[5]
Silverstein H, Griffin WL Jr, Balogh K Jr. Teratoma of the middle ear and mastoid process. A case with aberrant innervation of the facial musculature. Arch Otolaryngol Head Neck Surg 1967; 85(3): 243-8.
[http://dx.doi.org/10.1001/archotol.1967.00760040245003] [PMID: 6019239]
[6]
Forrest AW, Carr SJ, Beckenham EJ. A middle ear teratoma causing acute airway obstruction. Int J Pediatr Otorhinolaryngol 1993; 25(1-3): 183-9.
[http://dx.doi.org/10.1016/0165-5876(93)90052-5] [PMID: 8436463]
[7]
Cunchillos MN, Calvo Bonachera MD, Cunchillos MN, Cassinello E, Lizana JR, Esteban JO. Middle ear teratoma in a newborn. J Laryngol Otol 1996; 110(9): 875-7.
[http://dx.doi.org/10.1017/S0022215100135212] [PMID: 8949302]
[8]
Roncaroli F, Scheithauer BW, Pires MM, Rodrigues AS, Pereira JR. Mature teratoma of the middle ear. Otol Neurotol 2001; 22(1): 76-8.
[http://dx.doi.org/10.1097/00129492-200101000-00015] [PMID: 11314721]
[9]
Wasinwong Y, Chaipasithikul S, Kanchanapitak P. Eustachian tube mature teratoma. Otolaryngol Head Neck Surg 2003; 128(4): 589-91.
[http://dx.doi.org/10.1016/S0194-59980223310-0] [PMID: 12707668]
[10]
Chen M, Sun P, Liu W, Liu S, Zhang Y. Eustachian tube mature teratoma. Int J Pediatr Otorhinolaryngol Extra 2011; 6(1): 20-2.
[http://dx.doi.org/10.1016/j.pedex.2009.12.004]
[11]
Li JY, Sun LX, Hu N, et al. Eustachian tube teratoma: A case report. World J Clin Cases 2022; 10(1): 316-22.
[http://dx.doi.org/10.12998/wjcc.v10.i1.316] [PMID: 35071534]
[12]
Bowyer DJ, Wilson J, Sillars HA. Mature teratoma of the eustachian tube. Otol Neurotol 2012; 33(6): e43-4.
[http://dx.doi.org/10.1097/MAO.0b013e3182487e14] [PMID: 22334159]
[13]
Alqurashi A, Bakry E, Straube M, Rickert CH, Mir-Salim P. Mature teratoma of the temporal bone in 3.5-month-old baby girl. Case Rep Otolaryngol 2015; 2015: 372089.
[http://dx.doi.org/10.1155/2015/372089] [PMID: 25945275]
[14]
Cruz-Toro P, Moya R, Domènech I. Eustachian tube teratoma. Acta Otorrinolaringol Esp 2015; 66(4): 22-3.
[http://dx.doi.org/10.1016/j.otoeng.2013.11.023]
[15]
León F, Alvo A, Sanhueza D, Délano PH, Stott CE. HASTE diffusion-weighted magnetic resonance imaging of middle ear teratoma. Otol Neurotol 2015; 36(10): e156-8.
[http://dx.doi.org/10.1097/MAO.0000000000000528] [PMID: 25247437]
[16]
Wang J, Gong S, Li X. Teratoma of the middle ear with cholesteatoma. Otol Neurotol 2016; 37(3): e165-6.
[http://dx.doi.org/10.1097/MAO.0000000000000856] [PMID: 26571407]
[17]
Ibrahim N, Wooles NR, Elloy M, Da Forno P. A hairy situation. BMJ Case Rep 2015; 2015: bcr2015209825.
[http://dx.doi.org/10.1136/bcr-2015-209825] [PMID: 26055604]
[18]
Molteni G, Fabbris C, Molinari G, et al. Correlation between preoperative CT findings and intra-operative features in pediatric cholesteatoma: A retrospective study on 26 patients. Eur Arch Otorhinolaryngol 2019; 276(9): 2449-56.
[http://dx.doi.org/10.1007/s00405-019-05500-x] [PMID: 31175451]
[19]
Buen F, Chu CH, Ishiyama A. Middle ear lipoma mimicking a congenital cholesteatoma: A case report and review of the literature. Int J Pediatr Otorhinolaryngol 2018; 115: 110-3.
[http://dx.doi.org/10.1016/j.ijporl.2018.09.021] [PMID: 30368369]
[20]
Baget S, François A, Andrieu-Guitrancourt J, Marie JP, Dehesdin D. Hamartoma of the middle ear: A case study. Int J Pediatr Otorhinolaryngol 2003; 67(3): 287-91.
[http://dx.doi.org/10.1016/S0165-5876(02)00376-2] [PMID: 12633930]
[21]
Shbaklo Z, Kibbi AG, Zaynoun ST. Multiple hamartomas of the ears: A report of a case. J Am Acad Dermatol 1991; 24(2): 293-5.
[http://dx.doi.org/10.1016/S0190-9622(08)80613-5] [PMID: 2007683]
[22]
Nalavenkata S, Meller C, Forer M, Patel NP. Dermoid cysts of the Eustachian tube: A transnasal excision. Int J Pediatr Otorhinolaryngol 2013; 77(4): 588-93.
[http://dx.doi.org/10.1016/j.ijporl.2012.12.026] [PMID: 23380630]
[23]
Wu J, Schulte J, Yang C, Baroody F, Ginat DT. Hairy polyp of the nasopharynx arising from the Eustachian tube. Head Neck Pathol 2016; 10(2): 213-6.
[http://dx.doi.org/10.1007/s12105-015-0632-2] [PMID: 25939422]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy