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Temporal bone osteoma – a rare benign tumor : a case series

Rushikesh Harkut, Roshni Mohanty, N. Gaikwad, Amruta Tantak

Indian Journal Of Applied Research, 2024

Abstract

Background: Osteomas, arising from osteoblasts, are slow-growing benign mesenchymal tumors. While they can

appear in any bone, their rarity in the temporal bone and middle ear (0.1% to 1% of benign skull tumors) emphasizes their

distinctiveness. Initially asymptomatic, osteomas may become symptomatic with increasing size, commonly causing pain. Their unique

prevalence underscores the importance of vigilance, as early stages may lack noticeable symptoms. This insight into osteomas highlights the

potential for evolving clinical manifestations, particularly pain, necessitating attention as these benign tumors progress. The Case series: We are

describing a case series of 3 unique cases of painless post-aural swelling. Clinical evaluation and a high-resolution CT scan of the temporal bone

aided in diagnosing the swelling. Surgical excision was done for all the patients. Post-surgery, histopathological examination conrmed the

diagnosis by scrutinizing tissue characteristics, validating the nature of the swelling as an osteoma. This comprehensive approach highlights the

importance of accurate diagnosis and subsequent surgical intervention in osteoma cases. Osteomas in Conclusion: the mastoid area of the

temporal bone, often presenting as asymptomatic swelling causing cosmetic disgurement, can be effectively treated with total excision,

yielding a good prognosis. Despite the lack of ear-related symptoms, vigilance for syndromic associations and extratemporal symptoms is

essential.…

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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