Stylomastoid Foramen Osteoma: Unique Challenges for Appropriate Management
ABSTRACT
Osteoma of the temporal bone is a rare and slow-growing benign tumor. It is reported to affect almost all portions of the temporal bone. However, osteoma involving the stylomastoid foramen has never been reported in the literature. We report a case of an osteoma extending from the stylomastoid foramen and occluding the external auditory canal in a young female. Although the osteoma has very close relationship with the facial nerve, it was removed because of the severity of its associated symptomatology; the osteoma was completely removed without any postoperative complications. This report is of interest as it highlights the challenges in the management of osteomas in such localization.
Osteoma of the temporal bone is a rare and slow-growing benign tumor. It is reported to affect almost all portions of the temporal bone. However, osteoma involving the stylomastoid foramen has never been reported in the literature. We report a case of an osteoma extending from the stylomastoid foramen and occluding the external auditory canal in a young female. Although the osteoma has very close relationship with the facial nerve, it was removed because of the severity of its associated symptomatology; the osteoma was completely removed without any postoperative complications. This report is of interest as it highlights the challenges in the management of osteomas in such localization.
Cite this paper
Larem, A. , Sheta, S. , Al-Qahtani, A. and Haidar, H. (2015) Stylomastoid Foramen Osteoma: Unique Challenges for Appropriate Management. International Journal of Otolaryngology and Head & Neck Surgery, 4, 277-281. doi: 10.4236/ijohns.2015.44047.
Larem, A. , Sheta, S. , Al-Qahtani, A. and Haidar, H. (2015) Stylomastoid Foramen Osteoma: Unique Challenges for Appropriate Management. International Journal of Otolaryngology and Head & Neck Surgery, 4, 277-281. doi: 10.4236/ijohns.2015.44047.
References
[1] Probst, L.E., Shankar, L. and Fox, R. (1991) Osteoma of the Mastoid Bone. The Journal of Otolaryngology, 20, 228-230. [2] Burton, D.M. and Gonzalez, C. (1991) Mastoid Osteomas. Ear, Nose & Throat Journal, 70, 161-162. [3] Unal, O.F., Tosun, F., Yetiser, S. and Dündar, A. (2000) Osteoma of the Middle Ear. International Journal of Pediatric Otorhinolaryngology, 52, 193-195.
http://dx.doi.org/10.1016/S0165-5876(00)00286-X [4] Das, A.K. and Kashyap, R.C. (2005) Osteoma of the Mastoid Bone—A Case Report. Medical Journal Armed Forces India, 61, 86-87. [5] Güngör, A., Cincik, H., Poyrazoglu, E., Saglam, O. and Candan, H. (2004) Mastoid Osteomas: Report of Two Cases. Otology & Neurotology, 25, 95-97.
http://dx.doi.org/10.1097/00129492-200403000-00002 [6] Fenton, J.E., Turner, J. and Fagan, P.A. (1996) A Histopathologic Review of Temporal Bone Exostoses and Osteomata. The Laryngoscope, 106, 624-628.
http://dx.doi.org/10.1097/00005537-199605000-00020 [7] Graham, M.D. (1979) Osteomas and Exostoses of the External Auditory Canal. A Clinical, Histopathologic and Scanning Electron Microscopic Study. Annals of Otology, Rhinology & Laryngology, 88, 566-572.
http://dx.doi.org/10.1177/000348947908800422 [8] Tran, L.P., Grundfast, K.M. and Selesnick, S.H. (1996) Benign Lesions of the External Auditory Canal. Otolaryngologic Clinics of North America, 29, 807-825. [9] Fisher, E.W. and McManus, T.C. (1994) Surgery for External Auditory Canal Exostoses and Osteomata. The Journal of Laryngology & Otology, 108, 106-110.
http://dx.doi.org/10.1017/S0022215100126027 [10] Sheehy, J.L. (1982) Diffuse Exostoses and Osteomata of the External Auditory Canal: A Report of 100 Operations. Otolaryngology Head and Neck Surgery, 90, 337-342. [11] Yamamoto, E., Iwanaga, M. and Sato, K. (1986) Osteoma with Cholesteatoma in the External Auditory Canal. Practica Oto-Rhino-Laryngologica, 79, 575-578.
http://dx.doi.org/10.5631/jibirin.79.575 [12] Orita, Y., Nishizaki, K., Fukushima, K., Akagi, H., Ogawa, T., Masuda, Y., Fukazawa, M. and Mori, Y. (1998) Osteoma with Cholesteatoma in the External Auditory Canal. International Journal of Pediatric Otorhinolaryngology, 43, 289-293.
http://dx.doi.org/10.1016/S0165-5876(98)00022-6 [13] Vrabec, J.T. and Chaljub, G. (2000) External Canal Cholesteatoma. The American Journal of Otology, 21, 608-614. [14] Mustafa, A. (2012) Osteoma of Mastoid Process Obstructing External Auditory Canal: A Case Report. Health, 4, 222-224.
http://dx.doi.org/10.4236/health.2012.44034 [15] Viswanatha, B. (2011) Characteristics of Osteoma of the Temporal Bone in Young Adolescents. Ear, Nose & Throat Journal, 90, 72-79.
[1] Probst, L.E., Shankar, L. and Fox, R. (1991) Osteoma of the Mastoid Bone. The Journal of Otolaryngology, 20, 228-230. [2] Burton, D.M. and Gonzalez, C. (1991) Mastoid Osteomas. Ear, Nose & Throat Journal, 70, 161-162. [3] Unal, O.F., Tosun, F., Yetiser, S. and Dündar, A. (2000) Osteoma of the Middle Ear. International Journal of Pediatric Otorhinolaryngology, 52, 193-195.
http://dx.doi.org/10.1016/S0165-5876(00)00286-X [4] Das, A.K. and Kashyap, R.C. (2005) Osteoma of the Mastoid Bone—A Case Report. Medical Journal Armed Forces India, 61, 86-87. [5] Güngör, A., Cincik, H., Poyrazoglu, E., Saglam, O. and Candan, H. (2004) Mastoid Osteomas: Report of Two Cases. Otology & Neurotology, 25, 95-97.
http://dx.doi.org/10.1097/00129492-200403000-00002 [6] Fenton, J.E., Turner, J. and Fagan, P.A. (1996) A Histopathologic Review of Temporal Bone Exostoses and Osteomata. The Laryngoscope, 106, 624-628.
http://dx.doi.org/10.1097/00005537-199605000-00020 [7] Graham, M.D. (1979) Osteomas and Exostoses of the External Auditory Canal. A Clinical, Histopathologic and Scanning Electron Microscopic Study. Annals of Otology, Rhinology & Laryngology, 88, 566-572.
http://dx.doi.org/10.1177/000348947908800422 [8] Tran, L.P., Grundfast, K.M. and Selesnick, S.H. (1996) Benign Lesions of the External Auditory Canal. Otolaryngologic Clinics of North America, 29, 807-825. [9] Fisher, E.W. and McManus, T.C. (1994) Surgery for External Auditory Canal Exostoses and Osteomata. The Journal of Laryngology & Otology, 108, 106-110.
http://dx.doi.org/10.1017/S0022215100126027 [10] Sheehy, J.L. (1982) Diffuse Exostoses and Osteomata of the External Auditory Canal: A Report of 100 Operations. Otolaryngology Head and Neck Surgery, 90, 337-342. [11] Yamamoto, E., Iwanaga, M. and Sato, K. (1986) Osteoma with Cholesteatoma in the External Auditory Canal. Practica Oto-Rhino-Laryngologica, 79, 575-578.
http://dx.doi.org/10.5631/jibirin.79.575 [12] Orita, Y., Nishizaki, K., Fukushima, K., Akagi, H., Ogawa, T., Masuda, Y., Fukazawa, M. and Mori, Y. (1998) Osteoma with Cholesteatoma in the External Auditory Canal. International Journal of Pediatric Otorhinolaryngology, 43, 289-293.
http://dx.doi.org/10.1016/S0165-5876(98)00022-6 [13] Vrabec, J.T. and Chaljub, G. (2000) External Canal Cholesteatoma. The American Journal of Otology, 21, 608-614. [14] Mustafa, A. (2012) Osteoma of Mastoid Process Obstructing External Auditory Canal: A Case Report. Health, 4, 222-224.
http://dx.doi.org/10.4236/health.2012.44034 [15] Viswanatha, B. (2011) Characteristics of Osteoma of the Temporal Bone in Young Adolescents. Ear, Nose & Throat Journal, 90, 72-79.