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Middle ear meningioma associated with coclear implant: special attention

Fabio Piazza, Anna Maria Iole Palmeri, Luca D'Ascanio


Meningiomas arising in the middle ear or presenting as a middle ear lesion are extremely uncommon and represent a diagnostic challenge. We report the case of a 79-year-old man, previously submitted to left ear cochlear implantation, treated at our Department for a suspected left chronic otitis media. Intraoperative findings and histology suggested a diagnosis of isolated left middle ear meningioma. The main radiological and pathological features of these lesions are discussed.


meningioma; middle ear; temporal bone; differential diagnosis; surgery; histology

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Friedman CD, Costantino PD, Teitelbaum B, Berktold RE, Sisson GA Sr. Primary extracranial meningiomas of the head and neck. Laryngoscope. 1990;100:41-8.

Thompson LD, Bouffard JP, Sandberg GD, Mena H. Primary ear and temporal bone meningiomas: a clinicopathologic study of 36 cases with a review of the literature. Mod Pathol. 2003;16:236-45.

Hamilton BE, Salzman KL, Patel N, Wiggins RH 3rd, Macdonald AJ, Shelton C, et al. Imaging and clinical characteristics of temporal bone meningioma. AJNR Am J Neuroradiol. 2006;27(10):2204-9.

Prayson RA. Middle ear meningiomas. Ann Diagn Pathol. 2000;4:149-53.

Nager GT. Meningiomas involving the temporal bone: clinical and pathological aspects. Ir J Med Sci. 1966;6:69-96.

Lang FF, Macdonald OK, Fuller GN, DeMonte F. Primary extradural meningiomas: a report on nine cases and review of the literature from the era of computerized tomography scanning. J Neurosurg. 2000;93:940-50.

Kumar G, Basu S, Sen P, Kamal SA, Jiskoot PMS. Ectopic meningioma: a case report with a literature review Eur Arch Otorhinolaryngol. 2006;263: 426-429.

Cenacchi G, Ferri GG, Salfi N, Tarantino L, Modugno GC, Ceroni AR, et al. Secretory meningioma of the middle ear: a light microscopic, immunohistochemical and ultrastructural study of one case. Neuropathology. 2008;28(1):69-73.

D`Angelo AJ Jr, Marlowe A, Marlowe FI, Mobini J. Primary meningiomas of the middle ear: do they exist? Ear Nose Throat J. 1991;70:794-798.

Uppal HS, Kabbani M, Reddy V, Kaur S. Ectopic extracranial meningioma presenting as an aural polyp. Eur Arch Otorhinolaryngol. 2003;260:322-324.

Jun HJ, Im GJ, Lee SH, Kwon SY, Chae SW, Jung HH, Kim YS, Choi J. An isolated middle ear meningioma. Otol Neurotol. 2012;33(7):e63-4.

Manjaly JG, Watson GM, Jones M. Primary meningioma of the middle ear. JRSM Short Rep. 2011;2(11):92.

Ferlito A, Devaney KO, Rinaldo A. Primary extracranial meningioma in the vicinity of the temporal bone: a benign lesion which is rarely recognized clinically. Acta Otolaryngol. 2004;124(1):5-7.

Ohbayashi N, Inagawa T, Katoh Y, Kumano K, Nagasako R, Hada H. Complication of silastic dural substitute 20 years after dural plasty. Surg Neurol. 1994;41(4):338-41.

Abla AA, Maroon JC, Kennerdell JS, Deeb ZL. Fibrosis surrounding a silicone implant simulating recurrent orbital meningioma. Case report. J Neurosurg. 1985;63(3):467-9.

About The Authors

Fabio Piazza
Carlo Poma civil hospital

Department of otolaryngology

Anna Maria Iole Palmeri
Carlo Poma civil hospital

Luca D'Ascanio
Department of otolaryngology Camlo Poma civil hospital

Department of otolaryngology

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