A case of cavernous hemangioma of the infratemporal fossa causing recurrent secretory otitis media

xlomafota13 shared this article with you from Inoreader A case of cavernous hemangioma of the infratemporal fossa causing recurrent secretory otitis media Via Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Braz J Otorhinolaryngol. 2021 Mar 26:S1808-8694(21)00060-4. doi: 10.1016/j.bjorl.2021.03.001. Online ahead of print. ABSTRACT Secretory otitis media causes aural fullness and hearing loss secondary to Eustachian tube obstruction or incomplete resolution of acute otitis media. Every patient with unilateral middle ear effusion should undergo nasopharyngoscopy to assess the nasopharyngeal space. Expansive lesions at the level of pterygopalatine fossa may cause Eustachian tube compression with tube dysfunction with clinical findings of recurrent unilateral secretory otitis media. In this paper, a 55 years old man presented with a history of hearing loss and fullness in the left ear. Brain MRI scan showed the presence on the left side of a solid mass in the infratemporal masticatory space and the patient underwent endoscopic transnasal resection of the lesion. At 6 months follow-up there was no evidence of disease recurrency. In our opinion , it is important to add an imaging tool to the diagnostic algorithm in all those cases of secretory otitis media lasting more than 3 months that present a negative nasopharyngoscopy evaluation. PMID:33867275 | DOI:10.1016/j.bjorl.2021.03.001 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.