Middle ear lipoma as a mimicker of other diseases: a review of an unusual presentation

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Joan Lorente Piera
Francisco Javier Cervera Paz
Natalia Díaz Zufiaurre
Raquel Manrique Huarte
Manuel Manrique Rodríguez
Paulo Rodríguez

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Abstract

The finding of a lipoma in the middle ear is much rarer than its occurrence in the external auditory canal or even the inner ear, with fewer than seven cases described in the literature and none of them in Spain or South America. Despite its benign nature, the location of the lipoma may compromise structures that play a significant role in auditory preservation or balance control, necessitating surgical removal as a curative treatment. The main objective of this article is to describe the presentation of lipomas in the middle ear as a possible, although rare, etiology to consider in patients presenting with hearing loss, instability, or both symptoms concurrently, seeking otorhinolaryngological evaluation.

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