PMID: 9661761Jul 14, 1998Paper

Otalgia. An isolated symptom of malignant infratemporal tumors

The American Journal of Otology
John P LeonettiP G Smith

Abstract

This study aimed to review a series of 18 patients with malignant infratemporal fossa tumors who presented with otalgia as the primary symptom. This was a retrospective case analysis. All patients were evaluated and treated at a tertiary care academic medical institution. Eighteen patients evaluated for otalgia in a normal-appearing ear, between July 1988 and July 1996, who were found to have a malignant infratemporal fossa tumor participated. Diagnostic testing included radiographic evaluations and tissue sampling through fine-needle aspiration cytology. Treatment methods were histology dependent. The time between the onset of otalgia and the tumor diagnosis was recorded. Overall treatment outcomes were reviewed. The period between the onset of otalgia and tumor diagnosis ranged from 4-21 months with a mean of 7.5 months. Adenoid cystic carcinoma was the most commonly seen tumor in this series of patients. The infratemporal fossa is a relatively protected region that may be the site of malignant neoplasms causing the isolated symptom of otalgia.

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