Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy

Abstract Background Rhabdomyosarcoma is common in childhood, especially, the head and neck region, yet involvement of the temporal bone is rare. Case presentation We reported a case of an embryonal rhabdomyosarcoma in a 4.5-year-old boy presenting with external auditory canal polyp and purulent otor...

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Main Authors: Ahmed Galal, Omneya Ahmed, Azza M. Rizk, Hanan Yehia Tayel, Rania G. Aly
Format: Article
Language:English
Published: SpringerOpen 2021-07-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-021-00126-5
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author Ahmed Galal
Omneya Ahmed
Azza M. Rizk
Hanan Yehia Tayel
Rania G. Aly
author_facet Ahmed Galal
Omneya Ahmed
Azza M. Rizk
Hanan Yehia Tayel
Rania G. Aly
author_sort Ahmed Galal
collection DOAJ
description Abstract Background Rhabdomyosarcoma is common in childhood, especially, the head and neck region, yet involvement of the temporal bone is rare. Case presentation We reported a case of an embryonal rhabdomyosarcoma in a 4.5-year-old boy presenting with external auditory canal polyp and purulent otorrhea that later developed grade 6 facial palsy. Imaging showed soft tissue mass involving the middle ear, mastoid cavity, parotid gland, and parapharyngeal space. Subtotal petrosectomy with blind closure of the external auditory canal was performed with facial nerve decompression and debulking biopsy followed by combined chemoradiation. Conclusion Middle ear rhabdomyosarcoma is a rare pathology, usually present in childhood by symptoms similar to suppurative otitis media not responding to medical treatment leading to delayed diagnosis and development of complications.
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spelling doaj.art-2876dbe9a8834e11bbbba0a5cc4323f02024-04-16T20:53:27ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-07-013711510.1186/s43163-021-00126-5Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsyAhmed Galal0Omneya Ahmed1Azza M. Rizk2Hanan Yehia Tayel3Rania G. Aly4Department of Otorhinolaryngology, Faculty of Medicine, Alexandria UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Alexandria UniversityPathology Department, Faculty of Medicine, Alexandria UniversityPathology Department, Faculty of Medicine, Alexandria UniversityPathology Department, Faculty of Medicine, Alexandria UniversityAbstract Background Rhabdomyosarcoma is common in childhood, especially, the head and neck region, yet involvement of the temporal bone is rare. Case presentation We reported a case of an embryonal rhabdomyosarcoma in a 4.5-year-old boy presenting with external auditory canal polyp and purulent otorrhea that later developed grade 6 facial palsy. Imaging showed soft tissue mass involving the middle ear, mastoid cavity, parotid gland, and parapharyngeal space. Subtotal petrosectomy with blind closure of the external auditory canal was performed with facial nerve decompression and debulking biopsy followed by combined chemoradiation. Conclusion Middle ear rhabdomyosarcoma is a rare pathology, usually present in childhood by symptoms similar to suppurative otitis media not responding to medical treatment leading to delayed diagnosis and development of complications.https://doi.org/10.1186/s43163-021-00126-5Middle ear rhabdomyosarcomaTemporal bone rhabdomyosarcomaComplicated otitis mediaFacial palsyCase report
spellingShingle Ahmed Galal
Omneya Ahmed
Azza M. Rizk
Hanan Yehia Tayel
Rania G. Aly
Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
The Egyptian Journal of Otolaryngology
Middle ear rhabdomyosarcoma
Temporal bone rhabdomyosarcoma
Complicated otitis media
Facial palsy
Case report
title Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
title_full Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
title_fullStr Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
title_full_unstemmed Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
title_short Temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
title_sort temporal bone rhabdomyosarcoma mimicking otitis media complicated by facial nerve palsy
topic Middle ear rhabdomyosarcoma
Temporal bone rhabdomyosarcoma
Complicated otitis media
Facial palsy
Case report
url https://doi.org/10.1186/s43163-021-00126-5
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AT azzamrizk temporalbonerhabdomyosarcomamimickingotitismediacomplicatedbyfacialnervepalsy
AT hananyehiatayel temporalbonerhabdomyosarcomamimickingotitismediacomplicatedbyfacialnervepalsy
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