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Unusual presentation of more common disease/injury
The middle ear mass: a rare but important diagnosis
  1. Miran Pankhania1,
  2. Thomas Rourke2,
  3. Mark R Draper2
  1. 1Plastic Surgery Department, Wexham Park Hospital, Slough, UK
  2. 2Ear, Nose and Throat Surgery Department, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, UK
  1. Correspondence to Mr Miran Pankhania, pank{at}


The authors report a rare case of primary intracranial meningioma presenting as a middle ear mass with conductive hearing loss. The authors aim to highlight the importance of diagnosing a middle ear mass, which although rare, may have a substantial impact on ongoing patient management. A discussion of other middle ear pathologies is made in order to demonstrate the subtle differences in presentation.

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  • Competing interests None.

  • Patient consent Obtained.

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