A woman in her 70s presented for evaluation of a 3-month history of intermittent left-sided facial weakness associated with otalgia and facial pain. The patient also noted occasional left-sided facial twitching and mild imbalance during this time frame. Physical examination revealed a red, pulsatile bulging mass emanating from the superior two-thirds of the tympanic membrane extruding into the ear canal. At the time of her presentation, no facial weakness, spasm, or synkinesis were noted. An audiogram showed a 30-dB left-sided conductive hearing loss with bilateral moderate sensorineural hearing loss.
Schmedes GW, Rizk HG, Lambert PR. Middle Ear Mass With Facial Weakness. JAMA Otolaryngol Head Neck Surg. 2015;141(1):89-90. doi:10.1001/jamaoto.2014.2606