Clinical Note
October 2004

Odontoma of the Middle EarCase Report With 25-Year Follow-up

Author Affiliations

From the Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, Calif (Drs Sun, Ford, and Rasgon); and the Department of Otolaryngology, Group Health Cooperative of Puget Sound, Seattle, Wash (Dr Lewis). The authors have no relevant financial interest in this article.


Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Otolaryngol Head Neck Surg. 2004;130(10):1223-1227. doi:10.1001/archotol.130.10.1223

We report the 25-year follow-up on the first reported case of odontoma in the middle ear. Diagnosis of odontoma had been made on the basis of radiography films that showed a middle ear mass with multiple toothlike areas of radiopacity. No clinical intervention was recommended. At 25-year follow-up, audiometry showed progressive mixed hearing loss on the affected side and mild ipsilateral sensorineural hearing loss. Computed tomography better characterized the discrete mass, which was shaped similar to a dental crown. To avoid jeopardizing cochlear and facial nerve function, no surgical intervention was pursued, and we recommended use of a BiCROS (bilateral contralateral routing of signal) hearing aid.