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November 1969

Mucous-Secreting Cyst of the Middle Ear: Possible Origin From the First Pharyngeal Pouch

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, Chicago Wesley Memorial Hospital and Northwestern University Medical Center, Chicago. Dr. Arenberg is currently at the Department of Otolaryngology, Washington University School of Medicine, St. Louis.

Arch Otolaryngol. 1969;90(5):558-562. doi:10.1001/archotol.1969.00770030560005

REVIEW of the literature reveals that a middle ear cyst possibly arising from remnants of the first pharyngeal pouch is a unique entity. A case is presented which was diagnosed preoperatively as a middle ear tumor, associated with a recent ipsilateral facial nerve paralysis.

Report of a Case  A 39-year-old white woman was admitted to the Chicago Wesley Memorial Hospital, nine days after awakening with a clinically complete, left facial paralysis. The family physician had diagnosed a Bell's palsy and administered a "penicillin injection." Three days later the patient returned to the physician complaining of a "needles and pins" pain in the left ear, and was referred to an otologist.The admission history indicated that the patient recalled about ten episodes of brief, foulsmelling yellowish drainage from the involved ear during the past 20 years. A mild earache usually occurred at the onset. She was not aware of any

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