Tumors of the Middle Ear

Subject: Medical and Surgical Nursing II (Theory)

Overview

Granulation tissue and polyps in the middle ear: These growths are not always benign malignancies. The mastoids and middle ear appear as grape-like clusters of inflammatory tissue that resemble balls. This polyp typically has a reddish color and bleeds freely when vacuumed or otherwise handled. The majority of the time, middle ear and mastoid surgery will be required in cases with extensive polyps and inflammation. The mastoid and middle ear cancers are exceedingly rare tumors; squamous cell carcinoma is the most frequent. These tumors are typically discovered in people who have neglected middle ear or mastoid infection and chronic or long-term drainage. Before a precise diagnosis is made, middle ear squamous cell carcinoma is sometimes extremely advanced. If left untreated, squamous cell carcinoma of the middle ear and mastoids is a deadly condition.

Tumors of the middle ear

Granulation tissue and polyps in the middle ear: These growths are not always benign malignancies. The mastoids and middle ear appear as grape-like clusters of inflammatory tissue that resemble balls. This polyp typically has a reddish color and bleeds freely when vacuumed or otherwise handled. The majority of the time, middle ear and mastoid surgery will be required in cases with extensive polyps and inflammation.

1. Benign tumor

  • Cholesteatoma:
    These middle ear tumors are the most prevalent and typically benign of all middle ear tumors.
  • Glomus tumor:
    The most frequent benign tumor in the middle ear is the glomus tumor. From glomus bodies they emerge. The middle ear's microscopic glomus bodies, a natural structure, act as baroreceptors.

2. Malignant tumor

The mastoid and middle ear cancers are very rare tumors; squamous cell carcinoma is the most frequent. These cancers are typically discovered in people who have neglected middle ear or mastoid infection and chronic or long-term drainage.

Clinical features

  • Before a proper diagnosis is made, squamous cell carcinoma of the middle ear is frequently extremely advanced.
  • A painful aspect is important.
  • Intermittent hemorrhage: prolonged bleeding and discharge
  • Loss of hearing

Diagnosis

  • Depends upon the biopsy of the tissue
  • History taking, clinical features, physical examination
  • Ct scan and MRI

Treatment

  • If left untreated, squamous cell carcinoma of the middle ear and mastoids is a deadly condition.
  • Radical procedure
  • Radiation
  • If the tumor is highly invasive, cure may not even be attainable with early surgery and radiation therapy. Therefore, it is crucial that a diagnosis be made as soon as possible.

 

 REFERENCE

Basavanthapa B. Medical Surgical Nursing. New Delhi: Jaypee Brothers Medical Publishers; 2007 

Black j. Medical Surgical Nursing. 6th edition. Volume 2. India: Harcourt Private Ltd; 2001.

Boon N, Colledge N. Davidson's Principle and Practice of Medicine. 20th edition. New York: Churchill  Livingstone; 2006.

Mandal, G.N. Textbook of Adult Nursing. Kathmandu: Makalu Publication House, 2013.

Smeltzer C, Bare B. Brunner and Suddharth’s  Textbook of Medical Surgical Nursing. 11th edition volume 2. New Delhi: Lippincott Williams and Wilkins; 2008. 

 

 

 
Things to remember
  • Granulation tissue and polyps in the middle ear: These growths are not always benign malignancies.
  • The mastoids and middle ear appear as grape-like clusters of inflammatory tissue that resemble balls.
  • This polyp typically has a reddish color and bleeds freely when vacuumed or otherwise handled. The majority of the time, middle ear and mastoid surgery will be required in cases with extensive polyps and inflammation.
  • The mastoid and middle ear cancers are exceedingly rare tumors; squamous cell carcinoma is the most frequent.
  • These tumors are typically discovered in people who have neglected middle ear or mastoid infection and chronic or long-term drainage.
  • Before a precise diagnosis is made, middle ear squamous cell carcinoma is sometimes extremely advanced.
  • If left untreated, squamous cell carcinoma of the middle ear and mastoids is a fatal condition.
Questions and Answers

Polyps and granulation tissue: Middle ear polyps and granulation tissue are not always benign tumors. They resemble inflamed tissue balls that form grape-like clusters of the middle ear and mastoids. This polyp is typically reddish and bleeds easily when vacuumed or otherwise manipulated. Most cases of advanced polyps and inflammation will necessitate surgery on the middle ear and mastoids.

Malignant tumors of the middle ear and mastoid are extremely rare, with squamous cell carcinoma being the most common. These cancers are most commonly found in people who have ignored chronic or long-term drainage and infection in the mastoids or middle ear.

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