Fig 1 , Pure Tone audiometry revealed
normal hearing.
Imaging:
CT petrous(FIG 3-4) bone displayed small oval shaped well defined mass
in posterio-inferior aspect of the middle ear.
MRI Internal Auditory Meatus (fig 2) was done which showed nodular
lesion of 3 mm within right middle ear cleft overlying dome of jugular
bulb. Patient was planned for middle ear exploration and excision of
middle ear mass. Transcanal approach was utilized ti expose the mass.
During the surgery, we found a small whitish mass lying on the jugular
bulb but easily separable from jugular bulb. ossicle chain was
unaffected(fig 5,6). Middle ear cleft mucosa was normal and healthy with
intact facial nerve.