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.