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Debara L. Tucci, MD; Paul R. Lambert, MD; Donald J. Innes, Jr, MD

Arch Otolaryngol Head Neck Surg. 1992;118(1):83-85.

Abstract
• Involvement of the temporal bone by lymphoreticular neoplasm is rare; all reported cases have been of secondary involvement. This article presents what we believe to be the first two reported cases of primary temporal bone lymphoma. The patients, an elderly man and a boy, both presented with infection of the ear, hearing loss, and facial nerve paresis. In both cases, facial paresis resolved after appropriate chemotherapeutic treatment. Patient presentation and clinical course are discussed in light of published work on temporal bone malignancy. Further investigation, including computed tomography and biopsy, should be considered for patients who present with an apparent middle ear infection unresponsive to medical therapy. The development of facial paralysis in such a patient warrants heightened suspicion of malignancy.

(Arch Otolaryngol Head Neck Surg. 1992;118:83-85)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery (Drs Tucci and Lambert) and the Division of Hematology, Department of Pathology (Dr Innes), University of Virginia Health Sciences Center, Charlottesville.

Footnotes
Accepted for publication April 12, 1991.

Reprint requests to Department of Otolaryngology, Head and Neck Surgery, Box 430, University of Virginia Health Sciences Center, Charlottesville, VA 22908 (Dr Lambert).

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