Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000079.xml
Skull Base 2003; 13(2): 113-118
DOI: 10.1055/s-2003-40602
DOI: 10.1055/s-2003-40602
CASE REPORT
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662
An Osteoma of the Middle Ear Presenting with the Tullio Phenomenon
Further Information
Publication History
Publication Date:
18 July 2003 (online)
![](https://www.thieme-connect.de/media/sbs/200302/lookinside/thumbnails/10.1055-s-2003-40602-1.jpg)
ABSTRACT
The Tullio phenomenon is an extremely rare condition in which loud noise induces a brisk vestibular response. Osteomas of the middle ear cleft are also uncommon. We report a patient with an osteoma of the middle ear cleft that became symptomatic with progressive facial palsy and mixed hearing loss. The onset was heralded by the Tullio phenomenon, which she had experienced for 10 years. The differential diagnosis of the Tullio phenomenon and the management of middle ear osteomas are discussed.
KEYWORDS
Osteoma - middle ear - facial palsy - Tullio phenomenon
REFERENCES
- 1 Tullio P. I riflessi sonori. Am J Physiol . 1929; 90 542-543
- 2 Thomas R. Familial osteomas of the middle ear. J Laryngol Otol . 1964; 78 805-807
- 3 Ombredanne M. Ostéome ostéïde de la caisse du tympan. Revue de la literature à propos du premier cas décrit [Unusual osteoma of the middle ear]. Ann Otolaryngol Chir Cervicofac . 1966; 83 433-435
- 4 Mishen'kin N V. Osteoma v bara ban noi polosti. Zh Ushn Nos Gorl Bolezn . 1976; 2 103-104
- 5 Chekhonina E M, Feigin G A. Bilateral osteomas of the tympanic cavities. Vestn Otorinolaringol . 1977; 4 80-81
- 6 Cremers C W. Osteoma of the middle ear. J Laryngol Otol . 1985; 99 383-386
- 7 Beale D J, Phelps P D. Osteomas of the temporal bone: a report of three cases. Clin Radiol . 1987; 38 67-69
- 8 Glasscock 3rd E M, McKennan K X, Levine S C. Osteoma of the middle ear: a case report. Otolaryngol Head Neck Surg . 1987; 97 64-65
- 9 Milroy C M, Phelps P D, Michaels L, Grant H. Osteoma of the incus. J Otolaryngol . 1989; 18 226-822
- 10 Ito S, Tanaka H, Hirano M. Osteoma of the middle ear. J Laryngol Otol . 1990; 104 803-806
- 11 Yamasoba T, Harada T, Okuno T, Nomura Y. Osteoma of the middle ear. Report of a case. Arch Otolaryngol Head Neck Surg . 1990; 116 1214-1216
- 12 Silver F M, Orobello Jr W P, Mangal A, Pensak M L. Asymptomatic osteomas of the middle ear. Am J Otol . 1993; 14 189-190
- 13 Alamar A, Sanchez-Alcon M D, Perez Garrigues H, Morera C. Osteoma del odio medio. An Otorrhinolaringol Ibero Am . 1994; 21 403-408
- 14 Ramadan H H. Osteoma of the malleus. Am J Otol . 1994; 15 807-809
- 15 Ramirez-Camacho R, Pinilla M, Carcia-Berrocal J R. Osteoma of the promontory: a case report. ORL J Otorhinolaryngol Relat Spec . 1997; 59 64-65
- 16 Rocher P, Iffenecker C, Attal P, Lamblin B, Doyon D, Bobin S. Osteome osteoide de la caisse da tympan. Revue de la litterature a propos du premier cas decrit. Ann Otolaryngol Chir Cervicofac . 1997; 114 135-139
- 17 McDonald K R, Vrabec J T. Synchronous middle ear osteoma and adenoma. Ear Nose Throat J . 1997; 76 866-869
- 18 Chang C Y, MacMillan C, Kamerer D B, Lipman S P, Barnes L. Osteoma of the malleus. Otolaryngol Head Neck Surg . 1997; 117 S150-153
- 19 Harley E H, Berkowitz R G. Osteoma of the middle ear. Ann Otol Rhinol Laryngol . 1997; 106 714-715
- 20 Greinwald Jr H J, Simko E J. Diagnosis and management of middle ear osteomas: a case report and literature review. Ear Nose Throat J . 1998; 77 134-139
- 21 Unal O F, Tosun F, Yetiser S, Dundar A. Osteoma of the middle ear. Int J Pediatr Otorhinolaryngol . 2000; 15 193-195
- 22 Britt J C, Hood R J, Hashisaki G T. Round window obliteration by osteoma of the middle ear. Otolaryngol Head Neck Surg . 2000; 123 514-515
- 23 Watson S RD, Halmagyi G M, Colebatch J G. Vestibular hypersensitivity due to sound (Tullio phenomenon). Neurology . 2000; 54 722-728
- 24 Benjamins C E. Les reactions acoustique de Tullio chez l'homme. Acta Otolaryngol . 1938; 26 249-257
- 25 Cawthorne T. Otosclerosis. J Laryngol Otol . 1955; 69 437-456
- 26 Fox E J, Balkany T J, Arenberg I K. The Tullio phenomenon and perilymph fistula. Arch Otolaryngol Head Neck Surg . 1988; 98 88-89
- 27 Kwee H L. The occurrence of the Tullio phenomenon in congenitally deaf children. J Laryngol Otol . 1976; 90 501-507
- 28 Stephens S DG, Ballam H M. The sono-ocular test. J Laryngol Otol . 1974; 88 1049-1059
- 29 Kacker S K, Hinchcliffe R. Unusual Tullio phenomenon. J Laryngol Otol . 1970; 84 155-166
- 30 Gavilan J, Nistal M, Gavilan C, Calvo M. Ossifying hemangioma of the temporal bone. Arch Otolaryngol Head Neck Surg . 1990; 116 965-967