TABLE 2.
Summary of our cases
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Age (Years old) | 74 | 62 | 68 |
Sex | Male | Female | Female |
Past medical history | None | Diabetes, postoperative endometrial cancer | Untreated diabetes |
Primary symptoms | Hearing loss, vertigo | Hearing loss | Hearing loss, vertigo |
Other symptoms | Otorrhea | Vertigo | Facial nerve paralysis |
Hearing of affected side | No measurable hearing | No measurable hearing | No measurable hearing |
Postoperative hearing | No change | Slight improvement of bone conduction hearing | No change |
Location of the lesion | Middle ear – Facial nerve – Petrous apex – Middle cranial fossa – Dura – Labyrinth – Internal auditory canal | Jugular bulb – Dura – Labyrinth – Internal auditory canal | Mastoid – Middle ear – Facial nerve – Petrous apex – Labyrinth – Internal auditory canal |
Destruction of the perimeter | Otic capsule, vestibule, cochlea, ossicles, facial neural tube, and internal carotid artery canal | Otic capsule, posterior semicircular canal, vestibule, the base of the skull | Vestibule, cochlea, semicircular canal |
MRI | Strong contrast effect, T2 low | Slight contrast effect, T1 high, T2 high, Lobular multifocal cystic lesions | Mild contrast effect, T1 iso‐low |
Treatment | Resection (transotic approach) | Resection (retrolabyrinthine approach) | Transcanal biopsy (chemotherapy for the colorectal cancer) |
Progress | Total removal and no recurrence | Subtotal removal and no regrowth | Shrinkage and no regrowth |
Abbreviation: MRI, magnetic resonance imaging.