case_images: PMC9941617_01
case_images: the bulging of the tympanic membrane produced by a glomus tumor: A) otoscopic examination; B) endoscopic examination showing a red pulsatile swelling behind the lower part of the right ear-drum
case_images: PAMJ-43-166-g001.jpg
case_images: PMC9941617_01_PAMJ-43-166-g001.jpg
case_images: F1
case_images: Clinical findings: otoscopic examination, using a rigid endoscope 0  (Figure 1), revealed a red pulsatile swelling behind the lower part of the right ear-drum.
case_images: temporal bones computerized tomography (CT), coronal (A) and axial (B) sections, without contrast, showing a nonspecific, well-defined, 7 mm right nodular mass of soft tissue, arising from the hypotympanum and overlying the cochlear promontory
case_images: PAMJ-43-166-g002.jpg
case_images: PMC9941617_01_PAMJ-43-166-g002.jpg
case_images: F2
case_images: Temporal bones Computerized tomography (CT), axial and coronal sections, without contrast, showed a nonspecific, well-defined, 7 mm right nodular mass of soft tissue, arising from the hypotympanum and overlying the cochlear promontory (Figure 2).
case_images: MRI showing a 15 mm mass of the right tympanic cavity, with a "salt and pepper" pattern of hypo intensity and hyper intensity on T1-weighted images (A), relatively higher in intensity on T2-weighted images (B), and strongly enhanced after gadolinium injection (C)
case_images: PAMJ-43-166-g003.jpg
case_images: PMC9941617_01_PAMJ-43-166-g003.jpg
case_images: F3
case_images: MRI showed a 15 mm mass of the right tympanic cavity, with a "salt and pepper" pattern of hypo intensity and hyper intensity on T1-weighted images, relatively higher in intensity on T2-weighted images, and strongly enhanced after gadolinium injection (Figure 3).
case_images: angio-MRI sequences showing a hyper vascular lesion
case_images: PAMJ-43-166-g004.jpg
case_images: PMC9941617_01_PAMJ-43-166-g004.jpg
case_images: F4
case_images: MRI was completed with angio-MRI sequences showing a hyper vascular lesion corresponding to the glomus tympanicum tumor (Figure 4).
case_images: per-operative view: the tumor was hyper vascular, easily bleeding, emerging from the hypotympanum, filling the tympanic cavity and occluding the Eustachian tube
case_images: PAMJ-43-166-g005.jpg
case_images: PMC9941617_01_PAMJ-43-166-g005.jpg
case_images: F5
case_images: On per-operative examination, the tumor was hyper vascular, easily bleeding, emerging from the hypotympanum, filling the tympanic cavity and occluding the Eustachian tube (Figure 5).
case_images: postoperative cavity after complete excision of the tumor
case_images: PAMJ-43-166-g006.jpg
case_images: PMC9941617_01_PAMJ-43-166-g006.jpg
case_images: F6
case_images: The lesion was totally excised (Figure 6, Figure 7) without mastoidectomy which was judged unnecessary.
case_images: specimen: a un cm red mass
case_images: PAMJ-43-166-g007.jpg
case_images: PMC9941617_01_PAMJ-43-166-g007.jpg
case_images: F7
case_images: The lesion was totally excised (Figure 6, Figure 7) without mastoidectomy which was judged unnecessary.