Osteoma of the middle ear: a case report.

that commonly originates from the paranasal sinuses. Osteomas of the middle ear are exceedingly rare benign neoplasms. To date, only 21 cases have been reported in the English literature (1-3). They most commonly arise from the promontory, and only 2 cases of these reports have described osteomas of the ossicles (4). The most common symptom is conductive hearing loss because of the impingement of the ossicular chain. Some cases are asymptomatic and they are diagnosed incidentally. Osteomas are slow growing and surgical excision is recommended only for symptomatic lesions. We describe here a rare case of osteoma arising between the malleus and incudostapedial joint in a 38year-old woman with chronic otitis media.