Temporal Bone Osteoma – A Rare Benign Tumor : A Case Series

Background: Osteomas, arising from osteoblasts, are slow-growing benign mesenchymal tumors. While they can appear in any bone, their rarity in the temporal bone and middle ear (0.1% to 1% of benign skull tumors) emphasizes their distinctiveness. Initially asymptomatic, osteomas may become symptomatic with increasing size, commonly causing pain. Their unique prevalence underscores the importance of vigilance, as early stages may lack noticeable symptoms. This insight into osteomas highlights the potential for evolving clinical manifestations, particularly pain, necessitating attention as these benign tumors progress. The Case series: We are describing a case series of 3 unique cases of painless post-aural swelling. Clinical evaluation and a high-resolution CT scan of the temporal bone aided in diagnosing the swelling. Surgical excision was done for all the patients. Post-surgery, histopathological examination conrmed the diagnosis by scrutinizing tissue characteristics, validating the nature of the swelling as an osteoma. This comprehensive approach highlights the importance of accurate diagnosis and subsequent surgical intervention in osteoma cases. Osteomas in Conclusion: the mastoid area of the temporal bone, often presenting as asymptomatic swelling causing cosmetic disgurement, can be effectively treated with total excision, yielding a good prognosis. Despite the lack of ear-related symptoms, vigilance for syndromic associations and extratemporal symptoms is essential. Timely diagnosis and management, especially in cases with potential complications like pain, are crucial. Given the