Reactive lymphoid hyperplasia of the eustachian tube orifice presenting with aural fullness: a case report - Takeaways - MDSpire

Reactive lymphoid hyperplasia of the eustachian tube orifice presenting with aural fullness: a case report

  • By

  • Lingping Ding

  • Qi Wu

  • Zhaoli Meng

  • June 25, 2026

  • 0 min

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  • 1

    Reactive lymphoid hyperplasia (RLH) at the eustachian tube orifice is a rare benign lesion often misdiagnosed as malignant tumors.

  • 2

    A 58-year-old male presented with persistent aural fullness and hearing loss due to a lymphoproliferative mass at the right eustachian tube orifice.

  • 3

    Imaging and endoscopic findings revealed a smooth mass obstructing the right eustachian tube orifice, confirmed as benign lymphoid hyperplasia by biopsy.

  • 4

    The patient underwent navigated endoscopic resection of the mass, with histopathology confirming chronic inflammation and no malignant cells.

  • 5

    Postoperative follow-up showed significant symptom improvement, with complete resolution of aural fullness and no recurrence at six months.

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