An unusual pediatric case of bilateral lipoma of the attic and middle ear

Lipoma of the temporal bone is uncommon and involvement of the middle ear, attic or mastoid is exceedingly rare. We present the first case of histologically confirmed bilateral lipomas involving the attic and middle ear. Pre-operative computer tomography (CT) provided supporting evidence of the diagnosis. Masses in both ears were excised permitting histological confirmation of the diagnosis. A literature review of temporal bone lipoma revealed that, although rare, lipoma involving the middle ear is typically found in the anterior superior quadrant where it may be confused with congenital cholesteatoma.