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We present a 59-year-old male patient with a 2-year history of intermittent right ear otorrhea and conductive hearing loss. Imaging revealed middle ear opacification with ossicular erosion, prompting surgical excision. Histopathology confirmed primary meningioma, and postoperative follow-up showed no recurrence. Literature review of relevant studies was conducted to summarize clinical and histopathological characteristics of primary middle ear meningioma.<\/jats:p>","DOI":"10.1177\/10668969261457869","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T16:47:24Z","timestamp":1782838044000},"page":"2170-2174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Middle Ear Meningioma: Case Report and Literature Review"],"prefix":"10.1177","volume":"34","author":[{"given":"Abdullah","family":"Alkhaldi","sequence":"first","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmohsen Jameel","family":"Alshammari","sequence":"additional","affiliation":[{"name":"King Saud bin Abdulaziz University for Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4671-9575","authenticated-orcid":false,"given":"Mohammed Abdullah","family":"Bayounis","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"},{"name":"King Saud bin Abdulaziz University for Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alsalamah","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Jassim","family":"Alali","sequence":"additional","affiliation":[{"name":"Kuwait Institute for Medical Specializations"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Irshad","family":"Khan","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Latif","family":"Khan","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulelah Mashhor","family":"Aldakheel","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yazeed","family":"Aloqaili","sequence":"additional","affiliation":[{"name":"King Abdulaziz Medical City \u2013 Ministry of the National Guard-Health Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199001000-00010"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318259524c"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1978.88.s12.1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1978.88.7.1170"},{"key":"e_1_3_2_6_2","first-page":"794","article-title":"Primary meningioma of the middle ear: do they exist?","volume":"70","author":"D\u2019Angelo AJ","year":"1991","unstructured":"D\u2019Angelo AJ, Marlowe A, Marlowe FI, Mobini J. 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