Diagnosis and Clinico-Radiologic Correlations in Conductive Hearing Loss with a Normal Appearing Tympanic Membrane

2018 ◽  
pp. 415-467 ◽  
Author(s):  
Salah Mansour ◽  
Jacques Magnan ◽  
Karen Nicolas ◽  
Hassan Haidar
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Conductive Hearing Loss ◽  
Conductive Hearing

scholarly journals Otosclerosis. 2. rész. Diagnózis

2019 ◽  
Vol 160 (51) ◽  
pp. 2007-2011
Author(s):  
Balázs Liktor ◽  
Andor Hirschberg ◽  
Bálint ifj Liktor ◽  
Tamás Karosi
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Preoperative Diagnosis ◽  
Conductive Hearing Loss ◽  
Clinical Suspicion ◽  
Otic Capsule ◽  
Human Temporal Bone ◽  
Stapes Footplate ◽  
Bony Lesions ◽  
Conductive Hearing

Abstract: Otosclerosis is a bone remodeling disorder affecting exclusively the human temporal bone which causes small bony lesions in the otic capsule. The symptoms depend on the location and the extent of the otosclerotic foci. Hence, clinically the most relevant sign is the conductive hearing loss due to the stapedial otosclerosis with fixation of the stapes footplate. In many cases, the specific anamnestic features, the age of presentation and usually the absence of tympanic membrane pathology can provide a strong clinical suspicion for otosclerosis. Although audiometric and imaging examinations and VEMP testing can confirm our preoperative diagnosis, the histolopathologic examination of the removed stapes footplate is the most accurate way to determine the diagnosis. Orv Hetil. 2019; 160(51): 2007–2011.

Modified sleeve tympanotomy approach for removal of congenital cholesteatoma

2008 ◽  
Vol 122 (12) ◽  
pp. 1365-1367 ◽  
Author(s):  
H J Park ◽  
G H Park ◽  
J E Shin ◽  
S O Chang
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Tympanic Membrane ◽  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Tympanic Cavity ◽  
Operative Techniques ◽  
Congenital Cholesteatoma ◽  
The Right ◽  
Conductive Hearing

AbstractObjective:We present a technique which we have found useful for the management of congenital cholesteatoma extensively involving the middle ear.Case report:A five-year-old boy was presented to our department for management of a white mass on the right tympanic membrane. This congenital cholesteatoma extensively occupied the tympanic cavity. It was removed through an extended tympanotomy approach using our modified sleeve technique. The conventional tympanotomy approach was extended by gently separating the tympanic annulus from its sulcus in a circular manner. The firm attachment of the tympanic membrane at the umbo was not severed, in order to avoid lateralisation of the tympanic membrane.Conclusion:Although various operative techniques can be used, our modified sleeve tympanotomy approach provides a similarly sufficient and direct visualisation of the entire middle ear, with, theoretically, no possibility of lateralisation of the tympanic membrane and subsequent conductive hearing loss.

Repair of Chronic Tympanic Membrane Perforations Using Epidermal Growth Factor

1992 ◽  
Vol 107 (5) ◽  
pp. 669-683 ◽  
Author(s):  
C. Philip Amoils ◽  
Robert K. Jackler ◽  
Lawrence R. Lustig
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Surgical Repair ◽  
Conductive Hearing Loss ◽  
Recurrent Infection ◽  
Autologous Tissue ◽  
Tympanic Membrane Perforations ◽  
Epidermal Growth ◽  
Conductive Hearing ◽  
Microsurgical Procedure

Perforation of the tympanic membrane (TM) is a frequent cause of conductive hearing loss. Persistent TM perforations often require surgical repair with an autologous tissue graft to restore hearing and prevent recurrent infection. While highly efficacious, this method of closure requires a relatively complex and expensive microsurgical procedure. We have recently developed a chronic TM perforation model in the chinchilla for use in the exploration of novel methods of TM repair.

The Attack on the Tympanic Membrane

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 291-292
Author(s):  
GUNNAR B. STICKLER
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Conductive Hearing Loss ◽  
Positive Effects ◽  
Special Domain ◽  
Glue Ear ◽  
Primary Physicians ◽  
Conductive Hearing ◽  
Nose And Throat

Fluid in the ear, glue ear, and conductive hearing loss have replaced the "infected, large, or hypertrophied tonsils" and "enlarged adenoids" as a major concern of primary physicians caring for children and the special domain of ear, nose, and throat physicians. Having myringotomy tubes put into the ears has become a favorite topic of discussion for parents marveling at the positive effects. Indeed, these devices must be something of a fashion or status symbol, because it is estimated that tubes of various configurations and materials are placed into the tympanic membrane of at least 1 million children per year in this country.

scholarly journals Determinants of Conductive Hearing Loss in Tympanic Membrane Perforation

2015 ◽  
Vol 8 (2) ◽  
pp. 92 ◽  
Author(s):  
Hanaro Park ◽  
Seung No Hong ◽  
Hyo Sang Kim ◽  
Jae Joon Han ◽  
Juyong Chung ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Conductive Hearing Loss ◽  
Tympanic Membrane Perforation ◽  
Membrane Perforation ◽  
Conductive Hearing

Audiologic and Otologic Clinical Manifestations of Loeys-Dietz Syndrome: A Heritable Connective Tissue Disorder

2021 ◽  
pp. 019459982110088
Author(s):  
Jun W. Jeon ◽  
Julie Christensen ◽  
Jennifer Chisholm ◽  
Christopher Zalewski ◽  
Marjohn Rasooly ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Connective Tissue ◽  
Sensorineural Hearing Loss ◽  
Tympanic Membrane ◽  
Conductive Hearing Loss ◽  
Wide Spectrum ◽  
Clinical Manifestations ◽  
Connective Tissue Disorder ◽  
Sensorineural Hearing ◽  
Conductive Hearing

Objective Loeys-Dietz syndrome (LDS) is a rare genetic connective tissue disorder resulting from TGF-ß signaling pathway defects and characterized by a wide spectrum of aortic aneurysm, arterial tortuosity, and various extravascular abnormalities. This study describes the audiologic, otologic, and craniofacial manifestations of LDS. Study Design Consecutive cross-sectional study. Setting Tertiary medical research institute. Methods Audiologic and clinical evaluations were conducted among 36 patients (mean ± SD age, 24 ± 17 years; 54% female) with genetically confirmed LDS. Cases were categorized into genetically based LDS types 1 to 4 ( TGFBR1, TGFBR2, SMAD3, TGFB2, respectively). Audiometric characteristics included degree and type of hearing loss: subclinical, conductive, mixed, and sensorineural. Results LDS types 1 to 4 included 11, 13, 5, and 7 patients, respectively. In LDS-1, 27% had bilateral conductive hearing loss; 9%, unilateral mixed; and 36%, subclinical. In LDS-2, 38% had conductive hearing loss and 38% subclinical. In LDS-3 and LDS-4, 40% and 43% had bilateral sensorineural hearing loss, respectively. Degree of hearing loss ranged from mild to moderate. Bifid uvula was observed only in LDS-1 (55%) and LDS-2 (62%). Submucosal/hard cleft palates were primarily in LDS-1 and LDS-2. Posttympanostomy tympanic membrane perforations occurred in 45% (10/22 ears) of LDS-1 and LDS-2. There were 4 cases of cholesteatoma: 3 middle ear (LDS-1 and LDS-2) and 1 external ear canal (LDS-3). Conclusion Conductive hearing loss, bifid uvula/cleft palate, and posttympanostomy tympanic membrane perforation are more common in LDS-1 and LDS-2 than LDS-3 and LDS-4, while sensorineural hearing loss was present only in LDS-3 and LDS-4. These LDS-associated key clinical presentations may facilitate an early diagnosis of LDS and thus prompt intervention to prevent related detrimental outcomes.

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