Operative findings of conductive hearing loss with intact tympanic membrane and normal temporal bone computed tomography

2013 ◽  
Vol 271 (6) ◽  
pp. 1409-1414 ◽  
Author(s):  
Se-Hyung Kim ◽  
Yang-Sun Cho ◽  
Hye Jeong Kim ◽  
Hyung-Jin Kim
2012 ◽  
Vol 126 (3) ◽  
pp. 313-315 ◽  
Author(s):  
V Van Rompaey ◽  
E Offeciers ◽  
B De Foer ◽  
T Somers

AbstractObjectives:To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.Case report:We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.Conclusion:This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.


1990 ◽  
Vol 104 (10) ◽  
pp. 807-808 ◽  
Author(s):  
D. W. Morgan ◽  
C. Aldren ◽  
T. J. Hoare

AbstractCraniometaphysial dysplasia is a rare cause of conductive hearing loss. It is a genetic disorder of bone due to decreased osteoclastic activity inthe endosteal and periosteal regions of craniofacial and long bones. The characteristic temporal bone abnormalities are attic fixation, abnormallyshaped ossicles and obliterated foramina ovale. Computerised tomography is helpful in predicting operative findings; surgery should be reserved for those with a severe hearing loss.


2016 ◽  
Vol 43 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Jin Hyuk Choi ◽  
Min Young Lee ◽  
Ji Hye Park ◽  
Kyu-Yup Lee ◽  
Sang Heun Lee ◽  
...  

2003 ◽  
Vol 117 (7) ◽  
pp. 558-560 ◽  
Author(s):  
Patrick Sheahan ◽  
Rory McConn Walsh

Petrosal cholesteatomas are rare lesions, which may be congenital or acquired in nature. We report an exceptional case occurring in a seven-year old girl who presented with a unilateral conductive hearing loss, despite normal tympanic membrane appearance. Early diagnosis was facilitated by computed tomography (CT) scanning. Although this case satisfied the criteria for congenital cholesteatoma, it is likely that the petrous apex was secondarily involved. Complete cholesteatoma removal was accomplished using a transtemporal supralabyrinthine approach, which allowed for hearing preservation, while avoiding the morbidity associated with a craniotomy. The present case constitutes the youngest case of petrosal cholesteatoma reported. We suggest that a lower threshold for the use of CT scanning in unilateral conductive hearing loss may allow for the earlier detection of more cases of petrosal cholesteatomas, as well as facilitating their removal using more limited approaches associated with less morbidity.


2020 ◽  
Vol 6 (2) ◽  
pp. 26
Author(s):  
Sana Mallouk ◽  
Sara Halily ◽  
Yasser Hammouda ◽  
Youssef Oukessou ◽  
Sami Rouadi ◽  
...  

Author(s):  
Shankar Bettadapura Govindan ◽  
Yogeshwar Chandrashekar

<p class="abstract"><strong>Background:</strong> Determining the cause of conductive hearing loss with an intact tympanic membrane has been a challenge for the otologists for over decades<strong>. </strong>The aim of this study is to ascertain the usefulness of endoscopes to study the various middle ear pathologies on performing endoscopic exploratory tympanotomy.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of various pathologies encountered in the middle ear in 88 patients who underwent endoscopic exploratory tympanotomy done over a study period of 3.5 years (January 2015 to June 2018).  </p><p class="abstract"><strong>Results:</strong> In our study, age of the patients ranged from 14 to 50 years with a mean age of 32 years. Most common finding on exploration was otosclerosis in 59 patients followed by revision stapedotomy in 12 patients. 5 patients had normal middle ear findings with all ossicles intact and mobile while other pathologies encountered were tympanosclerosis (4.6%), biscuit foot plate (2.3%), mucosal bands (3.4%) and middle ear developmental anomalies (3.4%).</p><p class="abstract"><strong>Conclusions:</strong> On exploring the middle ear<strong> </strong>knowing the various aetiologies helps in better preoperative counseling of the patients for the outcome of surgery. Endoscopic approach for exploratory tympanotomy has the benefit of excellent resolution with higher magnification and wider panoramic view of middle ear anatomy.</p><p> </p>


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