Skip to main content
Log in

An Unusual Finding During Exploratory Tympanotomy in a Case of Conductive Hearing Loss Mimicking Clinical Otosclerosis: A Case Series

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Conductive hearing loss with normal otoscopic findings has many differential diagnosis, but the diagnosis of otosclerosis is retrospective after exploratory tympanotomy. Congenital ossicular anomalies in isolation are rare and often have a delayed diagnosis, particularly if unilateral. Herein we present a rare case of stapes abnormality that was encountered as a surprise during exploratory tympanotomy in a case of conductive hearing loss mimicking clinical otosclerosis and was managed accordingly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Herman HK, Kimmelman CP (1992) Congenital anomalies limited to the middle ear. Otolaryngol Head Neck Surg 106:285–287. https://doi.org/10.1177/019459989210600316

    Article  CAS  PubMed  Google Scholar 

  2. Teunissen EB, Cremers WR (1993) Classification of congenital middle ear anomalies report on 144 ears. Ann Otol Rhinol Laryngol 102:606–612. https://doi.org/10.1177/000348949310200807

    Article  CAS  PubMed  Google Scholar 

  3. Reiber MK, Schwaber MK (1997) Congenital absence of stapes and facial nerve dehiscence. Otolaryngol Head Neck Surg 116:278. https://doi.org/10.1016/s0194-5998(97)70343-7

    Article  CAS  PubMed  Google Scholar 

  4. Philippon D, Laflamme N, Leboulanger N, Loundon N, Rouillon I, Garabedian EN, Denoyelle F (2013) Hearing outcomes in functional surgery for middle ear malformations. Otol Neurotol 34(8):1417–20. https://doi.org/10.1097/mao.0b013e3182a1a8fd

    Article  PubMed  Google Scholar 

  5. Djerić D, Savić D (1987) Anatomical variations and anomalies of the musculus stapedius tendon. Study by scanning electron microscopy. In: Annales D’oto-laryngologie et de chirurgie cervico faciale: bulletin de la Societe D’oto-laryngologie des Hopitaux de Paris,  Vol. 104, No. 1, pp 59–63

  6. Hough JV (1958) Malformations and anatomical variations seen in the middle ear during the operation for mobilization of the stapes. Laryngoscope 68(8):1337–1379. https://doi.org/10.1288/00005537-195808000-00001

    Article  CAS  PubMed  Google Scholar 

  7. Nassiri AM, Benson JC, Doerfer KW, Perkins EL, Sweeney AD, Patel NS, Babu SC, Rivas A, Lane JI, Carlson ML (2021) Absent pyramidal eminence and stapedial tendon associated with congenital stapes footplate fixation: Intraoperative and radiographic findings. Am J Otolaryngol 42(6):103144 https://doi.org/10.1016/j.amjoto.2021.103144

    Article  PubMed  Google Scholar 

Download references

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yamuna Ranganathan.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest to declare.

Ethical Approval 

Yes.

Informed Consent

Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Goyal, S., Ravunnikutty, M., Jerath, V. et al. An Unusual Finding During Exploratory Tympanotomy in a Case of Conductive Hearing Loss Mimicking Clinical Otosclerosis: A Case Series. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 301–304 (2023). https://doi.org/10.1007/s12070-022-03360-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-022-03360-2

Keywords

Navigation