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