A Rare Stapes Abnormality

A Rare Stapes Abnormality

The aim of this study is to increase awareness of rare presentations, diagnostic difficulties alongside management of conductive hearing loss and ossicular abnormalities. We report the case of a 13-year-old female reporting progressive left-sided hearing loss and high resolution computed tomography...

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Main Authors: Hala Kanona, Jagdeep Singh Virk, Gaurav Kumar, Sanjiv Chawda, Sherif Khalil
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/387642
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spelling doaj-3fc77ace56c448ba8c35b7a042e6ae3a2020-11-24T23:16:13ZengHindawi LimitedCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/387642387642A Rare Stapes AbnormalityHala Kanona0Jagdeep Singh Virk1Gaurav Kumar2Sanjiv Chawda3Sherif Khalil4ENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UKENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UKENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UKRadiology Department, Queen’s Hospital, Essex RM7 0AG, UKENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UKThe aim of this study is to increase awareness of rare presentations, diagnostic difficulties alongside management of conductive hearing loss and ossicular abnormalities. We report the case of a 13-year-old female reporting progressive left-sided hearing loss and high resolution computed tomography was initially reported as normal. Exploratory tympanotomy revealed an absent stapedius tendon and lack of connection between the stapes superstructure and footplate. The footplate was fixed. Stapedotomy and stapes prosthesis insertion resulted in closure of the air-bone gap by 50 dB. A review of world literature was performed using MedLine. Middle ear ossicular discontinuity can result in significant conductive hearing loss. This can be managed effectively with surgery to help restore hearing. However, some patients may not be suitable or decline surgical intervention and can be managed safely conservatively.http://dx.doi.org/10.1155/2015/387642
collection DOAJ
language English
format Article
sources DOAJ
author Hala Kanona
Jagdeep Singh Virk
Gaurav Kumar
Sanjiv Chawda
Sherif Khalil
spellingShingle Hala Kanona
Jagdeep Singh Virk
Gaurav Kumar
Sanjiv Chawda
Sherif Khalil
A Rare Stapes Abnormality
Case Reports in Otolaryngology
author_facet Hala Kanona
Jagdeep Singh Virk
Gaurav Kumar
Sanjiv Chawda
Sherif Khalil
author_sort Hala Kanona
title A Rare Stapes Abnormality
title_short A Rare Stapes Abnormality
title_full A Rare Stapes Abnormality
title_fullStr A Rare Stapes Abnormality
title_full_unstemmed A Rare Stapes Abnormality
title_sort rare stapes abnormality
publisher Hindawi Limited
series Case Reports in Otolaryngology
issn 2090-6765
2090-6773
publishDate 2015-01-01
description The aim of this study is to increase awareness of rare presentations, diagnostic difficulties alongside management of conductive hearing loss and ossicular abnormalities. We report the case of a 13-year-old female reporting progressive left-sided hearing loss and high resolution computed tomography was initially reported as normal. Exploratory tympanotomy revealed an absent stapedius tendon and lack of connection between the stapes superstructure and footplate. The footplate was fixed. Stapedotomy and stapes prosthesis insertion resulted in closure of the air-bone gap by 50 dB. A review of world literature was performed using MedLine. Middle ear ossicular discontinuity can result in significant conductive hearing loss. This can be managed effectively with surgery to help restore hearing. However, some patients may not be suitable or decline surgical intervention and can be managed safely conservatively.
url http://dx.doi.org/10.1155/2015/387642
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