Objective: Our study aims to analyze the epidemiological, clinical, radiological, and etiological aspects of this disease. Methods: We reviewed data from patients who consulted the same seigneur for hearing loss and in whom the otoscopic examination was normal with a conductive hearing loss objectively confirmed on tonal audiometry, for a period of one year (from October 2018 to October 2019). Epidemiological, clinical and paraclinical data were collected and recorded on-farm records. Results: The average age is 36 years. The M/F sex ratio was 1.5 in favor of the men. None of our patients reported a personal otologic history. Three patients reported a notion of head trauma and a similar case in the family was found in four patients. Hearing loss is the most frequent reason for consultation. Otoscopic examination shows a normal tympanic membrane without perforation in all patients. CT scan of the temporal bone was performed in all patients (100%); it was normal in 4 cases (17%), which required surgical exploration. However, he showed images of otosclerosis in 15 cases (65%), an image of congenital cholesteatoma in a single patient, tympanic glomus in a single patient, an incudo-malleolar dislocation in a single patient (4.5%), and an incudo-stapedial dislocation in a single patient (4.5%). Conclusion: Conductive hearing loss (CHL) is a diagnostic challenge for the physician that requires a schematic approach. The diagnosis is based on a combination of clinical and paraclinical arguments.
| Published in | International Journal of Otorhinolaryngology (Volume 6, Issue 2) |
| DOI | 10.11648/j.ijo.20200602.12 |
| Page(s) | 26-30 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Conductive Hearing Loss, Intact Tympanic Membrane, Otoscopic Examination, CT Scan of Temporal Bone
| [1] | Espitalier F, Durand N, Boyer J, Gayet-Delacroix M, Malard O, Bordure P. Stratégie diagnostique devant une surdité de l'adulte. EMC (Elsevier Masson SAS), Oto-rhino laryngologie. 2012; 7 (2): 1–12. |
| [2] | Subramanian, M., Chawla, A., Chokkappan, K., Lim, T., Shenoy, J. N., & Chin Guan Peh, W. (2018). High-Resolution Computed Tomography Imaging in Conductive Hearing Loss: What to Look for? Current Problems in Diagnostic Radiology, 47 (2), 119–124. |
| [3] | Curtin, H. D. (2016). Imaging of Conductive Hearing Loss With a Normal Tympanic Membrane. American Journal of Roentgenology, 206 (1), 49–56. |
| [4] | Kim SH, Cho YS, Kim HJ, Kim HJ. Operative findings of conductive hearing loss with intact tympanic membrane and normal temporal bone computed tomography. Eur Arch Otorhinolaryngol 2014; 271: 1409–14. |
| [5] | Thomeer HG, Kunst HP, Cremers CW. Congenital stapes ankylosis associated with another ossicular chain anomaly: surgical results in 30 ears. Arch Otolaryngol Head Neck Surg 2011; 137: 935–41. |
| [6] | Lippy WH, Berenholz LP. Pearls on otosclerosis and stapedectomy. Ear Nose Throat J. 2008; 326-328. |
| [7] | Thomassin JM, Collin M, Bailhache A, Dessi P, Rodriguez F, Varoquaux A. Otospongiose. EMC (Elsevier Masson SAS), Oto-rhino-laryngologie. 2010: 1–15. 20-195-A-10. |
| [8] | Terzi S, Ozgur A, Erdivanli OC, Coskun ZO, Ogurlu M, Demirci M, et al. Diagnostic value of the wideband acoustic absorbance test in middle-ear effusion. J Laryngol Otol 2015; 129: 1078–84. |
| [9] | Feeney MP, Grant IL, Marryott LP. Wideband energy reflectance measurements in adults with middle-ear disorders. J Speech Lang Hear Res 2003; 46: 901–11. |
| [10] | Kim, S. Y., Han, J. J., Oh, S. H., Lee, J. H., Suh, M., Kim, M. H., & Park, M. K. (2018). Differentiating among conductive hearing loss conditions with wideband tympanometry. Auris Nasus Larynx. |
| [11] | Kreitmayer, C., Marcrum, S. C., Picou, E. M., Steffens, T., & Kummer, P. (2019). Subclinical Conductive Hearing Loss Significantly Reduces Otoacoustic Emission Amplitude: Implications for Test Performance. International Journal of Pediatric Otorhinolaryngology. |
| [12] | Virk JS, Singh A, Lingam RK. The role of imaging in the diagnosis and management of otosclerosis. Otol Neurotol. 2013; 34 (7): e55-e60. |
| [13] | Goodhill V, Haris I, Canalis R. Otosclerosis. In: Canalis R, Lambert PR, eds. The Ear: Comprehensive Otology. Philadelphia, PA: Lippincott Williams and Wilkens; 2000: 467-487. |
| [14] | Wolfovitz, A., & Luntz, M. (2018). Impact of Imaging in Management of Otosclerosis. Otolaryngologic Clinics of North America, 51 (2), 343–355. |
| [15] | Bonafé A, Laval C, Arru Ph, Manelfe C, Temporal bone fractures. Rivista di Neuroradiologia, 1995; 8: 847-54. |
| [16] | Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol 1997; 18: 188–97. |
| [17] | Juliano AF, Ginat DT, Moonis G. Imaging review of the temporal bone: Part II. Traumatic, postoperative, and noninflammatory nonneoplastic conditions. Radiology 2015; 276: 655–72. |
| [18] | Stephan LA, Isaacson JE. Incudomallear joint separation. Am J Otol 2000; 21: 284-5. |
| [19] | Yetiser, S., Hıdır, Y., Birkent, H., Satar, B., & Durmaz, A. (2008). Traumatic ossicular dislocations: etiology and management. American Journal of Otolaryngology, 29 (1), 31–36. |
| [20] | Carlson ML, Sweeney AD, Pelosi S, et al. Surgical management of glomus tympanicum: a review of 115 cases over four decades. Otolaryngol Head Neck Surg 2015; 152: 136–42. |
| [21] | Kojima H, Tanaka Y, Shiwa M. et al. Congenital cholesteatoma clinical features and surgical results. Am J Otolaryngol. 2006; 27 (5): 299–305. |
| [22] | Bennett M, Warren F, Jackson G, Kaylie D (2006) Congenital cholesteatoma: theories, facts, and 53 patients. Otolaryngol Clin N Am 39: 1081–1094. |
| [23] | Minor LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005; 115 (10): 1717–1727. |
| [24] | Li PM, Bergeron C, Monfared A, Agrawal S, Blevins NH. Superior semicircular canal dehiscence diagnosed after failed stapedotomy for conductive hearing loss. Am J Otolaryngol 2011; 32: 441–4. |
| [25] | Yang, F., & Liu, Y. (2018). Reporting and Description for Congenital Middle Ear Malformations to Facilitate Surgical Management. Annals of Otology, Rhinology & Laryngology, 000348941879293. |
APA Style
Sana Mallouk, Sara Halily, Yasser Hammouda, Youssef Oukessou, Sami Rouadi, et al. (2020). Conductive Hearing Loss with an Intact Tympanic Membrane: Diagnosed Approaches. International Journal of Otorhinolaryngology, 6(2), 26-30. https://doi.org/10.11648/j.ijo.20200602.12
ACS Style
Sana Mallouk; Sara Halily; Yasser Hammouda; Youssef Oukessou; Sami Rouadi, et al. Conductive Hearing Loss with an Intact Tympanic Membrane: Diagnosed Approaches. Int. J. Otorhinolaryngol. 2020, 6(2), 26-30. doi: 10.11648/j.ijo.20200602.12
AMA Style
Sana Mallouk, Sara Halily, Yasser Hammouda, Youssef Oukessou, Sami Rouadi, et al. Conductive Hearing Loss with an Intact Tympanic Membrane: Diagnosed Approaches. Int J Otorhinolaryngol. 2020;6(2):26-30. doi: 10.11648/j.ijo.20200602.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijo.20200602.12,
author = {Sana Mallouk and Sara Halily and Yasser Hammouda and Youssef Oukessou and Sami Rouadi and Reda Abada and Mohamed Mahtar and Mohamed Roubal},
title = {Conductive Hearing Loss with an Intact Tympanic Membrane: Diagnosed Approaches},
journal = {International Journal of Otorhinolaryngology},
volume = {6},
number = {2},
pages = {26-30},
doi = {10.11648/j.ijo.20200602.12},
url = {https://doi.org/10.11648/j.ijo.20200602.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20200602.12},
abstract = {Objective: Our study aims to analyze the epidemiological, clinical, radiological, and etiological aspects of this disease. Methods: We reviewed data from patients who consulted the same seigneur for hearing loss and in whom the otoscopic examination was normal with a conductive hearing loss objectively confirmed on tonal audiometry, for a period of one year (from October 2018 to October 2019). Epidemiological, clinical and paraclinical data were collected and recorded on-farm records. Results: The average age is 36 years. The M/F sex ratio was 1.5 in favor of the men. None of our patients reported a personal otologic history. Three patients reported a notion of head trauma and a similar case in the family was found in four patients. Hearing loss is the most frequent reason for consultation. Otoscopic examination shows a normal tympanic membrane without perforation in all patients. CT scan of the temporal bone was performed in all patients (100%); it was normal in 4 cases (17%), which required surgical exploration. However, he showed images of otosclerosis in 15 cases (65%), an image of congenital cholesteatoma in a single patient, tympanic glomus in a single patient, an incudo-malleolar dislocation in a single patient (4.5%), and an incudo-stapedial dislocation in a single patient (4.5%). Conclusion: Conductive hearing loss (CHL) is a diagnostic challenge for the physician that requires a schematic approach. The diagnosis is based on a combination of clinical and paraclinical arguments.},
year = {2020}
}
TY - JOUR T1 - Conductive Hearing Loss with an Intact Tympanic Membrane: Diagnosed Approaches AU - Sana Mallouk AU - Sara Halily AU - Yasser Hammouda AU - Youssef Oukessou AU - Sami Rouadi AU - Reda Abada AU - Mohamed Mahtar AU - Mohamed Roubal Y1 - 2020/09/16 PY - 2020 N1 - https://doi.org/10.11648/j.ijo.20200602.12 DO - 10.11648/j.ijo.20200602.12 T2 - International Journal of Otorhinolaryngology JF - International Journal of Otorhinolaryngology JO - International Journal of Otorhinolaryngology SP - 26 EP - 30 PB - Science Publishing Group SN - 2472-2413 UR - https://doi.org/10.11648/j.ijo.20200602.12 AB - Objective: Our study aims to analyze the epidemiological, clinical, radiological, and etiological aspects of this disease. Methods: We reviewed data from patients who consulted the same seigneur for hearing loss and in whom the otoscopic examination was normal with a conductive hearing loss objectively confirmed on tonal audiometry, for a period of one year (from October 2018 to October 2019). Epidemiological, clinical and paraclinical data were collected and recorded on-farm records. Results: The average age is 36 years. The M/F sex ratio was 1.5 in favor of the men. None of our patients reported a personal otologic history. Three patients reported a notion of head trauma and a similar case in the family was found in four patients. Hearing loss is the most frequent reason for consultation. Otoscopic examination shows a normal tympanic membrane without perforation in all patients. CT scan of the temporal bone was performed in all patients (100%); it was normal in 4 cases (17%), which required surgical exploration. However, he showed images of otosclerosis in 15 cases (65%), an image of congenital cholesteatoma in a single patient, tympanic glomus in a single patient, an incudo-malleolar dislocation in a single patient (4.5%), and an incudo-stapedial dislocation in a single patient (4.5%). Conclusion: Conductive hearing loss (CHL) is a diagnostic challenge for the physician that requires a schematic approach. The diagnosis is based on a combination of clinical and paraclinical arguments. VL - 6 IS - 2 ER -
Information
Email: