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Findings at exploratory tympanotomy for conductive hearing loss

Published online by Cambridge University Press:  01 July 2009

G Robertson  and
R Mills
G Robertson*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Royal Infirmary of Edinburgh, Scotland, UK
R Mills
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Royal Infirmary of Edinburgh, Scotland, UK
*
Address for correspondence: Mr G Robertson, Victoria Hospital, Hayfield Road, Kirkcaldy, Fife KY2 5AH Scotland, UK. Fax: 0141 201 0865 E-mail: [email protected]
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Abstract

Introduction:

Despite advances in imaging and other diagnostic tests, it is often impossible to establish with confidence a pre-operative diagnosis in a patient with a conductive hearing loss.

Methods:

We studied a series of 340 exploratory tympanotomies for conductive hearing loss carried out by a single surgeon.

Results:

The most common operative diagnosis was otosclerosis (n = 164, 48.2 per cent). Ossicular discontinuity was found more commonly than previously reported (n = 103, 30.3 per cent). A small but significant number of patients were found to have cholesteatoma (n = 7.2 per cent).

Conclusions:

This information is of value when discussing potential findings at surgery for conductive hearing loss. While otosclerosis is the commonest finding in such cases, a significant number of patients have defects of the ossicular chain.

Keywords

Conductive Hearing LossOtosclerosisCholesteatomaOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1087 - 1089
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented at the Scottish Otolaryngology Society Summer Meeting, 9th May 2008, Pitlochry, Scotland, UK.

References

1Paparella, MM, Koutroupas, S. Exploratory tympanotomy revisited. Laryngoscope 1982;92:531–4CrossRefGoogle ScholarPubMed
2Kakehata, S, Futai, K, Kuroda, R, Shinkawa, H. Office-based endoscopic procedure for diagnosis in conductive hearing loss cases using OtoScan laser-assisted myringotomy. Laryngoscope 2004;114:1285–9CrossRefGoogle ScholarPubMed
3Browning, GG, Swan, IR, Gatehouse, S. The doubtful value of tympanometry in the diagnosis of otosclerosis. J Laryngol Otol 1985;99:545–7CrossRefGoogle ScholarPubMed
4Shin, YJ, Deguine, O, Cognard, C, Sevely, A, Manelfe, C, Fraysse, B. Reliability of CT scan in the diagnosis of conductive hearing loss with normal tympanic membrane [in French]. Rev Laryngol Otol Rhinol (Bord) 2001;122:81–4Google ScholarPubMed
5Rosowski, JJ, Mehta, RP, Merchant, SN. Diagnostic utility of laser-Doppler vibrometry in conductive hearing loss with normal tympanic membrane. Otol Neurotol 2003;24:165–75CrossRefGoogle ScholarPubMed
6Feeney, MP, Grant, IL, Marryott, LP. Wideband energy reflectance measurements in adults with middle-ear disorders. J Speech Lang Hear Res 2003;46:901–11CrossRefGoogle ScholarPubMed
7Karosi, T, Konya, J, Petko, M, Szabo, LZ, Pytel, J, Jori, J et al. Antimeasles immunoglobulin G for serologic diagnosis of otosclerotic hearing loss. Laryngoscope 2006;116:488–93CrossRefGoogle ScholarPubMed
8Veillon, F, Stierle, JL, Dussaix, J, Ramos-Taboada, L, Riehm, S. Otosclerosis imaging: matching clinical and imaging data. J Radiol 2006;87:1756–64CrossRefGoogle ScholarPubMed
9Vincent, R, Sperling, NM, Oates, J, Jindal, M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006;27(8 Suppl 2):S25–47CrossRefGoogle ScholarPubMed
10Ferlito, A, Paparella, MM, Rinaldo, A, Schachern, PA, Cureoglu, S. The entity known as chronic silent (subclinical) otitis media: a common lesion and a forgotten diagnosis. Acta Otolaryngol 2003;123:749–51CrossRefGoogle Scholar
11Austin, DF. Tympanoplasty: yesterday, today and tomorrow. Clin Otolaryngol Allied Sci 1997;22:3–6CrossRefGoogle ScholarPubMed
12Merchant, SN, Rosowski, JJ, McKenna, MJ. Superior semicircular canal dehiscence mimicking otosclerotic hearing loss. Adv Otorhinolaryngol 2007;65:137–45Google ScholarPubMed
13Bess, FH, Miller, GW, Glasscock, ME 3rd, Bratt, GW. Unexplained conductive hearing loss. South Med J 1980;73:335–8CrossRefGoogle ScholarPubMed