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We present the case of a patient treated as affected by conductive hearing loss due to recurrent otitis, then as a juvenile otosclerosis, who was finally diagnosed as affected by bilateral ossicular chain fixation and enlarged vestibular aqueduct by means of cone-beam CT.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954848 | PMC |
http://dx.doi.org/10.3390/children10020360 | DOI Listing |
J Surg Case Rep
September 2025
Department of Otolaryngology - Head and Neck Surgery, Prince Sultan Military Medical City, Makkah Al Mukarramah Branch Road, As Sulimaniyah District, Riyadh 11159, Saudi Arabia.
Middle ear vascular anomalies are an uncommon and frequently overlooked cause of conductive hearing loss (CHL). Their clinical presentation can mimic more prevalent conditions, making diagnosis and management challenging. Without appropriate imaging and evaluation, such cases may lead to unnecessary and potentially harmful interventions.
View Article and Find Full Text PDFWorld J Radiol
August 2025
Department of Radiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan 24000, Basbaglar, Türkiye.
Chronic otitis media (COM) is a long-standing inflammatory condition affecting the middle ear and mastoid cavity, often resulting in progressive structural damage and functional deficits. Radiological imaging is fundamental in diagnosing the disease, assessing its severity, and identifying possible complications. The literature indicates that the prevalence rates of extracranial and intracranial complications range from 0.
View Article and Find Full Text PDFEar Nose Throat J
August 2025
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA.
Middle ear trauma from foreign body (FB) impaction or its removal can lead to tympanic membrane (TM) perforations and ossicular chain disruption. We present a case of a 29 year-old male who developed acute right-sided hearing loss, aural fullness, and tinnitus after an attempt at removing a cotton-tipped applicator (Q-tip) impaction in the ear canal. Physical examination revealed a dislocated incus protruding through the TM, and audiometry confirmed moderate conductive hearing loss.
View Article and Find Full Text PDFBiomedicines
August 2025
Department of Otorhinolaryngology, School of Medicine, Gaziantep University, 27310 Gaziantep, Turkey.
This study aimed to evaluate the clinical and hearing outcomes of patients with cholesteatomatous chronic otitis media using the ChOLE classification system and to assess its utility in predicting recurrence, guiding surgical approach, and anticipating hearing recovery. This retrospective study included 130 patients (141 ears) who underwent surgery for cholesteatoma between 2011 and 2020. Data were collected from surgical notes, imaging studies, and audiological evaluations.
View Article and Find Full Text PDFAuris Nasus Larynx
August 2025
Department of Radiology, Mie University Graduate School of Medicine, Tsu, Japan.
Objective: To directly compare the image quality of photon-counting detector CT (PCD-CT) and conventional energy-integrating detector CT (EID-CT) for temporal bone imaging within the same patient cohort.
Methods: This retrospective study included seven patients who underwent both EID-CT and PCD-CT for clinical indications. To ensure a valid comparison of the imaging technologies, images of the non-operated, contralateral temporal bone were evaluated.