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Malleo-incudal osteoma: an unexpected finding during surgery for presumed otosclerosis

Published online by Cambridge University Press:  12 July 2011

K Ramdoo ,
O T Dale  and
R C D Herdman
K Ramdoo*
Affiliation:
ENT Department, Royal Berkshire Hospital Foundation Trust, Reading, UK
O T Dale
Affiliation:
ENT Department, Royal Berkshire Hospital Foundation Trust, Reading, UK
R C D Herdman
Affiliation:
ENT Department, Royal Berkshire Hospital Foundation Trust, Reading, UK
*
Address for correspondence: Dr K Ramdoo, ENT Department, Royal Berkshire Hospital, Reading RG1 5AN, UK E-mail: kramdoo@hotmail.com
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Abstract

Objective:

To report a rare case of a symptomatic malleo-incudal osteoma, and to highlight the difficulties in making the clinical diagnosis.

Method:

Case report and literature review.

Results:

Malleo-incudal osteoma is a rare cause of unilateral conductive hearing loss. Its symptoms may mimic those of other otological causes of conductive hearing loss, such as otosclerosis.

Conclusion:

This case report highlights the challenges involved in establishing a clinical diagnosis of malleo-incudal osteoma. It also emphasises the importance of assessing the mobility of the divided ossicular chain during a planned stapedectomy.

Keywords

Hearing Loss, ConductiveIncusMalleusOsteomaDiagnosis

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 9 , September 2011 , pp. 968 - 969
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Arensburg, B, Belkin, V, Wolf, M. Middle ear pathology in ancient and modern populations: incudal osteoma. Acta Otolaryngol 2005;125:1164–7CrossRefGoogle ScholarPubMed
2Jang, CH, Cho, YB. Osteoma of the incus with congenital cholesteatoma: a case report. Auris Nasus Larynx 2009;36:349–52CrossRefGoogle ScholarPubMed
3Lagleyre, S, Sorrentino, T, Calmels, MN, Shin, YJ, Escudé, B, Deguine, O et al. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol 2009;30:1152–9CrossRefGoogle ScholarPubMed