Abstract WITH THE advent of microsurgery, an increasing number of middle ear anomalies are being recognized. This case presents congenital deformities of both the stapes and horizontal portion of the facial nerve. This 15-year-old white boy was noted to have a hearing loss in infancy by his parents. He spoke his first words at 16 months. Speech has developed fairly well and intelligibility is fair to good. He began wearing a hearing aid at the age of 6. At present, he functions best with a binaural aid. Despite his speech and hearing handicap, he has been able to keep up with his class and maintain satisfactory grades. Initial examination showed normal structures of the auricle, external auditory meatus, and tympanic membrane. The nose, throat, and general physical examination showed no other abnormalities. Pure tone audiograms showed the bone conduction at 0 db and 60 db air conduction loss across-the-board. Differential diagnosis References 1. Hanson, J.R.; Anson, B.J.; and Strickland, E.M.: Brachial Sources of the Auditory Ossicles in May: Part II , Arch Otolaryng 76:200-215 ( (Sept) ) 1962.Crossref 2. Bast, T.H., and Anson, B.J.: The Temporal Bone and the Ear , Springfield, Ill: Charles C Thomas, Publisher, 1949. 3. Hough, J.V.D.: Congenital Malformation of the Middle Ear , Arch Otolaryng 78:335-344 ( (Sept) ) 1963.Crossref 4. Bast, T.H.; Anson, B.J.; and Richany, S.F.: The Development of the Second Brachial Arch (Reichert's Cartilage), Facial Canal and Associated Structures in Man , Quart Bull Northwest Univ Med School 30:235-289, 1956. 5. Basek, M.: Anomalies of the Facial Nerve in Normal Temporal Bones , Ann Otolaryng 71-72:382-390, 1962. 6. Fowler, E.P., Jr.: Variations in the Temporal Bone Course of the Facial Nerve , Laryngoscope 71:937-946, 1961.Crossref
Archives of Otolaryngology – American Medical Association
Published: May 1, 1966
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