A 6-year-old girl with Down syndrome was referred to our team for joint management. She was having severe speech and language difficulties. Her hearing was assessed, and the pure tone audiometry showed a moderate conductive hearing loss (40 dB) in the left ear and profound hearing loss in the right ear. A CT scan and MRI of temporal bone (Figs. 1 and 2) revealed a hypodense mass in the left tym...

We report a rare case where Q-tip induced mixed hearing loss without perilymph fistula and demonstrate the need for computed tomography imaging with three-dimensional reconstruction where fracture and dislocation of the stapes are suspected. A 28-year-old male experienced an accidental penetrating injury by a Q-tip in the right ear 6 years previously. Temporal bone computed tomography revealed ...

BACKGROUND Cholesteatomas are epithelial cysts that contain desquamated keratin. Patients commonly present with progressive hearing loss and a chronically discharging ear. We report an unusual presentation of the disease with an acute hearing loss suffered immediately after prolonged use of a pneumatic drill. CASE PRESENTATION A 41 year old man with no previous history of ear problems present...

Introduction. Despite modern radiological workup, surgeons can still be surprised by intraoperative findings or by the pathologist's report. Materials & Methods. We describe the case of a 52-year-old male who was referred to our clinic with a single sided conductive hearing loss. He ultimately underwent middle ear exploration and excision of a middle ear tumour followed by second look and ossic...

INTRODUCTION Different types of titanium prostheses are used for different types of ossicular chain reconstruction (OCR). However, various ossicular chain problems require different types of reconstruction (incus or prosthesis). Recently, Vincent et al. published a new type of ossiculoplasty with a malleus replacement prosthesis (MRP). The details of this new prosthesis are described in their a...

Aural atresia and severe microtia are associated malformations that result in problems with hearing and cosmesis, associated speech and language difficulties and diminished self-esteem. In cases where middle ear ossiculoplasty and aural atresia canalplasty are expected to give poor hearing outcomes that would eventually require the use of hearing aids, bone anchored hearing aids or active middl...