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등골근 건 절제술로 치료한 일측성 전음성 난청 1예

A Case of Unilateral Conductive Hearing Loss Treated with Stapedial Tenotomy

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주제분류이비인후과학

초록

The ossification of stapedial tendon is a rare disorder of middle ear that results in conductive hearing loss. It might be easily misdiagnosed as otosclerosis, and only exploratory tympanotomy can indicate cases where the mobility of stapes is not fixed or has increased. Cutting of the tendon results in nearly normal ossicular mobility and hearing improvement. A 41-year-old patient visited our clinic with slowly progressive hearing loss. Hearing evaluation revealed that he had a conductive hearing loss with intact tympanic membrane. The mobility of stapes was enhanced by cutting of the tendon through exploratory tympanotomy; hearing was improved thereafter.

Abstract

The ossification of stapedial tendon is a rare disorder of middle ear that results in conductive hearing loss. It might be easily misdiagnosed as otosclerosis, and only exploratory tympanotomy can indicate cases where the mobility of stapes is not fixed or has increased. Cutting of the tendon results in nearly normal ossicular mobility and hearing improvement. A 41-year-old patient visited our clinic with slowly progressive hearing loss. Hearing evaluation revealed that he had a conductive hearing loss with intact tympanic membrane. The mobility of stapes was enhanced by cutting of the tendon through exploratory tympanotomy; hearing was improved thereafter.

참고문헌 (11)

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  2. Oh SH, "Clinical analysis of congenital stapedial fixation in children", Korean J Otolaryngol-Head Neck Surg, 40(12), pp.1728~1733 (1997)
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  7. Hara A, "Dominant hereditary conductive hearing loss due to an ossified stapedius tendon", Arch Otolaryngol Head Neck Surg, 123(10), pp.1133~1135 (1997)
  8. Grant WE, "Stapedius tendon ossification: A rare cause of congenital conductive hearing loss", J Laryngol Otol, 105(9), pp.763~764 (1991)
  9. Kurosaki Y, "Congenital ossification of the stapedius tendon: Diagnosis with CT", Radiology, 195(3), pp.711~714 (1995)
  10. Tabuchi K, "Preoperative evaluation of ossicular chain abnormality in patients with conductive deafness without perforation of the tympanic membrane", Arch Otolaryngol Head Neck Surg, 131(8), pp.686~689 (2005)
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