alexa Abstract | Computed Tomography-Based Workup of Conductive Hearing Loss with Normal Middle Ear: Don't Forget Superior Semicircular Canal Dehiscence

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Research Article Open Access

Abstract

Patients with superior semicircular canal dehiscence (SSCD) may have conductive hearing loss (CHL) with normal middle ear (ME). A patient with CHL and normal tympanic membrane at otoscopy underwent tympanotomy for presumed otosclerosis but had negative intraoperative findings. A high-resolution computed tomography (CT) scan of the temporal bone performed a few years later showed the absence of middle-ear disorder (especially the absence of imaging signs of otosclerosis) and revealed a bony dehiscence of the superior semicircular canal. High-resolution CT scan is the test of choice for diagnosing SSCD; it mimics otosclerosis by manifesting itself as CHL with a normal ME. The aim of this study is to remind radiologists and otolaryngologists that SSCD should be systematically considered among the etiologies of CHL with normal ME.

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Author(s): Christian B Teszler Mary Daval Khaled Altabaa Marc T Williams Denis Ayache

Keywords

computed tomography, conductive hearing loss, otosclerosis, superior semicircular canal dehiscence, temporal bone

 
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