Obscure temporal bone fracture with conductive hearing loss. (Otoscopic Clinic).The accompanying photograph shows the right ear of a patient who sustained a basilar skull fracture and fracture of the temporal bone many years before. The ear has been dry and free of any complaint with the exception of a 50-dB conductive hearing loss Conductive hearing loss A type of medically treatable hearing loss in which the inner ear is usually normal, but there are specific problems in the middle or outer ears that prevent sound from getting to the inner ear in a normal way. . There is minimal evidence of temporal bone fracture at the superior part of the annular ring along the notch of Rivinus. There is a healed postero-inferior perforation of the pars tensa, which has an opaque scar. The long handle of the malleus is in the normal position. The incus is in a normal position. The stapes stapes /sta·pes/ (sta´pez) [L.] the innermost of the auditory ossicles; it articulates by its head with the incus and its base is inserted into the oval window sta·pes n. pl. can be seen through the translucent pars tensa. Treatment involves tympanoplasty tympanoplasty /tym·pa·no·plas·ty/ (tim´pah-no-plas?te) surgical reconstruction of the tympanic membrane and establishment of ossicular continuity from the tympanic membrane to the oval window. performed through the external auditory canal external auditory canal n. See ear canal. on an elective basis. From Gap, France (Dr. Deguine), and the Pulec Ear Clinic, Los Angeles (Dr. Pulec). |
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