Otitis media with effusion in a patient who had previously undergone a stapedectomy.
On examination, the tympanic membrane was retracted and a straw-colored fluid could be seen behind an intact tympanic membrane (figure). The tympanic membrane was in contact with the long process of the incus, and the wire loop of the stapedectomy prosthesis could be seen through it. Bone conduction was greater than air conduction on a tuning fork test, and Weber's test lateralized to the left. An audiogram confirmed these findings. Clinical and audiologic correlates of labyrinthitis were not present.
Myringotomy and ventilation tube placement reversed the conductive hearing loss, and the patient remained well during follow-up.
From the Division of Otology/Neurotology, the Department of Otolaryngology--Head and Neck Surgery, University of Texas Medical Branch at Galveston.
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|Title Annotation:||OTOSCOPIC CLINIC|
|Author:||Gadre, Arun K.|
|Publication:||Ear, Nose and Throat Journal|
|Date:||Aug 1, 2005|
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