Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T09:33:25.564Z Has data issue: false hasContentIssue false

Stapedius tendon ossification: A rare cause of congenital conductive hearing loss

Published online by Cambridge University Press:  29 June 2007

William E. Grant*
Affiliation:
Dublin
William J. Grant
Affiliation:
Dublin
*
Department of Otolaryngology/Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland.

Abstract

Two cases are presented of bilateral conductive deafness in siblings. An initial presumptive diagnosis of otosclerosis was made in the first case, that of a nine-year-old girl with a bilateral hearing loss of 45 dB. Exploratory tympanotomy revealed normal ossicles but the stapedius ‘tendon’ was found to be a solid bony bar fixing the stapes. Division of the ‘tendon’ resulted in normal ossicular mobility and return of hearing with closure of the air-bone gap. Identical ossification was found in her other ear, and some years later in both ears of one of her brothers. Similar surgery restored hearing successfully in each case. An acquired aetiology has been proposed in one of the three previously reported cases; this report, however, suggests the congenital nature of the anomaly. No previous cases have been described occurring in siblings.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Henner, R. (1960) Congenital middle ear malformations. Archives of Otolaryngology, 71: 454458.CrossRefGoogle ScholarPubMed
Hough, J. V. D. (1958) Malformations and anatomical variations seen in the middle ear during the operation for mobilization of the stapes. Laryngoscope, 68: 13371379.CrossRefGoogle ScholarPubMed
Hough, J. V. D. (1963) Congenital malformations of the middle ear. Archives of Otolaryngology, 78: 335343.CrossRefGoogle ScholarPubMed
Meuser, W. (1977) Schalleitungsschwerhörigkeit Durch Verknöcherte Stapediussehnen. (Hearing loss by ossified stapedius tendons). Laryngologie, Rhinologie, 56: 1213.Google ScholarPubMed
Patel, K. N. (1972) Ossification of the stapedius tendon. Journal of Laryngology and Otology, 86: 863865.CrossRefGoogle ScholarPubMed
Schuknecht, H. F., Trupiano, S. (1957) Some interesting middle ear problems. Laryngoscope, 67 395409.CrossRefGoogle ScholarPubMed