OBJECTIVE To evaluate the usefulness of pure-tone audiometry, tympanometry, and liquid and acoustic reflex (AR) tests in the differential diagnosis of ossicular fixation and discontinuity. DESIGN A prospective clinical trial. SETTING Tertiary referral center. PATIENTS Thirty-nine patients (46 ears) undergoing operations at University of Tsukuba Hospital, Tsukuba, Japan, from 1990 through ...

The diagnosis of the ossicular condition, fixation or interruption, is often not achieved by the routine tympanometry. A new tympanometric system has been developed in order to improve the diagnostic value. This produces a sweep-frequency probe tone of 200 to 2000Hz and measures the sound pressure difference and the phase difference between the output and the input. An experimental study was pe...

Introduction: Otosclerosis is a disease of bony labyrinth. Structural changes in the labyrinth often cause ossicular fixation, and thus conductive hearing loss. The purpose of this study was to evaluate middle ear exploration findings and frequency of ossicular and footplate area anomalies in patients with suspected otosclerosis referred to Amiralmomenin and Golsar Hospitals in Rasht, Iran.   M...

Acoustic reflex is a sensitive indicator of middle ear lesions when the tympanic membrane is intact and tympanometry is normal. Acoustic reflex is not usually observed in conductive hearing loss caused by disruption of the ossicular chain including ossicular discontinuity and fixation. Ossicular disruption can show at least partially intact acoustic reflex under a certain condition. Moreover, o...

introduction: otosclerosis is a disease of bony labyrinth. structural changes in the labyrinth often cause ossicular fixation, and thus conductive hearing loss. the purpose of this study was to evaluate middle ear exploration findings and frequency of ossicular and footplate area anomalies in patients with suspected otosclerosis referred to amiralmomenin and golsar hospitals in rasht, iran.   m...

OBJECTIVE To determine the feasibility of measuring tympanic membrane (TM) vibrations at multiple locations on the TM to differentiate normal eardrums from those with associated ossicular pathologies. DESIGN Cadaveric human temporal bone study. SETTING Basic science laboratory. METHODS A mastoidectomy and facial recess approach was performed on four cadaveric temporal bones to obtain acce...

A sweep-frequency tympanometer has been developed to diagnose auditory ossicular lesions more precisely. This device measures acoustic middle ear features by changing the probe tone frequency continuously. The oscillator sweeps frequency of the probe tone from 200 to 2,500Hz 1.5 seconds. A microphone picks up the changes in the acoustic pressure and the phase in the external auditory meatus dur...

Among congenital ossicular anomalies without external ear atresia, malleus fixation is least common. We report a case of congenital malleus fixation by a bony bar connecting the malleus neck to the posterior tympanic wall, which was depicted on thin-section CT scans.

INTRODUCTION Otosclerosis is a disease of bony labyrinth. Structural changes in the labyrinth often cause ossicular fixation, and thus conductive hearing loss. The purpose of this study was to evaluate middle ear exploration findings and frequency of ossicular and footplate area anomalies in patients with suspected otosclerosis referred to Amiralmomenin and Golsar Hospitals in Rasht, Iran. MA...