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March 1997


Arch Otolaryngol Head Neck Surg. 1997;123(3):348-352. doi:10.1001/archotol.1997.01900030136018

Imaging Quiz Case 1  Troy S. Gates, MD; John Niparko, MD; Baltimore, MdA 70-year-old man presented with a 6-year history of progressive hearing loss, which was worse in the left ear. He also complained of a 3-week history of intermittent tinnitus. There were no complaints of otalgia, otorrhea, vertigo, or facial palsy. The patient denied any history of head trauma, ear surgery, family history of hearing loss, tuberculosis, or exposure to ototoxic antibiotics; however, he had fired a rifle on the right side while serving in the US Navy. He had worn hearing aids bilaterally for 10 years. Physical examination demonstrated normal results on otoscopy, lateralization to the right on Weber testing, and negative results on a Rinne test on the left. Audiological testing was completed using insert phones. Results revealed a moderate sloping to profound mixed hearing loss in the right ear and a profound sensorineural hearing loss

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