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PATHOLOGIC QUIZ CASE 1
J. RYAN CHANDLER, MD, MIAMI, FLA
Ever since childhood a 38-year-old woman had been aware of hearing loss in her right ear. It was only slightly progressive, if at all. But about two months prior to examination she began to note tinnitus and a sense of pressure in the right ear. Occasionally she complained that her own heels sounded loud and disturbing in the right ear when she walked on a hard pavement. In spite of antibiotics, inflation of the eustachian tube, and treatment to the nasopharynx as well as other treatments, her symptoms persisted.The left eardrum appeared to be normal, but the right one was retracted, opaque, and dark blue in color. Its mobility was markedly restricted. Audiometry showed a 40 db conductive hearing loss. A very slight improvement in hearing acuity occurred after politzerization but with a great deal of difficulty. A myringotomy
SATALOFF J. The Resident's Page. Arch Otolaryngol. 1965;82(5):554–557. doi:10.1001/archotol.1965.00760010556026
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