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July 1975

Trisomy 18: A Temporal Bone Report

Author Affiliations

From the departments of otolaryngology and pediatrics of the Ohio State University Hospitals, Columbus.

Arch Otolaryngol. 1975;101(7):433-437. doi:10.1001/archotol.1975.00780360033007

Since Edwards first described the trisomy 17-18 syndrome in 1960, the findings in the temporal bones of only four patients with this condition have been reported. They varied widely, ranging from a normal temporal bone, to severe malformations of both the middle and inner ear structures.

This study describes the temporal bone findings in a patient with this syndrome. Many of the abnormalities described previously were present as well as the following unreported findings: complete bony atresia of the external canal, an aberrant tensor tympani muscle that did not insert into the malleus but rather attached to a dehiscent area in the Fallopian canal, wide short utricular and saccular ducts, and a widely patent cochlear aqueduct. There was also a developmental arrest of the membranous structures within the cochlea that probably occurred during the 12th week of fetal life.