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Findings at exploratory tympanotomy for conductive hearing loss
1Department of Otolaryngology, Head and Neck Surgery, The Royal Infirmary of Edinburgh, Scotland, UK. gxrobertson@gmail.com
Introduction:
Despite advances in imaging and other diagnostic tests, it is often impossible to establish with confidence a pre-operative diagnosis in a patient with a conductive hearing loss.
Methods:
We studied a series of 340 exploratory tympanotomies for conductive hearing loss carried out by a single surgeon.
Results:
The most common operative diagnosis was otosclerosis (n = 164, 48.2 per cent). Ossicular discontinuity was found more commonly than previously reported (n = 103, 30.3 per cent). A small but significant number of patients were found to have cholesteatoma (n = 7.2 per cent).
Conclusions:
This information is of value when discussing potential findings at surgery for conductive hearing loss. While otosclerosis is the commonest finding in such cases, a significant number of patients have defects of the ossicular chain.
