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Malleo-incudal osteoma: an unexpected finding during surgery for presumed otosclerosis
K Ramdoo1, O T Dale, R C D Herdman
1ENT Department, Royal Berkshire Hospital Foundation Trust, Reading, UK. kramdoo@hotmail.com
Objective:
To report a rare case of a symptomatic malleo-incudal osteoma, and to highlight the difficulties in making the clinical diagnosis.
Method:
Case report and literature review.
Results:
Malleo-incudal osteoma is a rare cause of unilateral conductive hearing loss. Its symptoms may mimic those of other otological causes of conductive hearing loss, such as otosclerosis.
Conclusion:
This case report highlights the challenges involved in establishing a clinical diagnosis of malleo-incudal osteoma. It also emphasises the importance of assessing the mobility of the divided ossicular chain during a planned stapedectomy.

