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Membranous band between the tympanic membrane and the external auditory canal
1Department of Otolaryngology, Kyushu Central Hospital, 2-23-1 Shiobaru, Minami-ku, Fukuoka 815-8588, Japan.
Insights
Rare membranous bands between the tympanic membrane and ear canal were found in two children. These structures, linked to first branchial cleft anomalies, caused minor hearing loss due to limited eardrum vibrations.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Medical Genetics
Background:
- A rare anatomical finding is a membranous band connecting the tympanic membrane to the external auditory canal.
- This structure is infrequently associated with first branchial cleft anomalies.
Purpose of the Study:
- To present two cases of this rare membranous band.
- To discuss its association with first branchial cleft anomalies and its impact on hearing.
Main Methods:
- Case report of two pediatric patients.
- Audiometric evaluation including pure-tone audiometry.
Main Results:
- Two pediatric patients (ages 11 and 13) presented with a membranous band in one ear each.
- Neither patient had an ear infection.
- Both patients exhibited slight air-bone gaps on audiometric testing, indicating limited tympanic membrane vibration.
Conclusions:
- Membranous bands between the tympanic membrane and ear canal are rare findings.
- These bands can occur with first branchial cleft anomalies.
- They may lead to conductive hearing loss by impeding tympanic membrane movement.
Abstract:
Two cases of a membranous band between the tympanic membrane and the external auditory canal are presented. These characteristic structures are rare, but observed in several first branchial cleft anomalies. Neither patient presented with an infection. In Case 1, an eleven-year-old girl has this structure in her right ear. In Case 2, a thirteen-year-old boy has this structure in his left ear. Both patients demonstrated slight air-bone gaps in the affected ear with a pure-tone audiometric test, due to limited vibrations of the tympanic membrane.
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