Membranous band between the tympanic membrane and the external auditory canal

Takashi Kimitsuki1

  • 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.

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