Case Report: A rare case of bilateral middle ear tophaceous gout
IntroductionHypacusia can be caused by various etiologies; however, hearing loss attributed to gouty tophi remains a rare occurrence. This case report presents, for the first time, a bilateral gouty tophi causing hearing impairment.Case presentationThis report describes a case study involving an 83-...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1353116/full |
| _version_ | 1797238507717001216 |
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| author | Aybige Camurdan Conrad Riemann Frank Brasch Ingo Todt |
| author_facet | Aybige Camurdan Conrad Riemann Frank Brasch Ingo Todt |
| author_sort | Aybige Camurdan |
| collection | DOAJ |
| description | IntroductionHypacusia can be caused by various etiologies; however, hearing loss attributed to gouty tophi remains a rare occurrence. This case report presents, for the first time, a bilateral gouty tophi causing hearing impairment.Case presentationThis report describes a case study involving an 83-year-old Caucasian female patient who presented symptoms of hypacusia, pruritus, and a sensation of pressure in her right ear. A computed tomography scan revealed the presence of non-homogeneous calcified structures in both ears. Following a comprehensive assessment that included pure-tone audiometry and a thorough evaluation of the patient's clinical complaints, a tympanoplasty procedure was initially performed on the right ear. Pathological analysis revealed the presence of gouty tophi. After surgical removal of the tophus, a notable improvement in the patient's hearing threshold was observed. Four months later, a similar surgical intervention was performed on the contralateral ear, achieving a similar positive outcome. The substantial postoperative decrease of bone conduction indicates an inner ear affection by the gout tophi.ConclusionGout tophus in both ears is a very rare but possible cause of hypacusia, even in the absence of a pre-existing diagnosis of systemic gout disease. We report a case of gout tophi in both ears as a rare cause of hearing loss. |
| first_indexed | 2024-04-24T17:36:45Z |
| format | Article |
| id | doaj.art-ea31afa6bfd14e12ad163ca2747e8668 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-24T17:36:45Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-ea31afa6bfd14e12ad163ca2747e86682024-03-28T04:38:20ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-03-011110.3389/fsurg.2024.13531161353116Case Report: A rare case of bilateral middle ear tophaceous goutAybige Camurdan0Conrad Riemann1Frank Brasch2Ingo Todt3Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyDepartment of Pathology, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyIntroductionHypacusia can be caused by various etiologies; however, hearing loss attributed to gouty tophi remains a rare occurrence. This case report presents, for the first time, a bilateral gouty tophi causing hearing impairment.Case presentationThis report describes a case study involving an 83-year-old Caucasian female patient who presented symptoms of hypacusia, pruritus, and a sensation of pressure in her right ear. A computed tomography scan revealed the presence of non-homogeneous calcified structures in both ears. Following a comprehensive assessment that included pure-tone audiometry and a thorough evaluation of the patient's clinical complaints, a tympanoplasty procedure was initially performed on the right ear. Pathological analysis revealed the presence of gouty tophi. After surgical removal of the tophus, a notable improvement in the patient's hearing threshold was observed. Four months later, a similar surgical intervention was performed on the contralateral ear, achieving a similar positive outcome. The substantial postoperative decrease of bone conduction indicates an inner ear affection by the gout tophi.ConclusionGout tophus in both ears is a very rare but possible cause of hypacusia, even in the absence of a pre-existing diagnosis of systemic gout disease. We report a case of gout tophi in both ears as a rare cause of hearing loss.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1353116/fullcomputed tomography (CT)hypacusiahearing lossgout tophigoutinflammation |
| spellingShingle | Aybige Camurdan Conrad Riemann Frank Brasch Ingo Todt Case Report: A rare case of bilateral middle ear tophaceous gout Frontiers in Surgery computed tomography (CT) hypacusia hearing loss gout tophi gout inflammation |
| title | Case Report: A rare case of bilateral middle ear tophaceous gout |
| title_full | Case Report: A rare case of bilateral middle ear tophaceous gout |
| title_fullStr | Case Report: A rare case of bilateral middle ear tophaceous gout |
| title_full_unstemmed | Case Report: A rare case of bilateral middle ear tophaceous gout |
| title_short | Case Report: A rare case of bilateral middle ear tophaceous gout |
| title_sort | case report a rare case of bilateral middle ear tophaceous gout |
| topic | computed tomography (CT) hypacusia hearing loss gout tophi gout inflammation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1353116/full |
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