Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)

Congenital agenesis of the stapes and the oval window is rare. Congenital stapedial agenesis (CSA) may be recognized preoperatively in the presence of conductive hearing loss. The principal radiological imaging approach of the temporal bone, computed tomography (CT), can be used to diagnose CSA. Our...

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Main Authors: Hanife Gülden Düzkalır, Rasim Yılmazer
Format: Article
Language:English
Published: Galenos Yayincilik 2023-09-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/bilateral-congenital-agenesis-of-stapes-and-oval-w/63513
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author Hanife Gülden Düzkalır
Rasim Yılmazer
author_facet Hanife Gülden Düzkalır
Rasim Yılmazer
author_sort Hanife Gülden Düzkalır
collection DOAJ
description Congenital agenesis of the stapes and the oval window is rare. Congenital stapedial agenesis (CSA) may be recognized preoperatively in the presence of conductive hearing loss. The principal radiological imaging approach of the temporal bone, computed tomography (CT), can be used to diagnose CSA. Our 17-year-old male patient (case A) had long-term hearing loss which was getting worse. A temporal bone CT scan revealed the absence of the stapes and the oval window on both sides and an abnormal position of the facial nerve. No anomalies were detected in the external ear structures. Explorative right ear tympanotomy revealed an abnormal inferior course and dehiscence of the facial nerve. The oval window and stapedial structures were absent. Patients were evaluated for continued hearing aid use or bone-anchored hearing aid implantation. Similar CT imaging and clinical abnormalities were seen in his 16-year-old sister (case B). They did not have any other siblings and neither of their parents nor any of their relatives had hearing loss. This report presents the CT scans of the two siblings with mixed hearing loss (mainly conductive) and the perioperative image of the first case. A genetic study may help explain the etiopathogenesis since both cases had similar clinical and imaging findings.
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spelling doaj.art-f4b5d03cc3a94fc6a1283e3b3414505c2023-11-14T13:29:06ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742023-09-0161314214510.4274/tao.2023.2023-4-713049054Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)Hanife Gülden Düzkalır0Rasim Yılmazer1 Department of Radiology, Kartal Dr. Lütfi Kırdar City Hospital, University of Health Sciences Turkey, İstanbul, Turkey Department of Otorhinolaryngology, Kartal Dr. Lütfi Kırdar City Hospital, University of Health Sciences Turkey, İstanbul, Turkey Congenital agenesis of the stapes and the oval window is rare. Congenital stapedial agenesis (CSA) may be recognized preoperatively in the presence of conductive hearing loss. The principal radiological imaging approach of the temporal bone, computed tomography (CT), can be used to diagnose CSA. Our 17-year-old male patient (case A) had long-term hearing loss which was getting worse. A temporal bone CT scan revealed the absence of the stapes and the oval window on both sides and an abnormal position of the facial nerve. No anomalies were detected in the external ear structures. Explorative right ear tympanotomy revealed an abnormal inferior course and dehiscence of the facial nerve. The oval window and stapedial structures were absent. Patients were evaluated for continued hearing aid use or bone-anchored hearing aid implantation. Similar CT imaging and clinical abnormalities were seen in his 16-year-old sister (case B). They did not have any other siblings and neither of their parents nor any of their relatives had hearing loss. This report presents the CT scans of the two siblings with mixed hearing loss (mainly conductive) and the perioperative image of the first case. A genetic study may help explain the etiopathogenesis since both cases had similar clinical and imaging findings. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/bilateral-congenital-agenesis-of-stapes-and-oval-w/63513 hearing losscongenital anomalystapesoval windowsiblingscase report
spellingShingle Hanife Gülden Düzkalır
Rasim Yılmazer
Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
Turkish Archives of Otorhinolaryngology
hearing loss
congenital anomaly
stapes
oval window
siblings
case report
title Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
title_full Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
title_fullStr Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
title_full_unstemmed Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
title_short Bilateral Congenital Agenesis of Stapes and Oval Window in Two Members of a Family (Brother and Sister)
title_sort bilateral congenital agenesis of stapes and oval window in two members of a family brother and sister
topic hearing loss
congenital anomaly
stapes
oval window
siblings
case report
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/bilateral-congenital-agenesis-of-stapes-and-oval-w/63513
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