High-Resolution ct findings in children with a normal pinna or grade i microtia and unilateral mild stenosis of the external auditory canal

R. Jacob, S. Gupta, B. Isaacson, J. W. Kutz, P. Roland, Y. Xi, Timothy N. Booth

Research output: Contribution to journalArticle

3 Scopus citations


A subset of patients presents with unilateral conductive hearing loss, a normal pinna or grade I microtia, and mild external auditory canal stenosis. The physical findings of microtia and a small external canal are commonly absent or subtle in this group of patients, who are being commonly referred for imaging to evaluate isolated conductive hearing loss. We present a case series of patients with unilateral conductive hearing loss and characteristic ossicular abnormalities, commonly anterior fixation of the malleus. All patients had a significantly increased distance from the cochlear promontory to the handle of the malleus and an abnormal incudostapedial angle, indicative of an abnormal ossicular position and/or morphology. Successful surgical reconstruction of the ossicular chain was attempted and accomplished in 3 patients.

Original languageEnglish (US)
Pages (from-to)176-180
Number of pages5
JournalAmerican Journal of Neuroradiology
Issue number1
StatePublished - Jan 1 2015


ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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