Abstract

A 35-year-old man presented to the Department of Otolaryngology with progressive bilateral hearing loss, worse on the right, over the past 12 years. Audiometry determined the hearing loss to be mixed, both conductive and sensorineural. He had no otalgia, vertigo, or otorrhea. There was no history of otologic surgery, noise exposure, or familial hearing loss. He described remote minor head injury at age 4 years that required stitches, and prior fractures, which generally occurred during hockey matches, of his clavicle, fingers, a toe, and the left tibia and fibula. He was not taking any regular medications. Results of a general physical examination were normal. Results of an otologic examination revealed tortuous external auditory canals bilaterally but normal tympanic membranes. High-resolution computed tomography of the temporal bones was performed (Figures 1 and 2).

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