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Case Reports
. 2019 Dec;14(4):155-157.
doi: 10.1016/j.joto.2019.08.002. Epub 2019 Aug 28.

Tophaceous gout of the middle ear

Stéphane Gargula  1 , Guillaume Poillon  2 , Mary Daval  1 , Marc Williams  2 , Mathieu Veyrat  1 , Homa Adle-Biassette  3 , Denis Ayache  1
Affiliations
Case Reports

Tophaceous gout of the middle ear

Stéphane Gargula et al. J Otol. 2019 Dec.

Abstract

We present a very rare case of tophaceous gout of the middle ear causing conductive hearing loss, with special emphasis on Computed Tomography presentation.

Keywords: Computed tomography; Conductive hearing loss; Gout; Hearing loss; Middle ear.

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Figures

Fig. 1
Fig. 1
Right ear preoperative (A) and 3 months postoperative audiometry (B), circles for air conduction, crosses for bone conduction. Near complete closure of air-bone gap was obtained.
Fig. 2
Fig. 2
Right temporal bone high-resolution Computed Tomography (CT) reformatted in axial (A) and sagittal Maximal Intensity Projection (MIP) (B) planes, demonstrating a well-limited non erosive calcified semolina-like mass (black arrows) adjacent to the anterior wall of the middle ear and to the malleus handle (white arrowhead).
Fig. 3
Fig. 3
Temporal bone contrast-enhanced T1-weighted Magnetic Resonance Imaging (MRI) reformatted in axial plane, showing the mass of the right middle ear, appearing with high signal intensity (white arrow).
Fig. 4
Fig. 4
Intraoperative view of the right tympanotomy, finding a white semolina-like mass (black arrow), localized anteromedially to the malleus (white arrow). Note the chorda tympani (white arrowhead).
See this image and copyright information in PMC

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