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The ossicular chain is a crucial structure in the middle ear, responsible for transmitting sound vibrations from the tympanic membrane to the inner ear. This chain consists of three tiny bones: the malleus, incus, and stapes. They are connected by ligaments and joints that allow for the efficient conduction of sound waves. [1]
Most causes of conductive hearing loss can be identified by examination but if it is important to image the bones of the middle ear or inner ear then a CT scan is required. CT scan is useful in cases of congenital conductive hearing loss, chronic suppurative otitis media or cholesteatoma, ossicular damage or discontinuity, otosclerosis and ...
Otosclerosis is a condition of the middle ear where portions of the dense enchondral layer of the bony labyrinth remodel into one or more lesions of irregularly-laid spongy bone. As the lesions reach the stapes the bone is resorbed , then hardened ( sclerotized ), which limits its movement and results in hearing loss , tinnitus , vertigo or a ...
With otospongiosis, the normally dense enchondral bone is replaced by Haversian bone, a spongy and vascular matrix that results in sensorineural hearing loss due to compromise of the conductive capacity of the inner ear ossicles. This results in hypodensity on CT, with the portion first affected usually being the fissula ante fenestram. [3]
Inner ear congenital anomalies are related to sensorineural hearing loss and are generally diagnosed with a computed tomography (CT) scan or a magnetic resonance imaging (MRI) scan. [29] Hearing loss problems also derive from inner ear anomalies because its development is separate from that of the middle and external ear. [19]
A temporal-bone CT using thin slices makes it possible to diagnose the degree of stenosis and atresia of the external auditory canal, the status of the middle ear cavity, the absent or dysplastic and rudimentary ossicles, or inner ear abnormalities such as a deficient cochlea.
Mixed hearing loss is a combination of conductive and sensorineural hearing loss. Chronic ear infection (a fairly common diagnosis) can cause a defective ear drum or middle-ear ossicle damages, or both. In addition to the conductive loss, a sensory component may be present. Central auditory processing disorder
The ossicles (also called auditory ossicles) are three irregular bones in the middle ear of humans and other mammals, and are among the smallest bones in the human body. . Although the term "ossicle" literally means "tiny bone" (from Latin ossiculum) and may refer to any small bone throughout the body, it typically refers specifically to the malleus, incus and stapes ("hammer, anvil, and ...