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Nancy Sculerati, MD; Jocelyn Ledesma-Medina, MD; David N. Finegold, MD; Sylvan E. Stool, MD

Arch Otolaryngol Head Neck Surg. 1990;116(6):704-707.

Abstract
• Twenty-two phenotypic females with Turner syndrome underwent prospective otologic evaluation including a standard history, physical examination, audiogram, and tympanogram. Eight of these patients had computed tomography of the temporal bones. Eighty-two percent of the patients had a history of chronic or recurrent ear infections. Eleven patients (50%) had previous myringotomy and tube placement and 4 (16%) had undergone tympanoplasty or tympanomastoidectomy for sequelae of otitis media. Ten patients (45%) had middle ear effusions evident on examination. Sixteen patients (73%) had hearing loss in at least one ear at the time of examination. Sensorineural losses were evident in 37% of patients. No malformations of the otic capsule were noted on computed tomography. The high prevalence of both hearing loss and otitis media in Turner syndrome warrants otologic and audiologic assessment of patients with this chromosomal anomaly.

(Arch Otolaryngol Head Neck Surg. 1990;116:704-707)

Author Affiliations
From the Department of Otolaryngology, New York University Medical Center (Dr Sculerati); and Departments of Radiology (Dr Ledesma-Medina), Endocrinology (Dr Finegold), and Otolaryngology (Dr Stool), Children's Hospital of Pittsburgh (Pa).

Footnotes
Accepted for publication February 8, 1990.

Presented in part at the 16th annual meeting of the Society for Ear, Nose, and Throat Advances in Children, New York, NY, December 2, 1988.

Reprint requests c/o Mary Scheetz, Department of Otolaryngology, Children's Hospital of Pittsburgh, Fifth Avenue at DeSoto Street, Pittsburgh, PA 15213-2583 (Dr Sculerati).

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