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Christiane I. Messias, MD; Carlos A. Oliveira, MD, PhD
Brasília, Brazil

Arch Otolaryngol Head Neck Surg. 2000;126:95-97.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN 11-YEAR-OLD boy presented with a several-year history of slowly progressing bilateral hearing loss, which was worse in the right ear. He denied vertigo and tinnitus. Physical examination showed bilateral preauricular pits, bilateral cupped ears, and a cervical draining fistula opening close to the anterior border of the sternocleidomastoid muscle on the right side. The findings of otoscopy were normal on both sides. Audiometry (Figure 1) showed bilateral moderate to severe mixed hearing loss, which was worse in the right ear. His physical and mental development was normal for his age. Computed tomographic scans of the temporal bones showed a low middle cranial fossa floor leading to a low position of the external auditory canal and middle ear in relation to the inner ear, a normal-appearing cochlea, and a high jugular bulb encroaching the round window niche but covered . . . [Full Text of this Article]