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  Vol. 131 No. 5, May 2005 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

D. J. Verret, MD; Peter S. Roland, MD
University of Texas Southwestern Medical Center at Dallas

Arch Otolaryngol Head Neck Surg. 2005;131:462.

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

Twenty-two days after undergoing an uneventful left stapedectomy, a 37-year-old man presented with decreased hearing in the ear that had been operated on. He had reported initial hearing improvement, but approximately 2 weeks after surgery, hearing decreased in his left ear. He did not report tinnitus or rotational vertigo, although he did complain of some unsteadiness. An audiogram showed a severe neurosensory hearing loss, which had not been present before surgery (Figure 1).


 
Figure appears in full text version.
Figure 1.


Physical examination revealed a dusky blush behind the posterior tympanic membrane in the left ear. High-dose steroid (prednisone, 60 mg/d) and antibiotic (amoxicillin–clavulanate potassium, 875 mg twice per day) therapy was initiated. A computed tomographic scan of the temporal bones demonstrated a soft tissue prominence involving the oval window and surrounding the prosthetic stapes (Figure 2). The patient returned 1 week later without . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131(5):463-464.
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