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Apparent Total Deafness Due to Advanced Otosclerosis
DAVID MYERS, MD;
ROBERT J. WOLFSON, MD;
EWING W. TIBBELS, JR., MD;
R. A. WINCHESTER, PhD
Arch Otolaryngol. 1963;78(1):52-58.
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Introduction
During the past four years we have had the opportunity of exploring the middle ears of 20 patients who initially appeared to possess an acquired total sensorineural hearing loss. For the purposes of this report, we have defined total sensorineural deafness as either the complete absence of auditory responses by air and bone conduction to pure-tone or speech signals at the output limits of the audiometer, or the presence of auditory responses at 80, 90, or 100 db across the midtest range without clearly defined and reliable bone conduction responses.
Earlier, we had diagnosed such cases as profound sensorineural deafness of unknown etiology and dismissed them as unsuitable candidates for corrective middle ear surgery. This decision often created a difficult therapeutic problem, for many of these patients were unable to use a hearing aid.
As the number of cases with this problem increased, greater efforts were made to establish
. . . [Full Text PDF of this Article]
Author Affiliations
PHILADELPHIA
From The Institute of Otology, The Presbyterian Hospital in Philadelphia, and The Department of Otolaryngology, The University of Pennsylvania School of Medicine.
Footnotes
Submitted for publication Nov 9, 1962.
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