case_images: PMC11260051_01
case_images: PMC11260051_02
case_images: tonal audiometry showing a mixed hearing loss in the right ear with an average loss of 96 dB
case_images: PAMJ-47-168-g001.jpg
case_images: PMC11260051_02_PAMJ-47-168-g001.jpg
case_images: F1
case_images: The hearing loss had progressed over the past 3 years, a preoperative tonal audiometry revealed mixed hearing loss in the right ear with an average loss of 96 decibels (dB) (Figure 1).
case_images: temporal bone CT scan: coronal view threw the anterior portion of the temporal bone on the right, and axial view threw the superior portion of the temporal bone on the left of the figure, the two images show ossification between the malleus head and the tegmen tympani (asterixis)
case_images: PAMJ-47-168-g002.jpg
case_images: PMC11260051_02_PAMJ-47-168-g002.jpg
case_images: F2
case_images: The temporal bone CT scan reveals a bony bridge connecting the superior wall of the tegmen tympani to the hammer head; furthermore, there is no associated otospongiosis noted (Figure 2).
case_images: tonal audiometry showing mixed hearing loss with an average loss of 60 dB in the right ear
case_images: PAMJ-47-168-g003.jpg
case_images: PMC11260051_02_PAMJ-47-168-g003.jpg
case_images: F3
case_images: Follow-up and outcomes: after 3 months, the hearing acuity has improved compared to the preoperative assessment, which was confirmed by audiometry (Figure 3).
case_images: timeline of disease from the occurrence to the hearing improvement
case_images: PAMJ-47-168-g004.jpg
case_images: PMC11260051_02_PAMJ-47-168-g004.jpg
case_images: F4