case_images: PMC3800639_01
case_images: Presenting bilateral mixed hearing loss (full description in the text).
case_images: CRIM.OTOLARYNGOLOGY2013-875108.001.jpg
case_images: PMC3800639_01_CRIM.OTOLARYNGOLOGY2013-875108.001.jpg
case_images: fig1
case_images: Pure tone audiometry revealed symmetric, severe bilateral mixed hearing loss in mid- and high-frequencies with 40 dB of air-bone gap (Figure 1).
case_images: Bilateral facial nerve palsy, incompetence of palpebral fissures.
case_images: CRIM.OTOLARYNGOLOGY2013-875108.002.jpg
case_images: PMC3800639_01_CRIM.OTOLARYNGOLOGY2013-875108.002.jpg
case_images: fig2
case_images: It was rated the fifth grade according to the House-Brackmann scale (Figure 2).
case_images: CT scan showing inflammatory tissue filling both left and right tympanic cavities.
case_images: CRIM.OTOLARYNGOLOGY2013-875108.003.jpg
case_images: PMC3800639_01_CRIM.OTOLARYNGOLOGY2013-875108.003.jpg
case_images: fig3
case_images: In the left ear almost all of the cells of the mastoid process were airless (Figure 3).
case_images: Control pure-tone audiometry, performed after four months of treatment, description in the text.
case_images: CRIM.OTOLARYNGOLOGY2013-875108.004.jpg
case_images: PMC3800639_01_CRIM.OTOLARYNGOLOGY2013-875108.004.jpg
case_images: fig4
case_images: The control pure-tone audiometry showed the curve of bone conduction in the range from 0 to 15-20 dB and the curve of the air conduction in the low and medium frequencies from 20-40 dB, and 65 at high frequencies bilaterally (Figure 4).