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A 36-year-old woman presented with a 4-year history of intermittent bilateral aural fullness, subjective hearing loss, and popping and crackling tinnitus with autophony of the left ear. Aural symptoms were sometimes relieved by positional changes, particularly a change to a supine position. The patient had a long-standing history of seasonal allergic rhinitis and had had recurrent acute otitis media as a child. Examination of the left ear revealed an atrophic, monomeric posterior segment of tympanic membrane (arrow) with adherence to the long process of the incus (incudomyringopexy). The middle-ear cleft was well aerated. The atrophic segment of tympanic membrane was . . . [Full Text of this Article] |
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