Case History/Examination:
A 20-year-old female was referred to the otology clinic for evaluation of left-sided conductive hearing loss. The patient reported experiencing 10 years of left-sided hearing loss with no history of prior surgeries, infections, trauma, or migraines. A pure tone audiogram showed moderate to severe conductive loss in the left ear. On physical examination, she had an unremarkable periauricular area, pinna, and external auditory canal exam, with normal cranial nerve function. Weber test localizing to the left with 512 Hz tuning fork, and bone greater than air conduction at the left ear supporting the diagnosis of a conductive hearing loss. Otomicroscopy revealed healthy, intact tympanic membranes, with normal mobility and an aerated middle ear. The patient had no additional complaints, and the remainder of the head and neck examination was unremarkable.