Temporal Bone Histopathologic Findings in Congenital Anomalies of the Oval Window

Abstract

The histopathologic findings in five temporal bones from three cases showing various stages of oval window development arrest are presented. The anomalies ranged from complete absence of the oval window to congenital cartilaginous fixation of the stapedial footplate. Surgical approaches for establishment of a new oval window must take into consideration the frequent association of facial nerve anomalies with anomalies of the oval window.

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References

Black

Spanier

Kohut

: Aural abnormalities in partial DiGeorge syndrome. Arch Otolaryngol 101: 129–134, 1975.

Igarashi

Singer

Alford

: Middle and inner ear anomalies in a conjoined twin. Laryngoscope 84: 1188–1200, 1974.

Jørgensen

Kristensen

Buch

: Thalidomide-induced aplasia of the inner ear. J Laryngol Otol 78: 1095–1101, 1964.

Krampitz

: Uber einige seltenere Formen von Missbildungen des Gehörorgans. Z Ohrenheilkd 65: 44–54, 1912.

Sando

Hemenway

Morgan

: Histopathology of the temporal bones in mandibulofacial dysostosis (Treacher-collins syndrome). Trans Am Acad Ophthalmol Otolaryngol 72: 913–924, 1968.

Sekhar

HKC

Sachs

: Mondini defect in association with multiple congenital anomalies. Laryngoscope 86: 117–125, 1976.

Zeitzer

Lindeman

: Multiple branchial arch anomalies: Case report and temporal bone study. Arch Otolaryngol 93: 562–567, 1971.

Altmann

: The ear in severe malformations of the head: A discussion of the formal and causal genetic factors involved. Arch Otolaryngol 66: 7–25, 1957.

Kelemen

: Malformation involving external, middle and internal ear, with otosclerotic focus. Arch Otolaryngol 37: 183–198, 1943.

10.

Lindsay

Black

Donnelly

Jr : Acrocephalosyndactyly (Apert's syndrome): Temporal bone findings. Ann Otol Rhinol Laryngol 84: 174–178, 1975.

11.

Ruben

Toriyama

Dische

: External and middle ear malformations associated with mandibulo-facial dysostosis and renal abnormalities: A case report. Ann Otol Rhinol Laryngol 78: 605–624, 1969.

12.

Schuknecht

: Pathology of the Ear. Cambridge, Mass, Harvard University Press, 1974, p 185.

13.

Wolff

: Malformations of the ear. Arch Otolaryngol 79: 288–301, 1964.

14.

Adkins

Jr Gussen

: Oval window absence, bony closure of round window, and inner ear anomaly. Laryngoscope 84: 1210–1224, 1974.

15.

Lindsay

Sanders

Nager

: Histopathologic observations in so-called congenital fixation of the stapedial footplate. Laryngoscope 70: 1587–1602, 1960.

16.

Jahrsdoerfer

: Congenital absence of the oval window. Trans Am Acad Ophthalmol Otolaryngol 84: ORL-904–ORL-914, 1977.

17.

Fernández

Ronis

: Congenital absence of the oval window: A review of the literature and report of a case. Laryngoscope 74: 186–197, 1964.

18.

Everberg

: Congenital absence of the oval window. Acta Otolaryngol 66: 320–332, 1968.

19.

Shambaugh

Jr : Developmental anomalies of the sound conducting apparatus and their surgical correction. Ann Otol Rhinol Laryngol 61: 873–887, 1952.

20.

Holmgren

: Stapediolysis in otosclerosis: A physiological approach. Acta Otolaryngol 48: 219–233, 1957.

21.

House

: Differential diagnosis between otosclerosis and congenital footplate fixation. Ann Otol Rhinol Laryngol 67: 848–857, 1958.

22.

House

Hildyard

: Congenital stapes footplate fixation: A preliminary report of twenty-three operated cases. Laryngoscope 68: 1389–1402, 1958.

23.

Morrison

: Congenital ossicular defects. Acta Otorhinolaryngol Belg 25: 898–910, 1971.

24.

Steele

: Congenital fixation of the stapes footplate. Acta Otolaryngol, suppl 245, 1969.

25.

Beickert

: Aufbau der Schalleitungskette bei Fehlen von Stapes und ovalem Fenster (Kongenitale Anomalien). HNO 9: 313–316, 1961.

26.

Bernstein

: Congenital absence of the oval window. Arch Otolaryngol 83: 533–537, 1966.

27.

Caplinger

MCB

Hora

MJF

: Middle ear choristoma with absent oval window. Arch Otolaryngol 85: 365–366, 1967.

28.

Cross

Pfaffenbach

: Duane's retraction syndrome and associated congenital malformations. Am J Ophthalmol 73: 442–450, 1972.

29.

Gundersen

: Congenital malformations of the stapes footplate. Arch Otolaryngol 85: 171–176, 1967.

30.

Henner

: Congenital middle ear malformations. Arch Otolaryngol 71: 454–458, 1960.

31.

Hociotã

Ataman

: A case of salivary gland choristoma of the middle ear. J Laryngol Otol 89: 1065–1068, 1975.

32.

Hoogland

: The facial nerve coursing across the oval window area. ORL 39: 148–154, 1977.

33.

Hough

JVD

: Malformations and anatomical variations seen in the middle ear during the operation for mobilization of the stapes. Laryngoscope 68: 1337–1379, 1958.

34.

Livingstone

: The establishment of sound conduction in congenital deformities of the external ear. J Laryngol Otol 73: 231–241, 1959.

35.

Livingstone

Delahunty

: Malformation of the ear associated with congenital ophthalmic and other conditions. J Laryngol Otol 82: 495–504, 1968.

36.

Nakamura

Sando

: Congenital absence of the oval window. Arch Otolaryngol 84: 131–136, 1966.

37.

Ombrédanne

: Chirurgie des “aplasies mineures”: Ses résultats dans les grandes surdités congénitales par malformations ossicularies. Ann Otolaryngol 81: 201–222, 1964.

38.

Pou

: Congenital absence of the oval window: Report of two cases. Laryngoscope 73: 384–391, 1963.

39.

Scheer

: Correction of congenital middle ear deformities. Arch Otolaryngol 85: 269–277, 1967.

40.

Tabor

: Absence of the oval window: A case report. Arch Otolaryngol 74: 515–521, 1961.

41.

Winther

Elbrønd

: Congenital anomaly of the facial nerve. J Laryngol Otol 91: 349–351, 1977.

42.

Bergstrom

Neblett

Hemenway

: Otologic manifestations of acrocephalosyndactyly. Arch Otolaryngol 96: 117–123, 1972.

43.

Buran

Duvall

III : The oto-palato-digital (OPD) syndrome. Arch Otolaryngol 85: 394–399, 1967.

44.

Caparosa

Klassen

: Congenital anomalies of the stapes and facial nerve. Arch Otolaryngol 83: 420–421, 1966.

45.

Durcan

Shea

Sleeckx

: Bifurcation of the facial nerve. Arch Otolaryngol 86: 619–631, 1967.

46.

Edwards

: Congenital middle-ear deafness with anomalies of the face. J Laryngol Otol 78: 152–170, 1964.

47.

Fowler

Jr : Variations in the temporal bone course of the facial nerve. Laryngoscope 71: 937–946, 1961.

48.

Gorlin

Kietzer

Wolfson

: Stapes fixation and proximal symphalangism. Z Kinderheilkd 108: 12–16, 1970.

49.

Hajek

: Conductive deafness of congenital origin. J Laryngol Otol 75: 371–386, 1961.

50.

Hough

JVD

: Congenital malformations of the middle ear. Arch Otolaryngol 78: 335–343, 1963.

51.

Mayer

Crabtree

: The facial nerve coursing inferior to the oval window. Arch Otolaryngol 102: 744–746, 1976.

52.

Olson

Lehman

: Cerebrospinal fluid otorrhea and the congenitally fixed stapes. Laryngoscope 78: 352–360, 1968.

53.

Ombrédanne

: Chirurgie des surdités congénitales par malformations ossiculaires de: 10 nouveaux cas. Ann Otolaryngol 77: 423–449, 1960.

54.

Plester

: Missbildung des Stapes bei der Dystostosis mandibulofacialis. Acta Otolaryngol 53: 55–60, 1961.

55.

Pou

: Congenital anomalies of the middle ear: Presentation of two cases. Laryngoscope 81: 831–839, 1971.

56.

Richards

: Middle ear changes in rubella deafness. Arch Otolaryngol 80: 48–59, 1964.

57.

Schlosser

Goldman

Winchester

: Further experiences with the diagnosis and surgical management of congenital mixed deafness. Laryngoscope 74: 773–789, 1964.

58.

Sooy

: The management of middle ear lesions simulating otosclerosis. Ann Otol Rhinol Laryngol 69: 540–558, 1960.

59.

Vase

Prytz

Pedersen

: Congenital stapes fixation, symphalangism and syndactylia. Acta Otolaryngol 80: 394–398, 1975.

60.

Walsh

: Fenestration in stapedectomy era. Arch Otolaryngol 82: 346–354, 1965.

61.

Bast

Anson

: The Temporal Bone and the Ear. Springfield, III, Charles C Thomas Publisher, 1949.