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Absent stapedial reflex: Otosclerosis or middle ear tumor?

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February 25, 2013
by Deb Biswas, FRCS-ORL, MS-ORL, MRCS, DOHNS; Ranjit K. Mal, FRCS


We present an unusual case in which a patient diagnosed as having otosclerosis on the basis of clinical and audiologic findings actually had a middle ear facial nerve schwannoma. To the best of our knowledge, this is the first reported case in English literature in which a facial nerve schwannoma presented with conductive deafness of gradual onset and absent stapedial reflex with a normally functioning facial nerve. We also include a review of the literature.

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