title: Malleo-incudal osteoma: an unexpected finding during surgery for presumed otosclerosis.
abstract: OBJECTIVE
  To report a rare case of a symptomatic malleo-incudal osteoma, and to highlight the difficulties in making the clinical diagnosis.
  
  
  METHODS
  Case report and literature review.
  
  
  RESULTS
  Malleo-incudal osteoma is a rare cause of unilateral conductive hearing loss. Its symptoms may mimic those of other otological causes of conductive hearing loss, such as otosclerosis.
  
  
  CONCLUSIONS
  This case report highlights the challenges involved in establishing a clinical diagnosis of malleo-incudal osteoma. It also emphasises the importance of assessing the mobility of the divided ossicular chain during a planned stapedectomy.
authors: ENT Department, Royal Berkshire Hospital Foundation Trust, Reading, UK. kramdoo@hotmail.com
authors: K
authors: K
authors: Ramdoo
authors: O T
authors: OT
authors: Dale
authors: R C D
authors: RC
authors: Herdman
mesh_terms: D000158:Acoustic Impedance Tests; D001301:Audiometry, Pure-Tone; D001859:Bone Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004429:Ear Ossicles; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology* / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D010016:Osteoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010040:Otosclerosis / Q000175:diagnosis*; D013201:Stapes Surgery