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ENT Ear e8380997

Post head injury, the patient had conductive deafness and on examination, tympanic membrane was normal and mobile with increased compliance on impedance. Likely diagnosis is:

A
Distortion of ossicular chain
B
Hemotympanum
C
Tympanosclerosis
D
Otosclerosis
High-Yield Explanation
(a) Distortion of ossicular chain(Ref Cummings, 6th ed., 2055)Intact TM with increased compliance on impedance suggests distortion of ossicular chain.Hemotympanum is a possibility following head injury leading to conductive deafness but here TM compliance will be reduced.Tympanosclerosis and otosclerosis do not follow head injury and Tympanometry shows reduced compliance.

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