Clinician
A 45-year-old with progressive hearing loss
A 45-year-old describes slowly progressive hearing loss, worse in one ear, with no pain or discharge. Otoscopy is unremarkable. Audiometry shows a conductive loss with a notch in the bone-conduction line near 2 kHz.
Investigations
Audiogram
Tympanogram
Shallow peak at normal pressure, absent acoustic reflexes, conductive loss with a Carhart notch.