Bilateral otospongiosis

Case contributed by Eiman Akkary
Diagnosis almost certain

Presentation

Patient presented with hearing loss and tinnitus.

Patient Data

Age: 50 years
Gender: Female
ct

Bilateral lytic foci on anterior margin of oval window (fisula antefenestrum).

Case Discussion

Fenestral otospongiosis is a cleft of fibrocartilaginous tissue between inner and middle ears just anterior to the oval window demonstrated in CT as lucent foci in early stages that show sclerosis later on (otosclerosis at the late healing phase).

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