Clinical Case Database / Category: Patient Management


Publication details

Mr T Mawby, Mr I Bottrill
Foundation Years Journal, volume 7, issue 1, p.20 (123Doc Education, London, January 2013)


This case based discussion relates to a patient who presented with impaired
hearing. The key features in diagnosis, investigation and management of otosclerosis will be discussed.

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Mr T Mawby

John Radcliffe Hospital,

Mr I Bottrill

ENT Consultant,
John Radcliffe Hospital,


1. Differential diagnosis in otolaryngology: Head and neck surgery. Michael Stewart SS, Michael Stewart SS, editors. Thieme; 2010.
2. Warner G. Otolaryngology and head and neck surgery. illustrated ed. Oxford: Oxford University Press; 2009.
3. Veillon F, Riehm S, Emachescu B, Haba D, Roedlich MN, Greget M, Tongio
J. Imaging of the windows of the temporal bone. Semin Ultrasound CT MR 2001, Jun;22(3):271-80.
4. Uppal S, Bajaj Y, Rustom I, Coatesworth P. Otosclerosis 1: The aetiopathogenesis of otosclerosis. International Journal of Clinical Practice 2009, Oct;63(10):1526-30.
5. Scott-Brown WG, Gleeson M. Scott-Brown’s otorhinolaryngology, head and
neck surgery. 7 ed. [England]: Oxford University Press; 2009.
6. Cureoglu S, Baylan MY, Paparella MM. Cochlear otosclerosis. Curr Opin Otolaryngol Head Neck Surg 2010, Oct;18(5):357-62.
7. Uppal S, Bajaj Y, Coatesworth P. Otosclerosis 2: The medical management of otosclerosis. International Journal of Clinical Practice 2009, Dec 11;64(2):256-65.
8. Shea JJ. Forty years of stapes surgery. Am J Otol 1998, Jan;19(1):52-5.
9. Glasscock ME, Storper IS, Haynes DS, Bohrer PS. Twenty-five years of experience with stapedectomy. Laryngoscope 1995, Sep;105(9 Pt 1):899-904.


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Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.