AKT-1704

AKT-1704

A 50-year-old male construction worker had recently noticed a decline in his hearing ability in both ears. As a child, he had experienced several ear infections, including a severe one during a bout of measles that impacted his education. There was no history of deafness in his family. During examination, his tympanic membranes appeared intact, but there were calcified scars anterior to the handle of the malleus in both ears. The Rinne test was positive in both ears, and the Weber test was central in both anterior and posterior positions. Striking the 256 cps tuning fork firmly was necessary to achieve the desired volume. What is the probable diagnosis?