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Ear malformations with hearing impairment
Name:
Date of Birth:
MRN Number:
Family Number:
Phenotype Present
Phenotype Description
Cochlear aplasia
Hypoplasia of the cochlea
Incomplete partition of the cochlea type I
Incomplete partition of the cochlea type II
Abnormality of the internal auditory canal
Absent internal auditory canal
Dilated internal auditory canal
Narrow internal auditory canal
Abnormality of the cochlear nerve
Abnormality of the vestibular nerve
Aplasia of the semicircular canal
Hypoplasia of the semicircular canal
Enlarged semicircular canal
Morphological abnormality of the anterior semicircular canal
Morphological abnormality of the lateral semicircular canal
Morphological abnormality of the posterior semicircular canal
Aplasia of the vestibular nerve
Aplasia of the vestibule
Dilated vestibule of the inner ear
Hypoplasia of the vestibule of the inner ear
Enlarged vestibular aqueduct
Abnormality of the middle ear ossicles
Abnormality of the incus
Abnormality of the malleus
Absent malleus
Abnormality of the stapes
Absent stapes head
Osteosclerosis
Stapes ankylosis
Congenital stapes ankylosis
Aplasia of the middle ear ossicles
Fusion of middle ear ossicles
Conductive hearing impairment
Sensorineural hearing impairment
Unknown Yes No
Ear malformations with hearing impairment
ADDITIONAL PHENOTYPING
Phenotype Description
Phenotype Present
Unknown Yes No
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