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adhesive affected air conduction aural tinnitus Bezold's triad bilateral bone conduction bony ankylosis calcium catarrhal cent chronic clinical cochlea condition definite improvement diagnosis of otosclerosis diminished drum membrane Eustachian tube external auditory meatus foot-plate Galton whistle Gelle's test hardness of hearing heard hearing distance hearing tests high tones improvement in hearing increased indicated injections internal ear involvement labyrinth labyrinthine capsule left ear left side low tones lower tone limit malleus massage middle ear middle-ear sclerosis mucosa negative Rinne reaction nerve deafness noted onset operation ossicles otitis media oval window paracusis willisiana patient perception Politzer progressive deafness promontory reported right ear right side Rinne test Rinne's test round window sclerotic sensation shortened slight sound-conduction apparatus stapes ankylosis subjective noises suppurative symptoms thyroid tinnitus tion treated treatment of otosclerosis tuning fork tympanic cavity tympanic membrane tympanum upper tone limit usually vertigo vestibular vibrations Weber test whispered speech