Introduction Hypacusia can stem from various etiologies; however, hearing loss attributed to gouty
tophiremains a rare occurrence. This case report represents first time that bilateral
gouty tophie are causing hearing impairment.
Case presentation This report presents a case study involving an 83-year-old Caucasian female patient
who presented with symptoms of hypacusia, pruritus, and a sensation of pressure in
her right ear. A computed tomography scan revealed the presence of non-homogeneous
calcified structures in both ears. Following a comprehensive assessment that included
pure-tone audiometry and a thorough evaluation of the patient's clinical complaints,
a tympanoplasty procedure was conducted initially on the right ear.
Pathological analysis revealed the presence of gouty tophi. Subsequent to the surgical
removal of the tophus, a notable improvement in the patient's hearing function
was observed. Four months later, a similar surgical intervention was performed on
the contralateral ear, achieving a similar positive outcome.
Conclusion Gout tophus in both of ear is a rare but possible cause for hypacusia, even if there
is no pre-existing diagnosis of systemic gout disease. We report a case of gout tophi,
which is the rare cause of hearing loss in both ears.
