A 60 year old female was seen today for an audiological evaluation following the persistence of fluctuating, hearing loss and tinnitus in her right ear over the last year. She also reports occasional dizziness and aural fullness that affects her right ear more than her left ear. She is currently seeking a hearing aid for her right ear but is wondering if anything may be done to correct her hearing loss. Some additional necessary information may be what was she doing when the tinnitus and hearing loss first started, is the hearing loss increasing over time, and whether or not she is having any balance or facial nerve paralysis.
Otoscopy revealed clear ear canals and a normal appearing tympanic membrane for the left ear and