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Cause. Congenital ? Healed otitis media- Abnormal ossicles- Perforation of TM- Crouzon\'s syndrome-Thining of area of TM- Treachercollins syndrome- Tympanosclerosis- Dehiscense of FN - Chronic adhesive otitis mediaTrauma - Loss of portion of the ossicular chain- Traumatic rupture of TM ? Tumor- Fra9460

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