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X-linked mixed hearing loss with perilymphatic gusher(DFN3; DFNX2)

MedGen UID:
336750
Concept ID:
C1844678
Disease or Syndrome
Synonyms: Deafness 3 conductive with stapes fixation; Deafness conductive with stapes fixation; Deafness mixed with perilymphatic gusher; Deafness, X-linked 2; Dfn 3 nonsyndromic hearing loss and deafness; DFNX2 Nonsyndromic Hearing Loss and Deafness; Gusher syndrome; Nance deafness; Perilymphatic Gusher-deafness syndrome; Sensorineural deafness, profound, with or without a conductive component, associated with a unique developmental abnormality of the ear
 
Genes (locations): GJB2 (13q12.11); GJB6 (13q12.11); POU3F4 (Xq21.1)
 
Monarch Initiative: MONDO:0010576
OMIM®: 304400
Orphanet: ORPHA383

Definition

DFNX2, also known as DFN3, is an X-linked recessive disorder characterized by progressive conductive and sensorineural hearing loss and a pathognomonic temporal bone deformity that includes dilatation of the inner auditory canal and a fistulous connection between the internal auditory canal and the cochlear basal turn, resulting in a perilymphatic fluid 'gusher' during stapes surgery (summary by de Kok et al., 1995 and Song et al., 2010). See also choroideremia, deafness, and mental retardation (303110), a contiguous gene deletion syndrome involving the POU3F4 and CHM (300390) genes on Xq21; isolated choroideremia (303100) is caused by mutation in the CHM gene. [from OMIM]

Additional description

From NCBI curation
Hereditary hearing loss and deafness may be conductive, sensorineural, or a combination of both; syndromic (associated with malformations of the external ear or other organs or with medical problems involving other organ systems) or nonsyndromic (no associated visible abnormalities of the external ear or any related medical problems); and prelingual (before language develops) or postlingual (after language develops).

Clinical features

From HPO
Conductive hearing impairment
MedGen UID:
9163
Concept ID:
C0018777
Disease or Syndrome
An abnormality of vibrational conductance of sound to the inner ear leading to impairment of sensory perception of sound.
Mixed hearing impairment
MedGen UID:
102336
Concept ID:
C0155552
Disease or Syndrome
A type of hearing loss resulting from a combination of conductive hearing impairment and sensorineural hearing impairment.
Progressive sensorineural hearing impairment
MedGen UID:
335894
Concept ID:
C1843156
Disease or Syndrome
A progressive form of sensorineural hearing impairment.
Stapes ankylosis
MedGen UID:
350008
Concept ID:
C1861326
Anatomical Abnormality
Stapes ankylosis refers to congenital or acquired fixation of the stapes (the stirrup-shaped small bone or ossicle in the middle ear), which is associated with conductive hearing resulting from impairment of the sound-conduction mechanism (the external auditory canal, tympanic membrane, and/or middle-ear ossicles).
Congenital sensorineural hearing impairment
MedGen UID:
356101
Concept ID:
C1865866
Disease or Syndrome
A type of hearing impairment caused by an abnormal functionality of the cochlear nerve with congenital onset.
Dilatated internal auditory canal
MedGen UID:
382996
Concept ID:
C2676973
Finding
The presence of a dilated inner part of external acoustic meatus.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
Follow this link to review classifications for X-linked mixed hearing loss with perilymphatic gusher in Orphanet.

Recent clinical studies

Etiology

Pollak A, Lechowicz U, Kędra A, Stawiński P, Rydzanicz M, Furmanek M, Brzozowska M, Mrówka M, Skarżyński H, Skarżyński PH, Ołdak M, Płoski R
PLoS One 2016;11(12):e0166618. Epub 2016 Dec 12 doi: 10.1371/journal.pone.0166618. PMID: 27941975Free PMC Article
Krouchi L, Callonnec F, Bouchetemblé P, Tollard E, Dehesdin D, Marie JP
Ann Otol Rhinol Laryngol 2013 Jun;122(6):374-7. doi: 10.1177/000348941312200605. PMID: 23837389
Talbot JM, Wilson DF
Am J Otol 1994 Mar;15(2):177-82. PMID: 8172298

Diagnosis

Pollak A, Lechowicz U, Kędra A, Stawiński P, Rydzanicz M, Furmanek M, Brzozowska M, Mrówka M, Skarżyński H, Skarżyński PH, Ołdak M, Płoski R
PLoS One 2016;11(12):e0166618. Epub 2016 Dec 12 doi: 10.1371/journal.pone.0166618. PMID: 27941975Free PMC Article
Krouchi L, Callonnec F, Bouchetemblé P, Tollard E, Dehesdin D, Marie JP
Ann Otol Rhinol Laryngol 2013 Jun;122(6):374-7. doi: 10.1177/000348941312200605. PMID: 23837389
Cremers CW, Snik AF, Huygen PL, Joosten FB, Cremers FP
Adv Otorhinolaryngol 2002;61:161-7. doi: 10.1159/000066826. PMID: 12408080
Talbot JM, Wilson DF
Am J Otol 1994 Mar;15(2):177-82. PMID: 8172298
Cremers CW
Am J Otol 1985 May;6(3):243-6. PMID: 4039896

Therapy

Cremers CW, Snik AF, Huygen PL, Joosten FB, Cremers FP
Adv Otorhinolaryngol 2002;61:161-7. doi: 10.1159/000066826. PMID: 12408080
Phelps PD, Reardon W, Pembrey M, Bellman S, Luxom L
Neuroradiology 1991;33(4):326-30. doi: 10.1007/BF00587816. PMID: 1922747
Cremers CW
Am J Otol 1985 May;6(3):243-6. PMID: 4039896
Cremers CW, Hombergen GC, Scaf JJ, Huygen PL, Volkers WS, Pinckers AJ
Arch Otolaryngol 1985 Apr;111(4):249-54. doi: 10.1001/archotol.1985.00800060073010. PMID: 3977755
Cremers CW, Hombergen GC, Wentges RT
Clin Otolaryngol Allied Sci 1983 Aug;8(4):235-40. doi: 10.1111/j.1365-2273.1983.tb01434.x. PMID: 6652936

Prognosis

Krouchi L, Callonnec F, Bouchetemblé P, Tollard E, Dehesdin D, Marie JP
Ann Otol Rhinol Laryngol 2013 Jun;122(6):374-7. doi: 10.1177/000348941312200605. PMID: 23837389
Cremers CW, Hombergen GC, Wentges RT
Clin Otolaryngol Allied Sci 1983 Aug;8(4):235-40. doi: 10.1111/j.1365-2273.1983.tb01434.x. PMID: 6652936

Clinical prediction guides

Krouchi L, Callonnec F, Bouchetemblé P, Tollard E, Dehesdin D, Marie JP
Ann Otol Rhinol Laryngol 2013 Jun;122(6):374-7. doi: 10.1177/000348941312200605. PMID: 23837389
Cremers CW, Huygen PL
Int J Pediatr Otorhinolaryngol 1983 Nov;6(2):179-85. doi: 10.1016/s0165-5876(83)80118-9. PMID: 6662621
Cremers CW, Hombergen GC, Wentges RT
Clin Otolaryngol Allied Sci 1983 Aug;8(4):235-40. doi: 10.1111/j.1365-2273.1983.tb01434.x. PMID: 6652936

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