“…The absence of generalized bone involvement or increased serum alkaline phosphatase can eliminate Paget's disease from the diagnosis (Applebaum and Clemis, 1977;Edelken, 1981;Griffey, 1960;Nager, 1975;Proope etal., 1985). Fibrous dysplasia is characterized by spiculation, diffuse involvement of the entire temporal bone by the fibro-osseous process and/or raised intracranial tension, and involvement of other bones, (Chatterji, 1974;Edeiken, 1981;Nager etal., 1982;Zizmor and Nojek, 1969). Congenital aplasia of the inner ear structures may produce small canals due to failure of the supplying nerve development; they are usually associated with ossicular abnormalities or agenesis of the external ear (Pagani et al, 1980;Phelps etal., 1975;Portmann et al, 1975).…”