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X-linked mixed deafness with perilymphatic gusher, also known as X-linked deafness type 2, is a rare form of non-syndromic genetic deafnesss affecting males and characterized by pathognomonic inner ear anomalies and conductive and profound sensorineural hearing loss. The inner ear anomalies are described as dilatation of the internal auditory meatus and fistulous connection between the cochlear basal turn and internal auditory canal resulting in perilympatic gusher on attempted mobilization of a fixed stapes. Obligate female carriers may suffer from mild to moderate hearing loss.
Features include always present findings: Dilatated internal auditory canal; and common findings: Mixed hearing impairment and Congenital sensorineural hearing impairment. 6 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Ears | 4 | Progressive sensorineural hearing impairment, Conductive hearing impairment, Mixed hearing impairment |
Pregnancy and birth | 1 | Congenital sensorineural hearing impairment |
POU3F4 function has not been fully characterized.
X-linked mixed hearing loss with perilymphatic gusher is associated with mutations in the POU3F4 gene on chromosome X.
Genetic testing for POU3F4 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for X-linked mixed hearing loss with perilymphatic gusher has been reported in the published literature.
Phenotype severity distribution: 1 always present feature, 2 common features.
No clinical trials have been registered for X-linked mixed hearing loss with perilymphatic gusher.
149 publications have been identified in PubMed for X-linked mixed hearing loss with perilymphatic gusher. Research spans Epidemiology / Natural History (46%), Basic Science / Preclinical (28%), and Case Report / Case Series (9%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 68 | 46% |
Laboratory research | 41 | 28% |
Patient case studies | 13 | 9% |
Clinical study results | 10 | 7% |
Testing and diagnosis research | 7 | 5% |
Research summaries | 5 | 3% |
New treatment approaches | 3 | 2% |
Other research | 2 | 1% |
Hughes SE (2026). [PMID: 41557339](https://pubmed.ncbi.nlm.nih.gov/41557339/). *Otol Neurotol*. [Case Report / Case Series]
Reijers SNH (2026). [PMID: 42159243](https://pubmed.ncbi.nlm.nih.gov/42159243/). *Otolaryngol Head Neck Surg*. [Diagnostic / Biomarker]
He Y (2026). [PMID: 41680979](https://pubmed.ncbi.nlm.nih.gov/41680979/). *Ear and hearing*. [Diagnostic / Biomarker]
Peng LT (2026). [PMID: 41351289](https://pubmed.ncbi.nlm.nih.gov/41351289/). *Journal of clinical laboratory analysis*. [Case Report / Case Series]
Gao Z (2026). [PMID: 41731776](https://pubmed.ncbi.nlm.nih.gov/41731776/). *Medicine*. [Epidemiology / Natural History]
Arslan H (2026). [PMID: 42077932](https://pubmed.ncbi.nlm.nih.gov/42077932/). *Int Arch Otorhinolaryngol*. [Clinical Trial Publication]
Zhou X (2026). [PMID: 41668486](https://pubmed.ncbi.nlm.nih.gov/41668486/). *Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery*. [Basic Science / Preclinical]
Liedtke D (2026). [PMID: 41959831](https://pubmed.ncbi.nlm.nih.gov/41959831/). *medRxiv : the preprint server for health sciences*. [Basic Science / Preclinical]
Brun BN (2026). [PMID: 41781309](https://pubmed.ncbi.nlm.nih.gov/41781309/). *Neuromuscular disorders : NMD*. [Review / Meta-Analysis]
Peribáñez García R (2026). [PMID: 41806683](https://pubmed.ncbi.nlm.nih.gov/41806683/). *American journal of otolaryngology*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 12:30 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about X-linked mixed hearing loss with perilymphatic gusher