<prompt> Fluctuating recurring variable sensorineural deafness is seen in:Serous otitis mediaHemotympanumPerilymphatic fistulaCholesteatoma  <response>: c Perilymphatic fistulaRef. Scott Brown, 8th ed., Vol 2; 1085Serous otitis media can lead to Fluctuating conductive deafness.In hemotympanum and Cholesteatoma the hearing loss is mainly conductive and not fluctuating. 