Management of Incus Dislocation From Attempted Foreign Body Removal With Alligator Forceps.

IF 0.7
Martha Lucía Gutiérrez Pérez, Ryka Vahidi, Nicole Kani, Jack A Shohet, Hamid R Djalilian
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引用次数: 0

Abstract

Middle ear trauma from foreign body (FB) impaction or its removal can lead to tympanic membrane (TM) perforations and ossicular chain disruption. We present a case of a 29 year-old male who developed acute right-sided hearing loss, aural fullness, and tinnitus after an attempt at removing a cotton-tipped applicator (Q-tip) impaction in the ear canal. Physical examination revealed a dislocated incus protruding through the TM, and audiometry confirmed moderate conductive hearing loss. The patient underwent tympanoplasty with ossicular chain reconstruction with incus interposition, which resulted in significant hearing improvement and resolution of tinnitus. This case highlights the importance of proper diagnosis and intervention in trauma-related ossicular dislocation.

鳄鱼钳异物取出术致砧骨脱位的处理。
异物(FB)嵌塞或其移除引起的中耳外伤可导致鼓膜(TM)穿孔和听骨链断裂。我们报告一个29岁男性的病例,他在试图去除耳道内的棉签(q尖)阻塞后,出现了急性右侧听力丧失,听觉充盈和耳鸣。体格检查发现一个脱位的incus突出通过TM,听力测定证实中度传导性听力损失。患者行听骨链重建术后耳鼓成形术,听骨链重建术后耳鸣明显好转。本病例强调了创伤性听骨脱位的正确诊断和干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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