scholarly journals Metallic foreign body adjacent to the round window: a rare cause for chronic tympanic membrane perforation with hearing loss

2021 ◽  
Vol 14 (5) ◽  
pp. e240106
Author(s):  
Samuel Robert Leedman ◽  
Jafri Kuthubutheen

Welding injuries to the tympanic membrane (TM) or middle ear are rare but can cause significant damage. These injuries occur when a hot spark or molten slag drops directly into the external auditory canal and through the action of gravity (because the ear is upright during such an injury), then risks burning through the TM. This can lead to a multitude of adverse consequences including chronic TM perforation, secondary purulent otorrhoea, facial palsy, taste disturbance, vertigo and hearing loss. We present the case of a welding injury to the right TM, resulting in a chronic perforation and hearing loss. The patient required surgical intervention for removal of the metallic foreign body and repair of the TM. The patient obtained a good surgical result with no sensorineural hearing loss. This is a preventable occupational injury, which can be avoided by use of ear protection and increased awareness of this potential risk.

2012 ◽  
Vol 126 (9) ◽  
pp. 932-934 ◽  
Author(s):  
P Bijoor ◽  
T Rourke ◽  
H Thomson

AbstractObjectives:We report a unique case of traumatic tympanic membrane perforation caused by a needlefish beak. We describe the mechanism of injury, the clinical findings and the treatment.Case report:An 11-year-old boy presented with otorrhoea and hearing loss secondary to a traumatic tympanic membrane perforation by a needlefish. The perforation was repaired by performing a myringoplasty, with satisfactory post-operative audiological results.Conclusion:To our knowledge, this is the first reported case of its kind. It is recommended that careful examination of the middle-ear space should always be carried out prior to and during myringoplasty if there is a possibility of a foreign body.


1930 ◽  
Vol 26 (9) ◽  
pp. 941-941
Author(s):  
B. Goland

Abstracts. Otorhinolaryngology. Prof. Uffenrode (D. med. Woch. 1929. No. 25.) describes 2 very interesting cases from his practice. 1. To remove peas from the ears of a 5-year-old child, a family doctor used tweezers. In view of the child's strong anxiety, chlorine ethyl anesthesia was applied, but the removal of foreign bodies from the ears was not possible; deep wound in the right ear canal. Secondary chlorine - ethyl anesthesia; the foreign body was removed from the left ear by washing, from the right ear it was not possible. The next day, an otorhinolaryngologist will remove the foreign body from the right ear; a wound of the tympanic membrane was established.


Author(s):  
Raies Ahmad ◽  
Gopika Kalsotra ◽  
Kamal Kishore ◽  
Aditiya Saraf ◽  
Parmod Kalsotra

<p class="abstract"><strong>Background:</strong> The aim of the study was to assess impact of duration of tympanic membrane perforation on hearing loss and postoperative audiological outcome using pure tone audiogram.</p><p class="abstract"><strong>Methods:</strong> The present study was conducted on 100 patients in department of ENT and HNS, SMGS Hospital, Government Medical College Jammu during a time period of November 2018 to October 2019. All the patients with age 15 to 60 years who presented with tympanic membrane (pars tensa) perforation were included in the study.  </p><p class="abstract"><strong>Results:</strong> In our study, mean preoperative hearing loss (AC threshold) of group A was 36.23±1.07 dB and of group B was 25.67±6.38 dB. Group C had mean preoperative hearing loss (AC threshold) of 28.78±6.50 dB. Mean preoperative air-bone gap (AB gap) of group A was 12.9±8.05dB and of group B was 13.86±4.19 dB. Group C had mean preoperative air-bone gap (AB gap) of 16.47±5.51 dB. Postoperatively, pure tone threshold at three months was least in group B (15.09±5.80 dB), followed by group C (15.68±4.66 dB) and group A (19.33±2.81 dB). Whereas, postoperative AB gap at 3 months was least in group C (10±3 dB), followed by group C (8.44±3.59 dB). Group B had maximum postoperative AB gap of 8.49±4.34 dB.</p><p class="abstract"><strong>Conclusions:</strong> This study did not show any correlation between duration of disease and degree of hearing loss.</p>


Author(s):  
Rogan Corbridge ◽  
Nicholas Steventon

Drugs used in the ear 348 Drugs used in the nose 349 Drugs used in the treatment of acid reflux 350 This group of drugs is widely used for the treatment of otitis externa. Otitis externa 2 drops tds for 10 days Presence of grommet or tympanic membrane perforation due to aminoglycoside ototoxicity in the inner ear. Risk thought to be low in the presence of active infection where the middle-ear mucosa is swollen and the antibiotic is unlikely to reach the inner ear via the round window...


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