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Adults with tympanic membrane rupture

Nicholas J Scalzitti, Travis J Pfannenstiel
OBJECTIVE: We present a case of a middle-aged male struck by lightning while walking in a parking lot. Assessment of the patient's injuries demonstrated common sequelae of an otologic blast injury. Review of this case should prepare the otolaryngologist to identify and manage otologic blast injuries regardless of their etiology. METHODS: Case study and literature review CASE REPORT: The patient presented to a level 1 trauma and burn center with a ruptured tympanic membrane, otalgia, mixed hearing loss, dizziness, and tinnitus...
December 2014: Otology & Neurotology
Peter S Kim, Edward Malin, John C Kirkham, Lydia A Helliwell, Ahmed M S Ibrahim, Adam M Tobias, Joseph Upton, Bernard T Lee, Samuel J Lin
BACKGROUND: On April 15, 2013, at approximately 2:49 p.m. EDT, two improvised explosive devices detonated near the finish line of the 117th Boston Marathon. Patients were transported from the scene to several trauma centers, including the authors' institution. METHODS: Plastic surgical assessment of patients began in the Emergency Department and then rapidly expanded as the scope of the incident became clear. Daily interdisciplinary meetings involving the acute care surgery, orthopedic surgery, plastic surgery, and nursing services were convened in order to coordinate operating room schedules and treatment plans...
November 2013: Plastic and Reconstructive Surgery
Amber L Dougherty, Andrew J MacGregor, Peggy P Han, Erik Viirre, Kevin J Heltemes, Michael R Galarneau
Blast-related ear injuries are a concern during deployment because they can compromise a servicemember's situational awareness and adversely affect operational readiness. The objectives of this study were to describe blast-related ear injuries during Operation Iraqi Freedom, identify the effect of hearing protection worn at the point of injury, and explore hearing loss and tinnitus outcomes within one year after injury. The Expeditionary Medical Encounter Database was used to identify military personnel who survived blast-related injury, and it was linked with outpatient medical databases to obtain diagnoses of hearing loss and tinnitus...
2013: Journal of Rehabilitation Research and Development
Tadahiko Wada, Michitaka Iwanaga, Nobuhiro Hakuba, Yasuyuki Hiratsuka, Yohei Kumabe, Takao Yoshida, Akihiko Fujita
Our surgical treatment for middle ear cholesteatoma is based on the following 2 concepts: (1) Preservation of the physiological morphology and function of the middle ear, that is, maximal preservation of the posterior wall of the external auditory meatus and the middle ear mucosa and (2) Careful resection of the matrix membrane of the cholesteatoma through the continuity of the matrix membrane. In case the cholesteatoma matrix membrane is ruptured, a staged operation should be performed to prevent the development of residual cholesteatoma from the residual matrix...
February 2013: Nihon Jibiinkoka Gakkai Kaiho
Susan L Eskridge, Caroline A Macera, Michael R Galarneau, Troy L Holbrook, Susan I Woodruff, Andrew J MacGregor, Deborah J Morton, Richard A Shaffer
INTRODUCTION: Explosions have caused a greater percentage of injuries in Iraq and Afghanistan than in any other large-scale conflict. Improvements in body armour and field medical care have improved survival and changed the injury profile of service personnel. This study's objective was to determine the nature, body region, and severity of injuries caused by an explosion episode in male service personnel. MATERIALS AND METHODS: A descriptive analysis was conducted of 4623 combat explosion episodes in Iraq between March 2004 and December 2007...
October 2012: Injury
Patorn Piromchai, Somchai Srirompotong, Piyawadee Lertchanaruengrith, Robert Mills
INTRODUCTION: Foreign bodies in the external auditory canal are common in both adults and children. Removal of the foreign body requires skill, but is usually successfully performed in the emergency department. We report a case of a child with a bullet in ear canal which was pushed into the middle ear during an attempt to remove it. CASE PRESENTATION: A 6-year-old Thai boy went to the community hospital with his parents, who reported that their child had pushed a bullet into his ear...
2012: Clinical Medicine Insights. Case Reports
Snezana D Jesic, Milovan V Dimitrijevic, Vladimir S Nesic, Ana D Jotic, Nikola A Slijepcevic
OBJECTIVES: To correlate the recurrence of temporalis fascia graft perforation and retraction in adults and children after tympanoplasty for chronic tubotympanic otitis and deep attic retraction pockets with age, pathologic process, mucosal lesions, mucociliary transport time, chronic sinusitis, and lateral attic wall reconstruction. DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: Two hundred seventy-four adult ears and 41 child ears were operated on for chronic tubotympanic otitis, 50 adult ears were operated on for traumatic tympanic membrane rupture, and 56 adult ears were operated on for attic retraction pockets...
February 2011: Archives of Otolaryngology—Head & Neck Surgery
S D Poliakova, N N Bateneva, E A Popova
A total of 216 patients with the injured tympanic membrane were examined and treated during the last 5 years. 198 (91.6%) patients presenting with traumatic otitis were found to have pathological changes in the nose and paranasal sinuses. In patients who applied for medical aid soon (within 1-2 weeks) after injury to the tympanic membrane, the resulting perforation was closed with the use of hen's egg amniotic membrane. Audiological examination demonstrated that 84.7% of traumatic tympanic membrane ruptures were associated with acute sensorinerual loss of hearing...
2010: Vestnik Otorinolaringologii
M van der Linden, R R Reinert
This retrospective analysis examined the pneumococcal serotype distribution of acute otitis media in Germany from 1995 to 2007. Data from the German National Reference Centre for Streptococci included 512 cases of pneumococcal otitis media in children and adults. Infections were mainly seen in children aged <5 years, who represented 67.0% of all reported cases. Most isolates (86.7%) were from spontaneous ruptures of the tympanum; 11.1% of the isolates were from otogenic sepsis or meningitis. Serotype 19F was the leading serotype (21...
July 2010: European Journal of Clinical Microbiology & Infectious Diseases
Navin Mani, John de Carpentier
Insertion of a Lester-Jones tube remains the standard treatment for epiphora secondary to canalicular obstruction. We report on a patient requiring removal of his correctly working Lester-Jones tube to allow him to continue his hobby of scuba diving. This particular complication of the Lester-Jones tube has never previously been reported in the literature. Patients with Lester-Jones tubes are unable to perform the valsalva manoeuvre. The valsalva manoeuvre involves blowing the nose against occluded nostrils resulting in a raised pressure in the nose and post-nasal space which is transmitted via the eustachian tubes to the middle ear...
2009: Orbit
C L Lau, W M Ching, W L Tong, K L Chan, K L Tsui, C W Kam
OBJECTIVE: To investigate the demographics and clinical outcomes of intimate partner violence victims presenting to an emergency department. DESIGN: Retrospective, observational study. SETTING: Emergency department of a regional hospital in Hong Kong. PATIENTS: Adults presented with intimate partner violence during years 1999 to 2004. RESULTS: We assessed 1695 victims of intimate partner violence with a mean age of 39 (range, 18-84) years, of whom 87% were female...
December 2008: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Sady Selaimen da Costa, Letícia Petersen Schmidt Rosito, Cristina Dornelles
UNLABELLED: Chronic otitis media is generally associated with some degree of hearing loss, which is often the patient's chief complaint. This hearing loss is usually conductive, resulting from tympanic membrane rupture and/or changes in the ossicular chain due to fixation or erosion caused by the chronic inflammatory process. When cholesteatoma or granulation tissue is present in the middle ear cleft, the degree of ossicular destruction is even greater. An issue that has recently gained attention is additional sensorineural hearing loss due to chronic otitis media...
February 2009: European Archives of Oto-rhino-laryngology
I V Ageenko
The article presents a novel method of topical diagnosis and treatment of acute and chronic otitis media purulenta with perforation in the tympanic membrane; describes indications and contraindications for the method application, its technique with use of two devices: otobarohydroscope and transmeatal catheter. The treatment was performed in a group of patients with acute otitis media purulenta at the stage of tympanic membrane perforation complicated with exudative serous mastoiditis. Transmeatal controlled barohydrodynamic therapy proved its high efficacy in topical diagnosis and therapy of patients with the above condition...
2007: Vestnik Otorinolaringologii
Vered Avidan, Moshe Hersch, Ram M Spira, Sharon Einav, Sara Goldberg, William Schecter
BACKGROUND: We studied the response of the Shaare Zedek Medical Center (SZMC) in Jerusalem, Israel, to terrorist multiple- or mass-casualty events (TMCEs) that occurred between 1983 and 2004, to document the role of the intensive care unit (ICU) in this response. METHODS: The SZMC Disaster Plan was reviewed in detail. Hospital and ICU records were retrospectively reviewed for all patients presenting to SZMC between 1983 and 2004 after a TMCE. Data were coded for age, sex, injuries, length of stay, and mortality...
May 2007: Journal of Trauma
C Offiah, M Heran, D Graeb
Otologic injury associated with fatal and nonfatal lightning strikes has been sporadically reported in the literature. The most common acoustic insult is a conductive hearing loss secondary to rupture of the tympanic membrane. Although conjecture has been made of the theoretic possibility of ossicular injury from lightning strike, to our knowledge, none has been demonstrated intraoperatively or postmortem. We report the first documented case of ossicular disruption in a lightning-strike victim.
May 2007: AJNR. American Journal of Neuroradiology
Ingo Kleiter, Ralf Luerding, Gerhard Diendorfer, Helga Rek, Ulrich Bogdahn, Berthold Schalke
The case of a 23-year-old mountaineer who was hit by a lightning strike to the occiput causing a large central visual field defect and bilateral tympanic membrane ruptures is described. Owing to extreme agitation, the patient was set to a drug-induced coma for 3 days. After extubation, she experienced simple and complex visual hallucinations for several days, but otherwise recovered largely. Neuropsychological tests revealed deficits in fast visual detection tasks and non-verbal learning, and indicated a right temporal lobe dysfunction, consistent with a right temporal focus on electroencephalography...
April 2007: Journal of Neurology, Neurosurgery, and Psychiatry
O Anderson, Y M Takwoingi
In a retrospective study of patients who had undergone myringoplasty at our department within a 12-month period, we assessed the graft take rate using tri-adcortyl ointment (TAO) as ear dressing. Data including age, site and size of perforation, grade of surgeon, surgical approach, use of postoperative ear dressings, complications and audiometric outcome was collected from the patient notes and analysed. The overall success rate of the operation (with success being defined as an intact tympanic membrane at 6 months) was noted...
August 2007: European Archives of Oto-rhino-laryngology
Fernanda Mossumez Fernandes Teixeira, Shiro Tomita, Marco Antônio de Melo Tavares de Lima
UNLABELLED: The nitrous oxide is an inhaling gas that can increase intratympanic pressure during the anesthetic act and cause negative pressure after it is discontinued, mainly in patients with Eustachian tube dysfunction. These pressure variations may come up with clinical implications such as tympanic membrane rupture, ossicular system disarticulation, haemotympanum, barotraumas, prosthesis displacement stapaedotomy and tympanic graft lateralization after tympanoplasty, in addition to serous fluid entrance into the middle ear during the negative pressure phase...
May 2005: Brazilian Journal of Otorhinolaryngology
S Mirza, H Richardson
Otic barotrauma occurring during air travel involves traumatic inflammation of the middle ear, caused by a pressure difference between the air in the middle ear and the external atmosphere, developing after ascent or more usually descent. The pressure difference occurs because of failure of the eustachian tube to equilibrate middle ear and atmospheric pressures. It is a common problem, presenting with ear fullness, otalgia and deafness. Severe cases may result in tympanic membrane perforation and even round window membrane rupture...
May 2005: Journal of Laryngology and Otology
Romano Byaruhanga, Anna Bergstrom, Pius Okong
The aim of the study was to determine the prevalence of neonatal hypothermia and associated risk factors. A cross sectional, descriptive study of neonatal hypothermia was performed on 300 newborns consecutively recruited day and night during 2 months at a Ugandan periurban hospital. Parallel tympanic and rectal temperature measurements were made at 10, 30, 60, and 90 min post partum. Rectal temperatures taken at 10, 30, 60, and 90 min showed that 29, 82, 83, and 79 per cent of the newborns, respectively, were hypothermic...
August 2005: Journal of Tropical Pediatrics
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