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중이내 이어몰드 물질에 의한 만성 중이염 1예

A Case of Leaving a Lasting Ear Mold Impressions as Middle Ear Foreign Bodies

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주제분류이비인후과학

초록

Proper fitting of hearing aids by well-trained professionals rarely results in complication. Although the majority of patients who have ear canal impressions taken experience no adverse outcomes, patients with impacted earmold material within the middle ear after traumatic perforation of the tympanic membrane may present with diverse otologic complaints. In this article, we present an unusual complication after hearing aid fitting that required surgical management. A 64-year-old female who had undergone left hearing aid fitting 3 years before our evaluation was presented with left-sided otorrhea. She was identified that had encountered severe complications from improper earmold fitting that required surgical intervention. The earmold was successfully removed by means of a tympanomastoidectomy. Close cooperation between hearing aid dispensers and otolaryngologists may eliminate the rare instances of complications resulting from ear mold fitting. (J Clinical Otolaryngol 2009;20: 73-76)

Abstract

Proper fitting of hearing aids by well-trained professionals rarely results in complication. Although the majority of patients who have ear canal impressions taken experience no adverse outcomes, patients with impacted earmold material within the middle ear after traumatic perforation of the tympanic membrane may present with diverse otologic complaints. In this article, we present an unusual complication after hearing aid fitting that required surgical management. A 64-year-old female who had undergone left hearing aid fitting 3 years before our evaluation was presented with left-sided otorrhea. She was identified that had encountered severe complications from improper earmold fitting that required surgical intervention. The earmold was successfully removed by means of a tympanomastoidectomy. Close cooperation between hearing aid dispensers and otolaryngologists may eliminate the rare instances of complications resulting from ear mold fitting. (J Clinical Otolaryngol 2009;20: 73-76)

참고문헌 (10)

  1. Chang SO, "Two cases of middle ear foreign body; earmold for hearing aid", Korean J Audiol, 1(2), pp.203~206 (1997)
  2. Chi JH, "A case of middle ear foreign body by ear mold impression material", Korean J Audiol, 4(1), pp.61~72 (2000)
  3. Jacob A, "Leaving a lasting impression: ear mold impressions as middle ear foreign bodies", Ann Otol Rhinol Laryngol, 115(12), pp.912~916 (2006)
  4. Kohan D, "Surgical management of complications after hearing aid fitting", Laryngoscope, 114(2), pp.317~322 (2004)
  5. Kiskaddon RM, "Middle ear foreign body. A hearing aid complication", Arch Otolaryngol, 109(11), pp.778~779 (1983)
  6. Hof JR, "Mould constituents in the middle ear, a hearing-aid complication", J Laryngol Otol, 114(1), pp.50~52 (2000)
  7. Syms CA III, "Impression-material foreign bodies of the middle ear and external auditory canal", Otolaryngol Head Neck Surg, 119(4), pp.406~407 (1998)
  8. Masaany M, "Bilateral middle ear cholesterol granuloma in familial hypercholesterolemia", Otolaryngol Head Neck Surg, 138(6), pp.803~804 (2008)
  9. Verret DJ, "Bilateral cholesterol granulomas", Otol Neurotol, 26(5), pp.1041~1044 (2005)
  10. Martin TP, "A large and uncharacteristically aggressive cholesterol granuloma of the middle ear", J Laryngol Otol, 119(12), pp.1001~1003 (2005)

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