Unusual middle-ear mischief: trans-tympanic trauma from a hair grip resulting in ossicular, facial nerve and oval window disruption.
A case of piercing of the tympanic membrane, resulting in unusual consequences, is described. This is the first reported case of the long process of a dislocated incus resulting in trauma to the horizontal portion of a dehiscent facial nerve. Simultaneous depression of the stapes footplate resulted in a perilymph leak, but with delayed presentation.
Snelling
J D
JD
Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK. james.snelling@nhs.net
Bennett
A
A
Wilson
P
P
Wickstead
M
M
D000061:Accidents, Home; D000328:Adult; D001301:Audiometry, Pure-Tone; D005154:Facial Nerve / Q000000981:diagnostic imaging; D020220:Facial Nerve Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D034381:Hearing Loss / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007188:Incus / Q000000981:diagnostic imaging / Q000293:injuries*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D013199:Stapes / Q000000981:diagnostic imaging / Q000293:injuries; D014057:Tomography, X-Ray Computed; D014432:Tympanic Membrane / Q000000981:diagnostic imaging / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology