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Unusual middle-ear mischief: trans-tympanic trauma from a hair grip resulting in ossicular, facial nerve and oval window disruption

Published online by Cambridge University Press:  15 May 2006

J D Snelling ,
A Bennett ,
P Wilson  and
M Wickstead
J D Snelling
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK
A Bennett
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK
P Wilson
Affiliation:
Department of Radiology, Norfolk and Norwich University Hospital, Norwich, UK
M Wickstead
Affiliation:
Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK
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Abstract

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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.

Keywords

TraumaTympanic MembraneFacial NervePerilymphatic Fistula
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 9 , September 2006 , pp. 793 - 795
Copyright
2006 JLO (1984) Limited