著者

北尻 真一郎 田渕 圭作 平海 晴一

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.94, no.1, pp.17-20, 2001-01-01 (Released:2011-11-04)

参考文献数

19

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A case of fracture of the stapes footplate with ossicular disruption and perilymph fistula caused by earpick-induced trauma is reported. A 51-year-old female was presented with hearing loss and vertigo just after sticking an ear pick into her left ear. Pure tone audiometry showed a mixed hearing loss of 67.5dB. Nystagmus was not observed, and vertigo improved in a week. On exploratory tympanotomy, the fracture of the stapes footplate accompanying a dislocation of the incudo-stapedial joint and perilymphatic leakage from the oval window were found. The perilymph fistula was sealed with temporal fascia, and ossicular chain continuity was reconstructed by type N tympanoplasty. After the operation, the cochlear and vestibular symptoms improved.