Q-tip ear injury with stapes luxation into the vestibule-a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20205075Keywords:
Stapes luxation, Perilymphatic fistula, Ear trauma, Q-tipAbstract
Stapediovestibular luxation by Q-tip ear injury is a rare occurrence. The traumatic context associated with cochleovestibular symptoms should lead to a high index of suspiscion. Temporal bone CT scan confirms the diagnosis. The authors report a case of stapediovestibular luxation and discuss the management of this condition. An 8-year-old boy presented to our department for otalgia, hearing loss, and dizziness. The history revealed a penetrating right ear injury by Q-tip, which had occurred 5 days previously. ENT examination found a right peripheral vestibular syndrome with ipsilateral tympanic perforation. Tonal audiometry noted right cophosis. Temporal bone CT scan showed right side internal stapediovestibular dislocation. Middle ear inspection with oval window fistula repair and tympanic closure were performed. Postoperative outcomes showed complete resolution of vestibular symptoms without improvement of sensorineural hearing loss thresholds. Traumatic stapediovestibular dislocation by Q-tip ear injury is unusual. Early diagnosis, with precise lesion assessment and appropriate management resolve vestibular symptoms, prevent infectious complications. But, hearing outcomes are variable.
References
Khoo LS, Tan TY. Traumatic perilymphatic fistula secondary to stapes luxation into the vestibule: A case report. Ear Nose Throat J. 2011;90(5):E28-31.
Yamasoba T, Amagai N, Karino S. Traumatic luxation of the stapes into the vestibule. Otolaryngol Neck Surg. 2003;129(3):287-90.
Tsubota M, Shojaku H, Watanabe Y. Prognosis of inner ear function in pneumolabyrinth: case report and literature review. Am J Otolaryngol. 2009;30(6):423-6.
Hatano A, Rikitake M, Komori M, Irie T, Moriyama H. Traumatic perilymphatic fistula with the luxation of the stapes into the vestibule. Auris Nasus Larynx. 2009;36(4):474-8.
Tringali S, Céruse P, Zaouche S, Dubreuil C. Luxation traumatique de l’étrier dans le vestibule : aspect radiologique et conduite à tenir [Traumatic luxation of the stapes: radiology and surgical outcome] Ann Otolaryngol Chir Cervico-Faciale. 2006;123(6):340-3.
Kojima H, Tanaka Y, Mori E, Uchimizu H, Moriyama H. Penetrating vestibular injury due to a twig entering via the external auditory meatus. Am J Otolaryngol. 2006;27(6):418-21.
Jang CH, Chae Yang H, Um TH, Beom Cho Y. Stapes crural fracture without perilymph fistula by Q-tip injury. J Int Adv Otol. 2014;10(1):100-1.
Bogaerts M, Waterval J, van Dinther J, Somers T, Zarowski A, Offeciers FE. Treatment of traumatic stapediovestibular luxation: Case report with the Introduction of a new technique and review of literature. Otol Neurotol. 2014;35(4):582-8.
Sarac S, Cengel S, Sennaroglu L. Pneumolabyrinth following traumatic luxation of the stapes into the vestibule. Int J Pediatr Otorhinolaryngol. 2006;70(1):159-61.
