Wynne M K, Kahn J M, Abel D J, Allen R L
Department of Otolaryngology--Head and Neck Surgery, Indiana University School of Medicine, Indianapolis 46202-5230, USA.
J Am Acad Audiol. 2000 Jul-Aug;11(7):351-60.
When taking an impression of the external ear canal and ear, the audiologist is engaged in an invasive procedure whereby a foreign body is first placed into the ear canal and then removed. There is always an element of risk for significant medical problems when a clinician is performing an invasive procedure. Although some minor patient discomfort and, at times, some slight trauma to the ear canal occur when taking ear impressions, the incidence of significant trauma to the external or middle ear appears to be low. The purpose of this report is to provide some illustrative cases of significant external and middle ear trauma as a result of taking impressions of the external ear. Audiologists are advised to develop and implement an appropriate risk management program for taking ear impressions to reduce the potential risks associated with this procedure to their patients and to their practices.
在获取外耳道和耳部印模时,听力学家进行的是一种侵入性操作,即先将异物放入耳道,然后取出。临床医生进行侵入性操作时,始终存在引发重大医疗问题的风险因素。虽然在获取耳部印模时会给患者带来一些轻微不适,有时还会对耳道造成一些轻微创伤,但外耳或中耳出现重大创伤的发生率似乎较低。本报告的目的是提供一些因获取外耳道印模而导致外耳和中耳重大创伤的实例。建议听力学家制定并实施适当的耳部印模获取风险管理计划,以降低该操作给患者及其业务带来的潜在风险。