Hotaling Jeffrey M, Hotaling Andrew J
Loyola University Medical Center, Department of Otolaryngology - Head and Neck Surgery, 2160 S. First Avenue, Building 105, Room 1870, LUMC, Maywood, IL 60153, USA.
Int J Pediatr Otorhinolaryngol. 2014 Aug;78(8):1408-9. doi: 10.1016/j.ijporl.2014.03.037. Epub 2014 May 2.
This case report demonstrates the otologic complications of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis (SJS/TEN). A five year-old male was admitted to the burn unit with the diagnosis of SJS/TEN believed secondary to acetaminophen use. After resolution of the acute phase, the patient was left with a severe auricular deformity with scarring and complete occlusion of the right external auditory canal (EAC). The patient underwent meatoplasty, canaloplasty, and tympanoplasty with subsequent placement of a molded stent in order to maintain patency of his EAC. Four years later, the patient has a patent right EAC with adequate hearing.
本病例报告展示了史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症(SJS/TEN)的耳科并发症。一名5岁男性因使用对乙酰氨基酚继发SJS/TEN诊断而入住烧伤科。急性期过后,患者左耳严重畸形,伴有瘢痕形成,右外耳道(EAC)完全闭塞。患者接受了外耳道成形术、耳道成形术和鼓室成形术,随后放置了塑形支架以维持EAC通畅。四年后,患者右EAC通畅,听力正常。