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在探索中耳时发现助听器硅橡胶印模材料:2 例病例报告及文献复习。

Hearing Aid Silicone Impression Material Discovered During Exploration of the Middle Ear: 2 Case Reports and Literature Review.

机构信息

Division of ENT, Department of Surgery, Sultan Qaboos University, Sultan Qaboos University Hospital, Al Khoudh, Oman.

Department of Radiology and Molecular Imaging, Sultan Qaboos University, Sultan Qaboos University Hospital, Al Khoudh, Oman.

出版信息

J Int Adv Otol. 2024 Jul 29;20(4):368-371. doi: 10.5152/iao.2024.231421.

DOI:10.5152/iao.2024.231421
PMID:39162058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11363183/
Abstract

It is unusual to see complications with the preparation of ear mold in order to get hearing aids for children who are in need. However, we came across 2 cases who had a foreign body retained in the middle ear after a long period of time from taking silicon mold impression for hearing aid fitting. One patient presented after 2 years, and the other patient presented after 10 years of hearing aid fitting. We are reporting 2 cases with silicon impression material left in the middle ear for a long period of time after taking an impression for hearing aid fitting and found unexpectedly during exploratory tympanotomy. These reported cases are among the few cases reported worldwide without clear known incidence. This necessitates proper examination by otolaryngologists and the audiologists who are responsible for taking the impression to prevent such complications.

摘要

为有需要的儿童准备耳模以配助听器时,很少会出现并发症。然而,我们遇到了 2 例患者,他们在硅橡胶印模取模后很长时间后,中耳内仍有异物残留。1 例患者是在取模后 2 年后出现症状,另 1 例患者则在佩戴助听器 10 年后出现症状。我们报告了 2 例在取模后很长时间内,硅橡胶印模材料遗留于中耳的病例,这些病例是在进行探查性鼓室切开术时意外发现的。这些报道的病例在全球范围内较为罕见,其确切的发病率尚不清楚。这就需要耳鼻喉科医生和负责取模的听力学家进行适当的检查,以预防此类并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/17b65e7699d8/jiao-20-4-368_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/eba4cd32c2a8/jiao-20-4-368_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/521044e5bdc2/jiao-20-4-368_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/17b65e7699d8/jiao-20-4-368_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/eba4cd32c2a8/jiao-20-4-368_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/521044e5bdc2/jiao-20-4-368_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2891/11363183/17b65e7699d8/jiao-20-4-368_f003.jpg

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本文引用的文献

1
An unusual case of ear mould impression material as a foreign body in the middle ear: case report.一例中耳异物为耳模印模材料的罕见病例:病例报告。
J Laryngol Otol. 2021 Mar;135(3):276-279. doi: 10.1017/S0022215121000517. Epub 2021 Feb 26.
2
Earmold Foreign Bodies in the Middle Ear Necessitating Surgical Removal: Why Otology Specialists Should Screen Candidates for Hearing Aids.需手术取出的中耳耳模异物:耳科专家为何应筛查助听器候选人。
Clin Exp Otorhinolaryngol. 2021 May;14(2):235-239. doi: 10.21053/ceo.2020.00850. Epub 2020 Aug 26.
3
Clinical Approach After Complicated Ear Mold Fitting: A Case Series of Six Patients and Evaluation of Literature.
复杂耳模适配后的临床处理:6例患者的病例系列及文献评估
Ann Otol Rhinol Laryngol. 2019 Dec;128(12):1141-1146. doi: 10.1177/0003489419865562. Epub 2019 Jul 31.
4
Hearing aid silicone impression material as a foreign body in the middle ear.助听器硅橡胶印模材料作为中耳异物
Am J Otolaryngol. 2017 Jan-Feb;38(1):108-111. doi: 10.1016/j.amjoto.2016.09.018. Epub 2016 Sep 28.
5
[Complications Resulting from Taking Ear Impressions].[取耳印模引起的并发症]
Nihon Jibiinkoka Gakkai Kaiho. 2015 Aug;118(8):1058-67. doi: 10.3950/jibiinkoka.118.1058.
6
Silicone impression material foreign body in the middle ear: Two case reports and literature review.中耳内的硅橡胶印模材料异物:两例报告及文献综述
Auris Nasus Larynx. 2015 Oct;42(5):419-23. doi: 10.1016/j.anl.2015.03.010. Epub 2015 May 5.
7
Complication from hearing aid mold material: a case report and review of legal matters.助听模具材料引发的并发症:病例报告及法律问题回顾。
Am J Otolaryngol. 2013 Nov-Dec;34(6):739-42. doi: 10.1016/j.amjoto.2013.08.005. Epub 2013 Sep 24.
8
Leaving a lasting impression: ear mold impressions as middle ear foreign bodies.留下持久印记:耳模印模作为中耳异物
Ann Otol Rhinol Laryngol. 2006 Dec;115(12):912-6. doi: 10.1177/000348940611501210.