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An unusual case of ear mould impression material as a foreign body in the middle ear: case report

Published online by Cambridge University Press:  26 February 2021

D Manjunath ,
S Vadlamani ,
S K Gaur  and
S N Dutt
D Manjunath*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bengaluru, India
S Vadlamani
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bengaluru, India
S K Gaur
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bengaluru, India
S N Dutt
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bengaluru, India
*
Author for correspondence: Dr Divyashree Manjunath, Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bannerghatta Road, Bengaluru, Karnataka560076, India E-mail: [email protected]
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Abstract

Background

The occurrence of retained ear mould impression material is rare and can lead to complications. The current case report describes one such complication, where the silicone impression material used to take the impression of the ear canal flowed into the middle ear through the pre-existing tympanic membrane perforation. Five days later, the patient presented with worsened hearing and blood-tinged discharge from the ear. Ear microscopy revealed a greenish foreign body in the middle ear.

Case report

The foreign body was removed by tympanotomy and the perforation repaired using a temporalis fascia graft. A hearing aid was prescribed after ensuring that the perforation had healed.

Conclusion

It is essential that the audiologist perform a basic otological examination before prescribing a hearing aid and preparing an ear mould. A clinical approach algorithm for audiologists, for prior to taking an impression, is suggested.

Keywords

Hearing AidsForeign BodiesSiliconeMiddle EarOtitis Media
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 3 , March 2021 , pp. 276 - 279
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr D Manjunath takes responsibility for the integrity of the content of the paper

References

Jacob, A, Morris, TJ, Welling, DB. Leaving a lasting impression: ear mold impressions as middle ear foreign bodies. Ann Otol Rhinol Laryngol 2006;115:912–16CrossRefGoogle ScholarPubMed
Suzuki, N, Okamura, K, Yano, T, Moteki, H, Kitoh, R, Takumi, Y et al. Silicone impression material foreign body in the middle ear: two case reports and literature review. Auris Nasus Larynx 2015;42:419–23CrossRefGoogle ScholarPubMed
Kiskaddon, RM, Sasaki, CT. Middle ear foreign body: a hearing aid complication. Arch Otolaryngol Head Neck Surg 1983;109:778–9CrossRefGoogle ScholarPubMed
Usmani, SA, Singh, HP, Pandey, A, Agarwal, SP. Foreign body in middle ear leading to facial palsy in a child: a case report. Int J Contemp Med Res 2017;4:583–5Google Scholar
Garag, SS, Rashmi, S, Shanbag, RD, Arunkumar, JS. Foreign body of middle ear masquerading cholesteatoma. Indian J Otol 2015;21:64–6CrossRefGoogle Scholar
Piromchai, P, Srirompotong, S, Lertchanaruengrith, P, Mills, R. A child presenting with a bullet in the middle ear: case report. Clin Med Insights Case Rep 2012;5:1–4CrossRefGoogle ScholarPubMed
van den Boer, , Spronsen, EV, Holland, CTQ, Ebbens, FA, Waterval, JJ. Clinical approach after complicated ear mold fitting: a case series of six patients and evaluation of literature. Ann Otol Rhinol Laryngol 2019;128:1141–6CrossRefGoogle ScholarPubMed
Katarkar, A, Katarkar, S, Jain, A, Modh, SD, Shah, RP. Difficult case of middle ear foreign body: an unusual case report with review of literature. Southeast Asian J Case Rep Rev 2013;2:178–85Google Scholar