Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (2): 79-83.doi: 10.6040/j.issn.1673-3770.0.2023.199

• Original Article • Previous Articles     Next Articles

Treatment of complex steel-sharps-based ear puncture wound: a case report and literature review

SUO Anqi1, SUN Juxing2, NIU Hongyan2, ZHOU Yanqiu3, NIU Penghao1, MAO Wenwei1, LI Xiaoyu2, YANG Xinxin2   

  1. 1. School of clinical medical, Jining Medical University, Jining 272007, Shangdong, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Hospital of Jining Medical University, Jining 272007, Shangdong, China3. Anesthesiology, Affiliated Hospital of Jining Medical University, Jining 272007, Shangdong, China
  • Online:2024-03-20 Published:2024-03-29

PDF (PC)

55

Abstract: Objective To investigate the emergency management of complex sharps-based ear injuries and the management of complications. Methods This report describes the treatment and prognosis of a patient with an ear sharpshooter injury. Results After treatment, the patient's hearing partially improved and the facial palsy improved significantly. Conclusion There are many important blood vessels and nerves in the vicinity of the ear. Therefore, serious sharps injuries to the ear can lead to not only serious complications but also life-threatening injuries. Injuries to the external auditory canal by sharp instruments are inevitable, and multiple injuries greatly increase the difficulty of the surgical intervention, related postoperative care, and management of postoperative complications. This case report describes a personalized treatment plan that was used to improve the patient's prognosis and quality of life.

Key words: Sharp tool puncture, Temporal bone fracture, External auditory canal stenosis, Facial paralysis, Dysaudia

CLC Number: 

  • R764.9
[1] 杨仕明, 殷善开, 伊海金, 等. 颞骨骨折耳科并发症诊治专家共识[J]. 中华耳科学杂志, 2021, 19(4): 688-692 YANG Shiming, YIN Shankai, YI Haijin, et al. Expert consensus on diagnosis and treatment of otologic complications of temporal bone fracture[J]. Chinese Journal of Otology, 2021, 19(4): 688-692
[2] Mariel Osetinsky L, Hamilton GS 3rd, Carlson ML. Sport injuries of the ear and temporal bone[J]. Clin Sports Med, 2017, 36(2): 315-335. doi:10.1016/j.csm.2016.11.005
[3] Chatra PS. Lesions in the external auditory canal[J]. Indian J Radiol Imaging, 2011, 21(4): 274-278. doi:10.4103/0971-3026.90687
[4] Lin HC, Shih CP, Chen HC, et al. Risk of acquired cholesteatoma and external auditory canal stenosis in traumatic brain injury: a nationwide population-based cohort study[J]. Int J Environ Res Public Health, 2020,17(18): 6624. doi:10.3390/ijerph17186624
[5] McKennan KX, Chole RA. Traumatic external auditory canal atresia[J]. Am J Otol, 1992, 13(1): 80-81
[6] Brookes GB, Graham MD. Post-traumatic cholesteatoma of the external auditory canal[J]. Laryngoscope, 1984, 94(5 Pt 1): 667-670
[7] Pace A, Rossetti V, Visconti IC, et al. Thiersch graft follow-up with narrow band imaging for acquired atresia of the external auditory canal: Canaloplasty with Thiersch graft versus vascularization evaluated with narrow band imaging[J]. Bosn J Basic Med Sci, 2022, 22(5): 798-802. doi:10.17305/bjbms.2021.6876
[8] Lang DM, Antonelli PJ, Dirain CO. Rat model of external auditory canal stenosis[J]. Otol Neurotol, 2020,41(7):e876-e880. doi:10.1097/MAO.0000000000002668
[9] Mavrikakis I. Facial nerve palsy: anatomy, etiology, evaluation, and management[J]. Orbit, 2008, 27(6): 466-474. doi:10.1080/01676830802352543
[10] Odebode TO, Ologe FE. Facial nerve palsy after head injury: case incidence, causes, clinical profile and outcome[J]. J Trauma, 2006, 61(2): 388-391. doi:10.1097/01.ta.0000224140.26660.5c
[11] Darrouzet V, Duclos JY, Liguoro D, et al. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases[J]. Otolaryngol Head Neck Surg, 2001, 125(1): 77-84. doi:10.1067/mhn.2001.116182
[12] Abbaszadeh-Kasbi A, Kouhi A, Ashtiani MTK, et al. Conservative versus surgical therapy in managing patients with facial nerve palsy due to the temporal bone fracture[J]. Craniomaxillofac Trauma Reconstr, 2019, 12(1): 20-26. doi:10.1055/s-0038-1625966
[13] Yalçner G, Kutluhan A, Bozdemir K, et al. Temporal bone fractures: evaluation of 77 patients and a management algorithm[J]. Ulus Travma Acil Cerrahi Derg, 2012, 18(5): 424-428. doi:10.5505/tjtes.2012.98957
[14] Borges A, Casselman J. Imaging the cranial nerves: part I: methodology, infectious and inflammatory, traumatic and congenital lesions[J]. Eur Radiol, 2007, 17(8): 2112-2125. doi:10.1007/s00330-006-0575-9
[15] Turel KE, Sharma NK, Verghese J, et al. Post traumatic facial paralysis treatment options and strategies[J]. Indian J Neurotrauma, 2005, 2(1): 33-34. doi:10.1016/s0973-0508(05)80008-5
[16] Fliss E, Yanko R, Zaretski A, et al. Facial nerve repair following acute nerve injury[J]. Arch Plast Surg, 2022,49(4):501-509. doi:10.1055/s-0042-1751105
[17] Ulug T, Arif Ulubil S. Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures[J]. Am J Otolaryngol, 2005, 26(4): 230-238. doi:10.1016/j.amjoto.2005.01.004
[18] ??塁ahin C, Özen Ö. Bilateral post-traumatic facial paralysis that contains longitudinal and transverse temporal fracture[J]. J Craniofac Surg, 2018, 29(5): 1305-1306. doi:10.1097/SCS.0000000000004569
[19] 全世明, 彭本刚, 佟献增, 等. 颞骨骨折治疗与影像诊断分类探讨[J]. 中国现代医学杂志, 2012, 22(1): 103-106 QUAN Shiming, PENG Bengang, TONG Xianzeng, et al. Discussion of radiodiagnosis classification and treatment of temporal bone fracture[J]. China Journal of Modern Medicine, 2012, 22(1): 103-106
[20] Suligavi SS, Saiyad SN, Doddamani SS, et al. Early diagnosis of hidden hearing loss following temporal bone fractures[J]. Indian J Otolaryngol Head Neck Surg, 2022, 74(3): 4336-4340. doi:10.1007/s12070-021-02933-x
[21] Lyos AT, Marsh MA, Jenkins HA, et al. Progressive hearing loss after transverse temporal bone fracture[J]. Arch Otolaryngol Head Neck Surg, 1995, 121(7): 795-799. doi:10.1001/archotol.1995.01890070081017
[22] 许嘉, 伊海金. 正确处理颞骨骨折耳科并发症[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 4-8. doi:10.6040/j.issn.1673-3770.1.2019.048 XU Jia, YI Haijin. Standardized treatment of auricular complications with temporal bone fractures[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 4-8. doi:10.6040/j.issn.1673-3770.1.2019.048
[23] Villarreal IM, Méndez D, Duque Silva JM, et al. Contralateral cochlear labyrinthine concussion without temporal bone fracture: unusual posttraumatic consequence[J]. Case Rep Otolaryngol, 2016: 1-4. doi:10.1155/2016/2123182
[1] FAN Tao, ZHU Mengdie, XIE Donghai, LI Xiangsheng, SONG Guilin, XIAO Xuping. Factors influencing the development of facial paralysis and the associated prognosis in patients with herpes zoster virus infection [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 68-74.
[2] ZHAI Guanhong, YU Sihan, ZHANG Zhiqiang, YU Changxu, CUI Zhezhu. Analysis of postoperative efficacy of middle ear cholesteatoma complicated with facial paralysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 20-25.
[3] WEN Liting, LI Xu, GAO Wei, HU Tianyong, ZENG Xianhai, ZHA Dingjun. An analysis of the clinical characteristics of delayed facial paralysis following middle ear surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 1-5.
[4] MA Ning, CHEN Min, LIU Wei, YANG Yang, SHAO Jianbo, HAO Jinsheng, LIU Bing, ZHANG Xiao, DUAN Xiaomin, ZHANG Qifeng, ZHANG Jie. Clinical characteristics and management of pediatric temporal bone fractures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 13-19.
[5] DANG Panhong, ZHANG Rui, HU Chunyan, WANG Jie, FAN Mengyun. Clinical analysis of facial nerve decompression via an external transmastoid-subtemporal labyrinth approach in eight children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 37-42.
[6] Jia XU,Haijin YI. Standardized treatment of auricular complications with temporal bone fractures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 4-8.
[7] Yuxin TIAN,Jingjing WANG,Hui WANG,Yaqin WU,Haibo SHI,Zhengnong CHEN. Surgical treatment of iatrogenic facial paralysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 20-24.
[8] Jia XU,Xin LI,Wenjing CHEN,Juanjuan GAO,Haijin YI. Transmastoid facial nerve decompression for treating traumatic facial paralysis involving the geniculate ganglia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 25-27.
[9] XIE Shaobing, ZHANG Yanni, XU Zhenhang, ZHANG Jianhui, WU Xuewen, SUN Hong. A systematic review of surgical timing of traumatic facial paralysis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 18-21.
[10] WANG Yan-hong. Status of anxiety in the patients with facial paralysis ( 56 cases report) [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(5): 28-30.
[11] LUO Jian-fen,FAN Zhao-min,WANG Hai-bo . Surgical opportunities on facial nerve decompression following intra-temporal facial nerve injury: an experimental study [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(1): 85-87 .
[12] SHI Lei, LI Xiaotian, REN Zhong . Clinical and experimental study on the overexcitatory of facial nerve in intratemporal facial paralysis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(2): 108-110 .
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2] NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3] MENG Qing-guo,LU Yong-tian,FAN Xian-liang .

Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5] WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea
hypopnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7] JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8] XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 253 -257 .
[10]
YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd