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Traumatic perforation: Q-tip injury. (Otoscopic Clinic).


This is an otoscopic view of a left ear with a 30% dry perforation of the posteroinferior part of the pars tensa. The malleus malleus /mal·le·us/ (mal´e-us) [L.] the outermost of the auditory ossicles, and the one attached to the tympanic membrane; its club-shaped head articulates with the incus

mal·le·us
n. pl.
 and anterior pars tensa are normal. The promontory promontory /prom·on·to·ry/ (prom´on-tor?e) a projecting process or eminence.

prom·on·to·ry
n.
A projecting part.



promontory

a projecting process or eminence.
, hypotympanum, and round window niche are visible through the perforation. The injury is common and occurs when a patient cleans or scratches the ear and accidentally drives the Q-tip through the tympanic membrane. Fortunately in this case, the stapes stapes /sta·pes/ (sta´pez) [L.] the innermost of the auditory ossicles; it articulates by its head with the incus and its base is inserted into the oval window

sta·pes
n. pl.
 was not dislocated dis·lo·cate  
tr.v. dis·lo·cat·ed, dis·lo·cat·ing, dis·lo·cates
1. To put out of usual or proper place, position, or relationship.

2.
, which can result in vertigo, tinnitus, and permanent hearing loss.

From the Pulec Ear Clinic, Los Angeles (Dr. Pulec). and Gap, France (Dr. Deguine)
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Article Details
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Author:Deguine, Christian
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Geographic Code:1USA
Date:Jul 1, 2003
Words:98
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