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Retained Dental Needle Migration Across the Skull Base to the Cochlea Presenting as Hearing Loss
- Source :
- Otology & Neurotology. 36:e42-e45
- Publication Year :
- 2015
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2015.
-
Abstract
- Long-term retained foreign bodies in the human body have been reported across many specialties, but relatively few exist in the ENT literature.We present a case report of a patient with a broken dental needle fragment in the posterior oral cavity with subsequent migration to the cochlea over the course of 4 years, eventually leading to hearing loss. CT scan and middle ear exploration demonstrated a 4-cm metallic fragment abutting the base of the cochlea, immediately adjacent to the internal carotid artery.The needle segment was removed through an endaural approach without complication.Postoperatively, the patient had improvements in PTA and speech discrimination, as well as the resolution of chronic otalgia and jaw pain. Imaging, audiologic results, and surgical details and pictures are presented herein.To our knowledge, based on a thorough PubMed and Google Scholar search, there are no reports of such a foreign body migration from the oral cavity to the skull base.
- Subjects :
- Male
medicine.medical_specialty
Hearing loss
Audiology
Oral cavity
Foreign-Body Migration
medicine
Humans
Hearing Loss
Base (exponentiation)
Foreign Bodies
Cochlea
Skull Base
business.industry
Anatomy
Middle Aged
Sensory Systems
stomatognathic diseases
Skull
Treatment Outcome
medicine.anatomical_structure
Otorhinolaryngology
Needles
Neurology (clinical)
medicine.symptom
Tomography, X-Ray Computed
business
Carotid Artery, Internal
Subjects
Details
- ISSN :
- 15317129
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Otology & Neurotology
- Accession number :
- edsair.doi.dedup.....4f02e55838539dbfa1ecbd79ed446323