Foreign-Body-Induced Otitis Media: A Case Report

異物性中耳炎 ─ 病例報告及文獻回顧

林青展(Ching-Chan Lin) ； 何坤瑤(Kuen-Yao Ho) ； 王凌峰(Ling-Feng Wang) ； 郭文烈(Wen-Rei Kuo)

《The Kaohsiung Journal of Medical Sciences》 18卷11期 (2002/11) Pp. 585-588

https://doi.org/10.6452/KJMS.200211.0585

摘要

單側身漏是耳科求診患者常見的主訴之一，尤其是患有外耳道或中耳腔發炎患者。於1999年5月一位左耳經常性耳漏的33歲女性患者，耳部局部檢查顯示左耳道嚴重耳漏，味道略帶惡臭，並且被肉芽組織佔據部份外耳道，經施行手術以清除病灶及耳膜修補。術中不尋常發現中耳腔有4塊棉絮。術後追蹤，患者除了乾耳外及症狀完全改善，聽力也顯著改善。成人因異物所造成之中耳炎，文獻上實屬罕見，是故特究其臨床表現、症狀和徵象、影像學特徵、治療、預後、聽力改善程度，提出報告。

關鍵字

異物 ； 中耳炎 ； 棉絮

並列摘要

Unilateral ear discharge is one of the usual complaints of the patients who visited the otolaryngology clinics, especially those patients who suffered from external or middle ear disease. We present a 33-year-old female patient who suffered from persistent ear discharge of the left ear. The local findings showed a yellowish to greenish discharge and fetid odor from her left ear canal, occupied by a large amount of granulation tissue. Wide removal of the diseased granulation tissue and tympanoplasty were performed in the patient. Four pieces of cotton were found in the external auditory canal and middle ear cavity during the operation. For more than 2 years of follow-up at our clinic, the patient has had a dry ear and her hearing ability also improved. Foreign-body-induced otitis media in adults is very rare. Therefore, we present this rare case and review the reported literature so that the clinical symptoms and signs, imaging findings, clinical treatment, prognosis, and hearing change in foreign-body-induced otitis media may be recognized and understood.

並列關鍵字

otitis media ； foreign body ； cotton