Drop weld thermal injuries to the middle ear.

Hdl Handle:
http://hdl.handle.net/10147/302658
Title:
Drop weld thermal injuries to the middle ear.
Authors:
Keogh, I J; Portmann, D
Affiliation:
Academic Department of Oto-Rhino-Laryngology, National University of Ireland Galway, Newcastle Road, Galway, Ireland. ivanj.keogh@hse.ie
Citation:
Drop weld thermal injuries to the middle ear. 2009, 130 (4-5):317-9 Rev Laryngol Otol Rhinol (Bord)
Publisher:
Revue de laryngologie - otologie - rhinologie
Journal:
Revue de laryngologie - otologie - rhinologie
Issue Date:
2009
URI:
http://hdl.handle.net/10147/302658
PubMed ID:
20597421
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/20597421
Abstract:
Drop weld injuries to the tympanic membrane and middle ear caused by hot sparks or molten slag are a rare but significant injury. Steel workers and welders who are regularly exposed to flying sparks and molten metal slag are predisposed. This type of transtympanic thermal injury occurs when the slag literally drops into the external auditory canal and burns through the tympanic membrane. A spectrum of severity of injury occurs which includes chronic tympanic membrane perforation, chronic otorrhoea, facial nerve injury and deafness. Chronic tympanic membrane perforation is the most common sequelae and is perhaps one of the most challenging of all perforations to repair The combination of direct thermal injury and foreign body reaction results in continuing or recurrent suppuration. The foreign body reaction is due to the embedding of metal slag in the promontorial mucosa. We present a case of drop weld injury to the left tympanic membrane, resulting in chronic middle ear inflammation, otorrhoea and tympanic perforation. CAT scan clearly demonstrated a metallic promontorial foreign body with localised bone erosion. We emphasise the importance of removing these foreign bodies and recommend a cartilage reinforced underlay tympanoplasty technique to repair these perforations. Transtympanic thermal trauma is a preventable occupational injury, which is best, avoided by earplugs and increased awareness.
Item Type:
Article
Language:
en
Keywords:
OCCUPATIONAL HEALTH AND SAFETY
MeSH:
Burns; Cerebrospinal Fluid Otorrhea; Ear, Middle; Foreign-Body Reaction; Humans; Inflammation; Male; Middle Aged; Tympanic Membrane Perforation; Welding
ISSN:
0035-1334

Full metadata record

DC FieldValue Language
dc.contributor.authorKeogh, I Jen_GB
dc.contributor.authorPortmann, Den_GB
dc.date.accessioned2013-10-03T14:11:25Z-
dc.date.available2013-10-03T14:11:25Z-
dc.date.issued2009-
dc.identifier.citationDrop weld thermal injuries to the middle ear. 2009, 130 (4-5):317-9 Rev Laryngol Otol Rhinol (Bord)en_GB
dc.identifier.issn0035-1334-
dc.identifier.pmid20597421-
dc.identifier.urihttp://hdl.handle.net/10147/302658-
dc.description.abstractDrop weld injuries to the tympanic membrane and middle ear caused by hot sparks or molten slag are a rare but significant injury. Steel workers and welders who are regularly exposed to flying sparks and molten metal slag are predisposed. This type of transtympanic thermal injury occurs when the slag literally drops into the external auditory canal and burns through the tympanic membrane. A spectrum of severity of injury occurs which includes chronic tympanic membrane perforation, chronic otorrhoea, facial nerve injury and deafness. Chronic tympanic membrane perforation is the most common sequelae and is perhaps one of the most challenging of all perforations to repair The combination of direct thermal injury and foreign body reaction results in continuing or recurrent suppuration. The foreign body reaction is due to the embedding of metal slag in the promontorial mucosa. We present a case of drop weld injury to the left tympanic membrane, resulting in chronic middle ear inflammation, otorrhoea and tympanic perforation. CAT scan clearly demonstrated a metallic promontorial foreign body with localised bone erosion. We emphasise the importance of removing these foreign bodies and recommend a cartilage reinforced underlay tympanoplasty technique to repair these perforations. Transtympanic thermal trauma is a preventable occupational injury, which is best, avoided by earplugs and increased awareness.en_GB
dc.language.isoenen
dc.publisherRevue de laryngologie - otologie - rhinologieen_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20597421en_GB
dc.rightsArchived with thanks to Revue de laryngologie - otologie - rhinologieen_GB
dc.subjectOCCUPATIONAL HEALTH AND SAFETYen_GB
dc.subject.meshBurns-
dc.subject.meshCerebrospinal Fluid Otorrhea-
dc.subject.meshEar, Middle-
dc.subject.meshForeign-Body Reaction-
dc.subject.meshHumans-
dc.subject.meshInflammation-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshTympanic Membrane Perforation-
dc.subject.meshWelding-
dc.titleDrop weld thermal injuries to the middle ear.en_GB
dc.typeArticleen
dc.contributor.departmentAcademic Department of Oto-Rhino-Laryngology, National University of Ireland Galway, Newcastle Road, Galway, Ireland. ivanj.keogh@hse.ieen_GB
dc.identifier.journalRevue de laryngologie - otologie - rhinologieen_GB
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen

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