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[Direct foreign body footplate trauma: 3 cases].
M Dubois1, M François, M Elmaleh
1Service ORL du Pr Narcy, Hôpital Robert Debré, 48 bd Sérurier, 75019 Paris.
Summary
Direct foreign body trauma to the footplate in children can cause hearing loss. Surgical exploration led to hearing improvement in all three reported cases.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Trauma Surgery
Background:
- Direct footplate trauma is a rare cause of hearing impairment in pediatric patients.
- Accurate diagnosis of footplate trauma requires a combination of clinical history, audiological assessment, and imaging.
- Surgical intervention is considered for significant footplate trauma with associated symptoms.
Observation:
- Three pediatric cases of direct foreign body footplate trauma were identified.
- Clinical presentation included cochleovestibular signs and/or computed tomography (CT) abnormalities.
- Surgical exploration was performed in all cases.
Findings:
- All three pediatric patients with direct footplate trauma underwent surgical exploration.
- Hearing function demonstrated improvement postoperatively in all cases.
- Surgical intervention appears effective in managing hearing loss secondary to footplate trauma.
Implications:
- Early surgical intervention may be beneficial for children experiencing direct footplate trauma.
- This case series highlights the importance of considering surgical exploration for pediatric footplate trauma.
- Further research is warranted to establish optimal surgical techniques and long-term outcomes.