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Published on: February 29, 2020
Complication from hearing aid mold material: a case report and review of legal matters
Jason A Meyers1, Farhad Ardeshirpour, Christopher W Hilton
1Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
Abstract:
Ear mold impression middle ear foreign bodies are a rare complication of hearing aid fitting. Only a small number of cases have been reported; however, the actual incidence is unknown and likely much higher than expected. We present the case of a 77-year-old man with a history of preexisting tympanic membrane perforations who presented with an ear mold impression middle ear foreign body that required surgical removal. We explore the state and federal laws that guide the interaction between patients, hearing aid sellers and otolaryngologists. We highlight steps that can be taken to reduce the incidence of this complication.
Insights
Ear mold foreign bodies are a rare complication of hearing aid fitting. This case highlights the need for improved practices to prevent these occurrences.
Area of Science:
- Otolaryngology
- Audiology
- Medical Device Complications
Background:
- Ear mold impression foreign bodies are an uncommon complication associated with hearing aid use.
- While few cases are documented, the true incidence may be underestimated.
- Pre-existing tympanic membrane perforations can increase risk.
Observation:
- A 77-year-old male with a history of tympanic membrane perforations presented with a foreign body in the middle ear, originating from an ear mold impression.
- Surgical intervention was necessary for removal of the foreign body.
Findings:
- The case underscores the potential for hearing aid components to become lodged in the middle ear.
- The interaction between patients, hearing aid dispensers, and otolaryngologists is influenced by state and federal regulations.
Implications:
- Implementing preventative measures during hearing aid fitting is crucial to reduce the incidence of ear mold foreign bodies.
- Further research into the actual incidence and risk factors is warranted.
- Clearer guidelines and improved communication among healthcare providers and device sellers may enhance patient safety.
