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[Complications Resulting from Taking Ear Impressions].

Tomoko Sugiuchi, Kazuoki Kodera, Hiroyuki Zusho

    Nihon Jibiinkoka Gakkai Kaiho
    |November 10, 2015
    PubMed
    Summary

    Secondary injuries from hearing aid ear impressions are common, often involving foreign bodies or ear canal damage. Pre-fitting otolaryngological exams are crucial to prevent these risks.

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    Area of Science:

    • Audiology and Otolaryngology
    • Medical Device Safety
    • Patient Injury Surveillance

    Context:

    • Hearing aid fitting involves taking ear impressions, a procedure with potential for secondary complications.
    • Previous studies in 1986 and 1999 highlighted risks, prompting further investigation.
    • A 2012 survey assessed secondary injuries across a large sample of medical institutions.

    Purpose:

    • To quantify the incidence and types of secondary injuries associated with hearing aid ear impression procedures.
    • To identify the locations and causes of these injuries.
    • To recommend preventative measures for safer hearing aid fittings.

    Summary:

    • A 2012 survey of 2,050 institutions found 14.7% reported secondary injuries (460 cases) from ear impressions.
    • Foreign bodies (64.8%) and ear canal bleeding/otitis externa (31.7%) were most common.
    • Injuries occurred primarily at hearing aid dealerships (74.3%) and medical facilities.

    Impact:

    • Highlights the need for otolaryngological examination before hearing aid adjustment, even without prior ear issues.
    • Emphasizes that ear impression procedures require careful execution under otolaryngologist guidance.
    • Informs audiologists and otolaryngologists about risks and necessary precautions to minimize patient harm.