両耳からの血液:下下の隠れた骨折が,耳痛によって明らかになった
Akira Saito1, Tatsuya Tanaka1, Eiichi Suehiro1
1Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Cureus
|February 20, 2026
まとめ
のトラウマ後の双方の otorrhagiaは,見過ごされた下コンディールと外聴道 (EAC) の骨折を示す可能性があります. 早期のCTスキャンとオトスコピーは,これらの損傷を診断し,聴覚の合併症を予防するために不可欠です.
科学分野:
- トラウマトロジーは,トラウマトロジーです.
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
- 放射線学 放射線学
背景:
- マンディブル外傷後の耳痛は,基礎にある外聴道 (EAC) の骨折とコンディラル損傷を覆い隠すことができます.
- のトラウマ,特に直接的な衝撃は,下コンディルの上部位移転を引き起こし,隣接するEAC前壁を傷つける可能性があります.
研究 の 目的:
- EAC損傷を引き起こす見過ごされたコンディラール骨折の診断上の課題を強調するために.
- マンディブラートラウマ後のオトロハギアの症例における関連傷害の標的評価の重要性を強調する.
主な方法:
- 双面 otorrhagia と 聴覚の損失のポスト-chin トラウマを持つ88歳の男性のケースプレゼンテーション.
- 算術断層撮影 (CT) を用いた診断イメージングで,下帯骨とEAC骨折を特定する.
- EACの損傷と粘膜損傷の直接的な視覚化のためのオトスコープ検査.
主要な成果:
- CTでは,両側下のコンディール骨折と関連する前部EAC壁骨折を明らかにしました.
- EACは,血腫で満たされ,機械的な障害と聴覚障害を引き起こすことが推定されました.
- 耳鏡検査の結果,粘膜の損傷が確認され,凝固の除去,減圧,耳栓の設置により聴覚症状が改善された.
結論:
- のトラウマ後の双方の otorrhagiaは,同時に下コンディールとEAC骨折のための高い臨床的疑念を必要とします.
- 放射線学的 (CT) とオトスコーピカル評価は,早期発見と保守的な管理を導くために不可欠です.
- 凝固の除去と運河の詰め込みを含む迅速な管理は,粘着と長期的な聴覚合併症を予防することができます.
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