两只耳朵的血液:一个隐藏的下骨骨折被耳痛透露出来
Akira Saito1, Tatsuya Tanaka1, Eiichi Suehiro1
1Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Cureus
|February 20, 2026
概括
在下巴创伤后的双边耳痛可能表明被忽视的下冠状腺和外部听道 (EAC) 骨折. 早期的CT扫描和耳视镜对于诊断这些损伤和预防听力并发症至关重要.
科学领域:
- 创伤学 创伤学 创伤学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是指放射学
背景情况:
- 下部创伤后的耳痛可以掩盖潜在的外部听道 (EAC) 骨折和状耳损伤.
- 部创伤,特别是直接冲击,可以导致下尾膜的上部位移,可能损伤相邻的EAC前壁.
研究的目的:
- 突出了被忽视的带状骨折导致EAC损伤的诊断挑战.
- 强调在下外伤后的耳痛病例中针对相关伤害进行有针对性的评估的重要性.
主要方法:
- 一位88岁的老人患有双侧耳痛和下巴创伤后听力损失的案例介绍.
- 使用计算机断层扫描 (CT) 进行诊断成像,以确定下带骨和EAC骨折.
- 耳视镜检查用于直接可视化EAC损伤和粘膜损伤.
主要成果:
- CT显示了双侧下带骨折与相关的前部EAC壁骨折.
- EAC中充满了血瘤,导致了机械阻塞和听力损失.
- 耳镜检查结果证实了粘膜损伤; 听觉症状在凝块移除,减压和耳塞放置后得到改善.
结论:
- 在下巴创伤后的双边耳痛需要高度的临床怀疑,同时出现下带骨和EAC骨折.
- 放射学 (CT) 和耳视镜评估对于早期检测和指导保守管理至关重要.
- 及时的治疗,包括凝块去除和通道封装,可以防止粘附和长期的听觉并发症.
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