Work

Management of Incus Dislocation From Attempted Foreign Body Removal With Alligator Forceps

Year: 2025

Type: article

Abstract: Middle ear trauma from foreign body (FB) impaction or its removal can lead to tympanic membrane (TM) perforations and ossicular chain disruption. We present a case of a 29 year-old male who developed acute right-sided hearing loss, aural fullness, and tinnitus after an attempt at removing a cotton-tipped applicator (Q-tip) impaction in the ear canal. Physical examination revealed a dislocated incus protruding through the TM, and audiometry confirmed moderate conductive hearing loss. The patient underwent tympanoplasty with ossicular chain reconstruction with incus interposition, which resulted in significant hearing improvement and resolution of tinnitus. This case highlights the importance of proper diagnosis and intervention in trauma-related ossicular dislocation.

Source: Ear Nose & Throat Journal

DOI: 10.1177/01455613251367139

Authors: Martha Lucía Gutiérrez Pérez, Ryka Vahidi, Nicole Kani, Jack A. Shohet, Hamid R. Djalilian

Institution: University of California, Irvine

Language: English

Topic: Ear Surgery and Otitis Media

Subfield: Otorhinolaryngology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,650