A Case of Acute Mastoiditis and a Peri lymph Fistula with Fracture of the Stapes Following Blowing the Nose

作者：Yamamoto Kazuhisa^*; Yaguchi Yuichiro; Tanaka Yasuhiro; Kojima Hiromi

来源：Journal of International Advanced Otology, 2013, 9(2): 268-272.

We present a rare case of severe sensorineural hearing loss with fracture of the posterior crus of the stapes following blowing the nose. %26lt;br%26gt;A 50-year-old man visited us on the 6th day of having otalgia, hearing loss and dizziness in his right ear, which began after blowing his nose. The right tympanic membrane could not be observed because of marked swelling of the external auditory canal, but persistent otorrhea was noted. Pure tone audiometry showed total deafness in the right ear. A computed tomography scan of the temporal bone showed pneumolabyrinth and soft tissue densities in the tympanic cavity and the mastoid. Suspecting a perilymph fistula and acute mastoiditis, exploratory tympanotomy and mastoidectomy were performed and revealed a longitudinal fracture of the posterior crus of the stapes. %26lt;br%26gt;It is rare that an indirect injury such as blowing the nose leads to fracture of the stapes. The combination of a perilymph fistula and acute mastoiditis is also rare.

• 出版日期2013