Misplaced incus: an unusual complication of a temporal bone fracture.
Katherine PollaersChristopher BroadbentJafri KuthubutheenPublished in: BMJ case reports (2019)
A 24-year-old man sustained significant injuries as a result of a motor bicycle accident. CT scans demonstrated multiple intracranial injuries including bilateral temporal bone fractures. On emergence from sedation, the patient reported right-sided hearing loss which was attributed to ossicular chain disruption after the incus was found to be in the external auditory canal. Unexpectedly, the initial conductive hearing loss resolved with conservative management and an ossicular chain reconstruction was not required. This is an unusual case of impressive long-term good hearing outcomes following complete dislocation of the incus and extrusion from the middle ear.
Keyphrases
- hearing loss
- patient reported
- bone mineral density
- computed tomography
- dual energy
- contrast enhanced
- soft tissue
- bone loss
- bone regeneration
- image quality
- postmenopausal women
- magnetic resonance imaging
- positron emission tomography
- intensive care unit
- body composition
- reduced graphene oxide
- mechanical ventilation
- optical coherence tomography
- tissue engineering