ABSTRACT

Figure 9.13 History: Paient works as a welder, and a spark flew into his right ear, causing severe burning pain and subsequent hearing loss. Otologic: Patient was seen 24 h after accident. Right eardrum almost cleanly and completely destroyed without evidence of inflammation. Handle of malleus visible as well as incudostapedial joint. External canal not affected visibly. Audiologic: Flat 60-dB loss with good bone conduction (left ear masked) and lateralization to right. Classification: Conductive. Diagnosis: Eardrum destroyed by hot spark.