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중이내 이어몰드 물질에 의한 만성 중이염 1예

서재현1, 김부영1, 장기홍1, 전범조1,*
Jae-Hyun Seo1, Boo-Young Kim1, Ki-Hong Chang1, Beom-Cho Jun1,*
Author Information & Copyright
1가톨릭대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
*교신저자: 전범조, 480-717 경기도 의정부시 금오동 65-1 가톨릭대학교 의과대학 의정부성모병원 이비인후과학교실 전화: (031) 820-3121·전송: (031) 847-0038 E-mail:otojun@catholic.ac.kr

© Copyright 2009 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 27, 2009; Revised: Apr 07, 2009; Accepted: Apr 21, 2009

Published Online: May 31, 2020

ABSTRACT

Proper fitting of hearing aids by well-trained professionals rarely results in complication. Although the majority of patients who have ear canal impressions taken experience no adverse outcomes, patients with impacted earmold material within the middle ear after traumatic perforation of the tympanic membrane may present with diverse otologic complaints. In this article, we present an unusual complication after hearing aid fitting that required surgical management. A 64-year-old female who had undergone left hearing aid fitting 3 years before our evaluation was presented with left-sided otorrhea. She was identified that had encountered severe complications from improper earmold fitting that required surgical intervention. The earmold was successfully removed by means of a tympanomastoidectomy. Close cooperation between hearing aid dispensers and otolaryngologists may eliminate the rare instances of complications resulting from ear mold fitting. (J Clinical Otolaryngol 2009;20:73-76)

Keywords: 이어몰드; 중이; 보청기
Keywords: Ear mold; Middle ear; Hearing aid


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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