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Archives de pédiatrie
Volume 21, n° 8
pages 873-875 (août 2014)
Doi : 10.1016/j.arcped.2014.05.017
Received : 14 October 2013 ;  accepted : 13 May 2014
Otorrhée persistante révélant un corps étranger de l’oreille moyenne
Persistent otorrhea revealing a foreign body of the middle ear
 

D. Skandour , H. Nouri, Y. Rochdi, L. Aderdour, A. Raji
 Service d’ORL et chirurgie cervico-faciale, CHU Mohammed VI, quartier Charaf, 610, Marrakech 40005, Maroc 

Auteur correspondant.
Résumé

Les corps étrangers pénétrants de l’oreille moyenne sont rares. Ils peuvent passer inaperçus et ne se révéler que par des complications loco-régionales. Nous rapportons le cas d’une jeune fille de 14ans, qui présentait depuis 2ans une otorrhée persistante et une hypoacousie droites, dont l’exploration clinique et radiologique avait objectivé un corps étranger méconnu de l’oreille moyenne. L’extraction a été réalisée sous anesthésie générale par un abord rétro-auriculaire et complétée par une myringoplastie. Deux mois plus tard, l’adolescente n’avait plus aucun symptôme et l’otoscopie découvrait un néotympan intact. L’audiogramme était normal.

The full text of this article is available in PDF format.
Summary
Objectives

To report a rare clinical case of chronic otitis media due to an unknown foreign body in the middle ear and a literature review.

Patient and methods

A 14-year-old girl who had persistent otorrhea associated with hearing loss for two years. The clinical and CT scan exploration found an unknown foreign body in the middle ear. Extraction was performed by retroauricular surgery, complemented by myringoplasty.

Results

After two months of follow-up, the patient was free of symptoms. Otoscopy discovered an intact neotympanum. The follow-up audiogram was normal.

Conclusions

Penetrating foreign bodies in the middle ear are infrequently encountered in practice in ear, nose, and throat pediatric emergencies. They may go unnoticed and be revealed by locoregional complications later, hence the importance of suggesting this diagnosis.

The full text of this article is available in PDF format.


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