Document Detail

A Lightning Strike Causing a Cholesteatoma: A Unique Form of Otologic Blast Injury.
MedLine Citation:
PMID:  25111525     Owner:  NLM     Status:  Publisher    
OBJECTIVE: We present a case of a middle-aged male struck by lightning while walking in a parking lot. Assessment of the patient's injuries demonstrated common sequelae of an otologic blast injury. Review of this case should prepare the otolaryngologist to identify and manage otologic blast injuries regardless of their etiology.
METHODS: Case study and literature review CASE REPORT: The patient presented to a level 1 trauma and burn center with a ruptured tympanic membrane, otalgia, mixed hearing loss, dizziness, and tinnitus. After 3 months of observation, the patient's tympanic membrane perforation demonstrated little spontaneous closure. Additionally, he was noted to have formation of a posttraumatic cholesteatoma in the posterior-superior mesotympanum. Over-under tympanoplasty with excision of the cholesteatoma was successful, and the ossicular chain remained intact. The patient underwent vestibular therapy for an ipsilateral uncompensated vestibular weakness. His dizziness resolved, allowing him to return to full employment. The patient's final audiogram demonstrated normal hearing thresholds sloping to a mild mixed hearing loss in the high frequencies, and the tinnitus reduced significantly in intensity but did not resolve.
CONCLUSION: The patient's injury pattern clearly resulted from the damaging effects of the shock wave generated by the lightning bolt, which impacted the patient's thorax. Management of his otologic care was conducted after practices developed for otologic blast injury and resulted in his being able to return to his primary occupation.
Nicholas J Scalzitti; Travis J Pfannenstiel
Related Documents :
24250095 - Concurrent occurrence of adenoid cystic carcinoma of the salivary glands with small cel...
168335 - Pseudohermaphroditis, with testes and a 46, xx karyotype.
8236625 - Property issues in practice.
21365965 - Bilateral cavernous sinus thrombosis following community-acquired methicillin-resistant...
23833415 - Combined thrombin-collagen injection for the management of an iatrogenic pseudoanuerysm...
16677335 - Inflammatory external root resorption following surgical treatment for intra-bony defec...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-8
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  -     ISSN:  1537-4505     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-8-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Intralabyrinthine Schwannomas Mimic Cochleovestibular Disease: Symptoms From Tumor Mass Effect in th...
Next Document:  Power Spectral Analysis of Postural Sway During Foam Posturography in Patients With Peripheral Vesti...