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OTOSCOPY
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FORUM


VO Case Presentations:
SPONTANEOUS RUPTURE OF TM
FROM VIGOROUS NOSE-BLOWING

Kevin Pons, M.S., FAAA
Yankton Medical Clinic; Yankton, SD

(Posted June 1, 2001)

The patient is a 49 year old male who presented with a unilateral (AD) loss of hearing after vigorously blowing his nose. Video otoscopic examination revealed a posterior marginal perforation with TM edges folded back upon itself giving the appearance that the annulus itself was avulsed.


Figure 1 shows a posterior marginal perforation, AD, due to vigorous nose-blowing.


Figure 2 audiogram shows the resulting conductive loss, AD.



Case contributed by Kevin Pons, M.S., FAAA; Yankton Medical Clinic; Yankton, SD
posted June 1, 2001




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