Korean J Otorhinolaryngol-Head Neck Surg.  2013 Mar;56(3):172-175. 10.3342/kjorl-hns.2013.56.3.172.

A Case of Totally Lateralized Tympanic Membrane

• Kim BJ
• Kim JR
• Park WK
• Heo KW

• KMID: 2277880
• DOI: http://doi.org/10.3342/kjorl-hns.2013.56.3.172

Abstract

Lateralized tympanic membrane is a complication of tympanoplasty resulting in conductive hearing loss. We describe a case of a 23-year-old patient who developed totally lateralized left tympanic membrane with hearing disturbance. The blind-pouch appearance of the left ear canal and conductive hearing loss were checked. The revision of underling tympanoplasty was performed using temporalis fascia and conchal cartilage. The ossicular chain was reconstructed with partial ossicular replacement prosthesis. Canaloplasty and split thickness skin graft were applied for the skin defect of the left external auditory meatus. Totally lateralized tympanic membrane was successfully reconstructed with cartilage tympanoplasty and canaloplasty, achieving improved hearing.

Keyword

Conductive hearing loss; Postoperative complications; Skin grafting; Tympanoplasty

MeSH Terms

Cartilage
Ear Canal
Fascia
Hearing
Hearing Loss, Conductive
Humans
Ossicular Prosthesis
Postoperative Complications
Skin
Skin Transplantation
Transplants
Tympanic Membrane
Tympanoplasty