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KMID : 0361020130560030172
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Korean Journal of Otolaryngology - Head and Neck Surgery
2013 Volume.56 No. 3 p.172 ~ p.175
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A Case of Totally Lateralized Tympanic Membrane
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Kim Byeong-Jin
Kim Jae-Ryong
Park Woo-Kil
Heo Kyung-Wook
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Abstract
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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.
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KEYWORD
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Conductive hearing loss, Postoperative complications, Skin grafting, Tympanoplasty
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