Complications of ear mold impressions: two case reports

Silva, Clara; Amorim, Ana Margarida; Gapo, Carla; Paiva, António

doi:10.1007/s00405-014-3217-x

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Twenty-two publications were included for analysis. 4-25 In total, 49 ears, including this study, were evaluated (Table 1). In the majority of the other studies, the ear impression was taken for hearing aids.…”

Section: Resultsmentioning

confidence: 99%

Clinical Approach After Complicated Ear Mold Fitting: A Case Series of Six Patients and Evaluation of Literature

Boer

Spronsen

Holland

et al. 2019

Ann Otol Rhinol Laryngol

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Objectives:Insertion of mold material into the middle ear is a complication of molding procedure for ear impression. These cases are referred to an ENT specialist. There is no standardized approach to this problem. Literature shows different clinical strategies. The aim of this study is to share our experience and to analyze the adverse outcome of different clinical approaches.Methods:A case series of six patients with molding material inside the middle ear after complicated molding procedure for swimming earplugs are described. Additionally, available literature was reviewed to analyze results of the clinical approach after iatrogenic molding procedures. Forty-nine ears were included.Results:In-office removal of the material is associated with a significant risk of adverse outcome if the eardrum cannot be examined. This also accounts for ossicular involvement.Conclusions:Temporal bone CT is advised in patients after complicated ear mold fitting if the tympanic membrane cannot be examined completely or the middle ear is involved. Blind removal should be avoided. Retroauricular transcanal tympanotomy or transmastoidal tympanotomy with facial recess approach is best practice in case the mold material has entered the middle ear. A clinical treatment algorithm is presented.

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