External Auditory Canal Injury Following Removal of an Impacted Third Molar: A Case Report

Anterior tympanic plate fracture following extraction of the lower molar

“…Despite the fact that the extraction of the lower third molar requires the patient to maintain the mouth wide open for a long time, EAC injuries are rare, particularly in young patients with good blood circulation to provide sufficient buffering capacity at the retrodiscal pad of the TMJ. In the case presented by Bayram et al 3 , the main cause of the complication was the long extraction time (30 minutes). In the present case, the injury was thought to have been aggravated by posterior and superior displacement of the mandibular condyle, due to a malocclusion of the molars after the extraction.…”

“…In the case presented by Bayram et al 3 , the left EAC was damaged following the extraction of the lower left third molar. In the present case, the right EAC was damaged after the extraction of the lower right molar.…”

“…Bayram et al 3 previously reported a case of an EAC injury following extraction of the lower third molar in a 22-year-old female patient. They reported that excess pressure during extraction or suddenly closing the mouth could affect the TMJ, causing a minor fracture without displaced segments.…”

“…They reported that excess pressure during extraction or suddenly closing the mouth could affect the TMJ, causing a minor fracture without displaced segments. In Bayram's case 3 , the extraction procedure took about 30 minutes. That patient visited the emergency room with bleeding in the EAC four hours after the extraction.…”

Concomitant “Ear Bleed and Styloid Fracture“: An Unusual Complication of Impacted Mandibular Third Molar Removal

“…Only one case of ear bleed following third molar extraction has been reported in the literature so far. 4 The report also features isolated fracture of ipsilateral styloid process during the removal of impacted mandibular molar, which is uncommon. Two cases of isolated styloid fracture in a dental operatory have been reported till date; one which occurred during administration of local anesthesia 5 and the other following extraction.…”