Balatsouras DG; Dimitropoulos P; Fassolis A; Kloutsos G; Economou NC; Korres S; Kaberos A
BACKGROUND: The best accepted causes of hemotympanum are ameliorative nasal packing, epistaxis, claret disorders and edgeless agony to the head. Hemotympanum is characterized as idiopathic, back it is detected in the attendance of abiding otitis media. A attenuate case of ad-lib mutual hemotympanum in a accommodating advised with anticoagulants is presented herein.
CASE PRESENTATION: A 72-year-old macho presented with astute abasement of hearing. In the patient's medical history aortic valve backup 1 year afore presentation was reported. Since again he had been administered consistently coumarinic anticoagulants, with INR levels maintained amid 3.4 and 4.0. Otoscopy appear the attendance of mutual hemotympanum. The audiogram showed balanced moderately astringent alloyed audition accident bilaterally, with the conductive basic predominating. Tympanograms were collapsed bilaterally with absent acoustic reflexes. A computerized tomography browse showed the attendance of aqueous in the mastoid and average ear bilaterally. Analysis was bourgeois and consisted of a 10-day advance of antibiotics, anticongestants and acting abeyance of the anticoagulant therapy. After 3 weeks, accustomed tympanic membranes were begin and audition had alternate to antecedent levels.
CONCLUSION: Anticoagulant assimilation should be included in the cogwheel analysis of hemotympanum, because its apprehension and adapted analysis may advance to resolution of the disorder.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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