耳垂瘢痕疙瘩注射曲安奈德致耳聋1例

Hearing loss caused by triamcinolone injection in earlobe keloid:a case report

2022年6月14日,佛山市第二人民医院收治1例耳垂瘢痕疙瘩注射曲安奈德后导致耳聋的患者。患者女,18岁,在外院注射0.2 ml利多卡因与曲安奈德的混合溶液治疗右侧耳垂瘢痕疙瘩,注射后即刻出现眩晕、右耳周围疼痛、耳鸣、听力急剧下降,立即给予低流量吸氧。入院后进行耳鼻喉科检查,提示右耳存在极重度感音神经性耳聋,考虑内耳动脉栓塞。给予患者抗炎、减轻神经水肿、改善循环、营养神经、止眩晕等治疗,但最终患者右耳听力未能改善。该病例提示我们在采用药物注射治疗耳垂瘢痕时,推注力度切勿过大,做到多点少量,密切关注患者的反应;一旦发生内耳动脉栓塞,应立即抢救,在上述措施的基础上应及时给予高压氧治疗,尽可能挽回患者听力。

On June 14,2022,a case of hearing loss caused by ear lobe keloid injection was treated in Foshan Second People’s Hospital.A female patient,18 years old,was injected 0.2 ml lidocaine and triamcinolone mixed solution in another hospital to treat keloid of right earlobe.Dizziness,pain around the right ear,tinnitus,and sharp hearing loss occurred immediately after injection,and low-flow oxygen was given immediately.After admission,the otolaryngology examination indicated that there was extremely severe sensorineural deafness in the right ear,and internal ear artery embolization was considered.The patient was received the treatments of anti-inflammation,relief of neuroedema,improvement of circulation,nutritional nerve,vertigo and other treatments,but unfortunately the patient’s right ear hearing failed to improve.This case suggests that when using drug injection to treat earlobe scar,we should not push the injection too hard.And we need to do more injection sites and less injection dosage at a time,and pay close attention to the patient’s response.Once the inner ear artery embolism occurs,it should be rescued immediately.And on the basis of the above measures,hyperbaric oxygen therapy should be given in time to save the patient’s hearing as much as possible.