Hearing loss caused by triamcinolone injection in earlobe keloid: a case report
10.3760/cma.j.cn114453-20230315-00052
- VernacularTitle:耳垂瘢痕疙瘩注射曲安奈德致耳聋1例
- Author:
Weijie LIANG
1
;
Lei CHEN
Author Information
1. 佛山市第二人民医院医学美容科，佛山 528000
- Keywords:
Keloid;
Triamcinolone;
Artery embolism;
Deafness
- From:
Chinese Journal of Plastic Surgery
2023;39(9):1010-1012
- CountryChina
- Language:Chinese
-
Abstract:
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.
