Y�ld�r�m d��mesine ba�l� olu�an farkl� otolaringolojik tablolar: �� hastaya ait klinik rapor

K�l��, Erbil; Gen�, Hakan; Ayd�n, �mit; A��k, Burak; Satar, B�lent

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Y�ld�r�m d��mesine ba�l� olu�an farkl� otolaringolojik tablolar: �� hastaya ait klinik rapor [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2017; 23(2): 163-166 | DOI: 10.5505/tjtes.2016.88580

Y�ld�r�m d��mesine ba�l� olu�an farkl� otolaringolojik tablolar: �� hastaya ait klinik rapor

Erbil K�l��¹, Hakan Gen�², �mit Ayd�n³, Burak A��k⁴, B�lent Satar³
¹G�lhane Askeri T�p Akademisi Haydarpa�a E�itim Hastanesi, Kulak Burun Bo�az, Ba� ve Boyun Cerrahisi Servisi, �stanbul
²Isparta Asker Hastanesi, Kulak Burun Bo�az, Ba� ve Boyun Cerrahisi Servisi, Isparta
³G�lhane Askeri T�p Akademisi, Kulak Burun Bo�az, Ba� ve Boyun Cerrahisi Anabilim Dal�, Ankara
⁴��rnak Asker Hastanesi, Kulak Burun Bo�az, Ba� ve Boyun Cerrahisi Servisi, ��rnak

Y�ld�r�m d��mesi, �l�mc�l veya morbit yaralanmalara sebep olabilir. Bu morbit yaralanmalar�n bir k�sm� otolaringolojik semptom ve bulgularla birliktedir. Y�ld�r�m d��mesine ba�l� yaralanmalarda en s�k g�r�len odyovestib�ler lezyon; timpanik membran r�pt�r�ne ba�l� iletim tipi i�itme kayb�d�r. Ayr�ca �e�itli tiplerde sens�rin�ral i�itme kayb� ve dizines da g�r�lebilir. Bu yaz�da, y�ld�r�m d��mesine ba�l� otolaringolojik lezyonu olan �� hastan�n klinik tablosu sunuldu. �lk hastan�n sa� kula��nda orta-frekans i�itme kayb� varken sol kula��nda y�ksek frekans sens�rin�ral i�itme kayb� vard�. �kinci hastan�n sa� kula��nda sadece y�ksek frekans sens�rin�ral i�itme kayb� vard�. ��nc� hastada ise, y�ld�r�m �arpmas� sonras�, periferik fasiyal paralizi ve ayn� tarafta perilenf fist�l� tespit edildi. Y�ld�r�m �arpmas� sonras�nda bir kula��nda orta-frekans i�itme kayb� olu�an hastam�z, y�ld�r�m �arpmas� sonras� orta-frekans sens�rin�ral i�itme kayb� meydana gelen literat�rde bildirilmi� ilk hastad�r.

Anahtar Kelimeler: Orta-frekans i�itme kayb�, periferik fasiyal paralizi, perilenf fist�l�, y�ld�r�m �arpmas�, y�ksek frekans i�itme kayb�.

Variations in otological presentation of lightning strike victims: Clinical report of 3 patients

Erbil K�l��¹, Hakan Gen�², �mit Ayd�n³, Burak A��k⁴, B�lent Satar³
¹Department of Otolaryngology, Head and Neck Surgery, G�lhane Military Medicine Academy, Haydarpa�a Training Hospital, �stanbul-Turkey
²Department of Otolaryngology, Head and Neck Surgery Department, Isparta Military Hospital, Isparta-Turkey
³Department of Otolaryngology, Head and Neck Surgery G�lhane Military Medicine Academy, Ankara-Turkey
⁴Department of Otolaryngology, Head and Neck Surgery, ��rnak Military Hospital, ��rnak-Turkey

Lightning strike can cause fatal or nonfatal injuries. Some nonfatal injuries are associated with otological symptoms and findings. Conductive hearing loss due to rupture of the tympanic membrane is the most common audiovestibular lesion of lightning strike. Various forms of sensorineural hearing loss and dizziness have also been reported. Presently described are 3 cases of lightning strike injury. First patient had mid-frequency hearing loss in right ear and high frequency sensorineural hearing loss in left ear. Second patient had high frequency sensorineural hearing loss in left ear, and the third had peripheral facial palsy with perilymphatic fistula on same side. This is the first documented case of mid-frequency hearing loss occurring after lightning strike.

Keywords: High frequency hearing loss, lightning strike, mid-frequency hearing loss, perilymphatic fistula; peripheral facial nerve palsy.

Erbil K�l��, Hakan Gen�, �mit Ayd�n, Burak A��k, B�lent Satar. Variations in otological presentation of lightning strike victims: Clinical report of 3 patients. Ulus Travma Acil Cerrahi Derg. 2017; 23(2): 163-166

Sorumlu Yazar: Erbil K�l��, T�rkiye
Makale Dili: �ngilizce

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