Author/Editor		Battelino, Saba; Zupančič, Janez; Žargi, Miha
Title		Dislokacije in zlomi nakovalca pri poškodbah glave in operacijah ušes
Translated title		Dislocations and fractures of the incus caused by head trauma or otosurgery
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 133-6
Language		slo
Abstract		Head injury is often associated with hearing loss. When a head injury is followed by conductive hearing loss, it is most commonly the result of a hematotympanon or traumatic rupture of the eardrum. If hearing loss remains after the eardrum has been healed, disruption of the ossicular chain must be suspected, most frequently at the incus. The same type of incus damage was seen after otosurgical procedures performed in the times before the introduction of the routine use of surgical microscopes. During the last twenty-five years, 47 cases of traumatic or iatrogenic dislocation or fractured incuses were treated. Various surgical procedures were used and in 62% of all cases hearing improved.
Summary		Pri poškodbah glave pogosto pride tudi do okvare sluha. Prevodna izguba sluha, ki mine v krajšem času, je najpogosteje posledica krvi v srednjem ušesu ali raztrganine bobniča. V primerih, ko naglušnost vztraja kljub zaceljenemu bobniču, je najpogosteje povzročena s poškodbo slušnih koščic, najverjetneje zaradi dislokacije nakovalca. Podobne poškodbe nakovalca najdemo pri osebah s prevodno izgubo sluha po operacijah ušes, ki so bile narejene brez uporabe kirurškega mikroskopa. V zadnjih petindvajsetih letih smo obravnavali 47 primerov poškodb nakovalca kot posledico poškodb glave ali otokirurških posegov. Uporabili smo različne kirurške tehnike in v 62 % primerov je bilo doseženo izboljšanje sluha.
Descriptors		HEAD INJURIES INCUS HEARING LOSS, CONDUCTIVE TREATMENT OUTCOME TYMPANOPLASTY STAPES SURGERY