Garden terror—Case series of twenty‐eight serious ear injuries caused by yucca plants

Garden terror—Case series of twenty‐eight serious ear injuries caused by yucca plants KeypointsThe majority of injuries from yucca plants involved perforation of the tympanic membrane, but 14% of cases were complicated by perilymphatic fistula (PLF).Clinician should have a high index of suspicion of traumatic PLF with: oPerforation of the posterior tympanic membrane andoAny sensorineural hearing loss oroAny associated dizziness.Clinical testing for PLF (pressure or fistula tests) is often negative.Decision to urgently explore the ear suspected to have a traumatic PLF is based more upon history than objective assessment.Perilymphatic fistula can mimic classical signs of BPPV, due to pneumolabyrinth.INTRODUCTIONThe yucca plant (genus Yucca, family Asparagaceae, subfamily Agavoideae) is a ubiquitous plant whose long and sharp leaf spines (Figure ) are accountable for an increasing number of ear injuries presenting to the emergency department of our specialised tertiary hospital. Whereas most cases presented as easy‐to‐diagnose traumatic tympanic membrane perforations (TMP), which healed quickly, 4 cases were complicated by perilymphatic fistula (PLF), and these presented a diagnostic dilemma that resulted in late diagnoses.Image of the yucca plantMATERIALS AND METHODSEthical considerationsThe Human Research and Ethics Committee of the Royal Victorian Eye and Ear Hospital approved this audit and its publication (HREC Number: 17/1354HS). Patients whose history is identifiable from the description were contacted and have given http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Garden terror—Case series of twenty‐eight serious ear injuries caused by yucca plants

Loading next page...
 
/lp/wiley/garden-terror-case-series-of-twenty-eight-serious-ear-injuries-caused-aqe00ljLI5
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13049
Publisher site
See Article on Publisher Site

Abstract

KeypointsThe majority of injuries from yucca plants involved perforation of the tympanic membrane, but 14% of cases were complicated by perilymphatic fistula (PLF).Clinician should have a high index of suspicion of traumatic PLF with: oPerforation of the posterior tympanic membrane andoAny sensorineural hearing loss oroAny associated dizziness.Clinical testing for PLF (pressure or fistula tests) is often negative.Decision to urgently explore the ear suspected to have a traumatic PLF is based more upon history than objective assessment.Perilymphatic fistula can mimic classical signs of BPPV, due to pneumolabyrinth.INTRODUCTIONThe yucca plant (genus Yucca, family Asparagaceae, subfamily Agavoideae) is a ubiquitous plant whose long and sharp leaf spines (Figure ) are accountable for an increasing number of ear injuries presenting to the emergency department of our specialised tertiary hospital. Whereas most cases presented as easy‐to‐diagnose traumatic tympanic membrane perforations (TMP), which healed quickly, 4 cases were complicated by perilymphatic fistula (PLF), and these presented a diagnostic dilemma that resulted in late diagnoses.Image of the yucca plantMATERIALS AND METHODSEthical considerationsThe Human Research and Ethics Committee of the Royal Victorian Eye and Ear Hospital approved this audit and its publication (HREC Number: 17/1354HS). Patients whose history is identifiable from the description were contacted and have given

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial