Abstract
The traumatic tympanic membrane perforation by the earpick is not rarely observed in daily ENT clinic. Generally it has no serious complication. But sometimes brings the dislocation of ossicles, inner ear injury and so on. The facial palsy, however, is rare complication of this condition. We reported a rare case of traumatic tympanic membrane perforation not only with inner ear injury, but also with facial palsy by earpick. The facial palsy appeared immediately after the trauma, so decompression of facial canal was performed quickly. Facial canal bone was fractured and the part of the sheath was teared. The distal end of facial nerve was opened. But the nerve itself was not seriously damaged. From the findings during surgical procedure and other examinations, we speculated that the inner ear injury was caused by indirect force through ossicles. After the surgery, facial palsy and inner ear function recovered almost completely.
