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Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth
BACKGROUND: Hemotympanum may occur due to otic barotrauma secondary to Valsalva maneuver during the second phase of labor. A pressure differential across the tympanic membrane (TM) of about five psi can cause rupture. The increased intrathoracic and intraabdominal pressure spikes repeatedly manifest...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432077/ https://www.ncbi.nlm.nih.gov/pubmed/37593658 http://dx.doi.org/10.1155/2023/3328895 |
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author | Teitelbaum, Tali Shochat, Isaac Grinblat, Golda Taha, Mohamad Braverman, Itzhak |
author_facet | Teitelbaum, Tali Shochat, Isaac Grinblat, Golda Taha, Mohamad Braverman, Itzhak |
author_sort | Teitelbaum, Tali |
collection | PubMed |
description | BACKGROUND: Hemotympanum may occur due to otic barotrauma secondary to Valsalva maneuver during the second phase of labor. A pressure differential across the tympanic membrane (TM) of about five psi can cause rupture. The increased intrathoracic and intraabdominal pressure spikes repeatedly manifested by “pushing” during second-stage labor easily approach (and may exceed) this level. Clinical Presentation. This case report describes a healthy thirty-seven-year-old multipara patient admitted for the 40-weeks' gestational age routine follow-up that proceeded to active labor followed by an aural fullness and bloody otorrhea. Otoscopic examination with a light microscope confirmed the hemotympanum of the right tympanic membrane. CONCLUSION: Forceful Valsalva can cause hemotympanum. Investigating the benefits and disadvantages of the pushing methods could help reduce such complications in the future. A prompt evaluation of an otolaryngologist should be requested in the event of a new postpartum hearing disturbance or bloody otorrhea. |
format | Online Article Text |
id | pubmed-10432077 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-104320772023-08-17 Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth Teitelbaum, Tali Shochat, Isaac Grinblat, Golda Taha, Mohamad Braverman, Itzhak Case Rep Otolaryngol Case Report BACKGROUND: Hemotympanum may occur due to otic barotrauma secondary to Valsalva maneuver during the second phase of labor. A pressure differential across the tympanic membrane (TM) of about five psi can cause rupture. The increased intrathoracic and intraabdominal pressure spikes repeatedly manifested by “pushing” during second-stage labor easily approach (and may exceed) this level. Clinical Presentation. This case report describes a healthy thirty-seven-year-old multipara patient admitted for the 40-weeks' gestational age routine follow-up that proceeded to active labor followed by an aural fullness and bloody otorrhea. Otoscopic examination with a light microscope confirmed the hemotympanum of the right tympanic membrane. CONCLUSION: Forceful Valsalva can cause hemotympanum. Investigating the benefits and disadvantages of the pushing methods could help reduce such complications in the future. A prompt evaluation of an otolaryngologist should be requested in the event of a new postpartum hearing disturbance or bloody otorrhea. Hindawi 2023-08-09 /pmc/articles/PMC10432077/ /pubmed/37593658 http://dx.doi.org/10.1155/2023/3328895 Text en Copyright © 2023 Tali Teitelbaum et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Teitelbaum, Tali Shochat, Isaac Grinblat, Golda Taha, Mohamad Braverman, Itzhak Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title | Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title_full | Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title_fullStr | Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title_full_unstemmed | Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title_short | Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth |
title_sort | hemotympanum as a complication of a valsalva maneuver during childbirth |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432077/ https://www.ncbi.nlm.nih.gov/pubmed/37593658 http://dx.doi.org/10.1155/2023/3328895 |
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