{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T22:22:43Z","timestamp":1648592563903},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2005,9,18]],"date-time":"2005-09-18T00:00:00Z","timestamp":1127001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Ear Nose Throat Disord"],"published-print":{"date-parts":[[2005,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Cholesteatomas are epithelial cysts that contain desquamated keratin. Patients commonly present with progressive hearing loss and a chronically discharging ear. We report an unusual presentation of the disease with an acute hearing loss suffered immediately after prolonged use of a pneumatic drill.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n A 41 year old man with no previous history of ear problems presented with a sudden loss of hearing in his right ear immediately following the prolonged use of a pneumatic drill on concrete.<\/jats:p>\n The cause was found to be a fractured long process of incus which had been eroded by the presence of an attic cholesteatoma.<\/jats:p>\n A tympanomastoidectomy and ossiculoplasty was performed with good result.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Cholesteatomas may be asymptomatic and insidious in their onset. This case illustrates the point that an indolent disease such as this may present in unusual ways and the clinician must always have a high index of suspicion combined with thorough assessment and examination of every patient.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/1472-6815-5-9","type":"journal-article","created":{"date-parts":[[2005,9,20]],"date-time":"2005-09-20T06:13:57Z","timestamp":1127196837000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute unilateral hearing loss as an unusual presentation of cholesteatoma"],"prefix":"10.1186","volume":"5","author":[{"given":"Daniel","family":"Thio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahzada K","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard C","family":"Bickerton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2005,9,18]]},"reference":[{"key":"17_CR1","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1258\/0022215042450805","volume":"118","author":"LE Stenfors","year":"2004","unstructured":"Stenfors LE: Does occurrence of keratinizing stratified squamous epithelium in the middle-ear cavity always indicate a cholesteatoma?. J Laryngol Otol. 2004, 118: 757-763. 10.1258\/0022215042450805.","journal-title":"J Laryngol Otol"},{"key":"17_CR2","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1258\/0022215011909774","volume":"115","author":"P Sheahan","year":"2001","unstructured":"Sheahan P, Donnelly M, Kane R: Clinical features of newly presenting cases of chronic otitis media. J Laryngol Otol. 2001, 115: 962-966. 10.1258\/0022215011909774.","journal-title":"J Laryngol Otol"},{"key":"17_CR3","first-page":"35","volume-title":"Key topics in Otolaryngology","author":"THJ Lesser","year":"2001","unstructured":"Lesser THJ: Cholesteatoma. Key topics in Otolaryngology. Edited by: Roland NJ, McRae RDR, McCombe AW. 2001, Aberystwyth: BIOS Scientific Publishers, 35-37. 2","edition":"2"},{"key":"17_CR4","unstructured":"Kerr AG, Booth JB, editors: Scott-Brown's Otolaryngology. Otology. 1997, Bath: Butterworth-Heinemann Publishers, 3: 6"},{"key":"17_CR5","doi-asserted-by":"publisher","first-page":"843","DOI":"10.3928\/0090-4481-20041201-10","volume":"33","author":"A Schroeder","year":"2004","unstructured":"Schroeder A, Darrow DH: Management of the draining ear in children. Pediatric annals. 2004, 33: 843-853.","journal-title":"Pediatric annals"}],"container-title":["BMC Ear, Nose and Throat Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6815-5-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1472-6815-5-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6815-5-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6815-5-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T21:28:09Z","timestamp":1630445289000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcearnosethroatdisord.biomedcentral.com\/articles\/10.1186\/1472-6815-5-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,18]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,12]]}},"alternative-id":["17"],"URL":"https:\/\/doi.org\/10.1186\/1472-6815-5-9","relation":{},"ISSN":["1472-6815"],"issn-type":[{"value":"1472-6815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,9,18]]},"assertion":[{"value":"10 July 2005","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2005","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2005","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"9"}}