Glanzmann's thrombasthenia: a rare case of spontaneous bilateral hemotympanum.

ttp://dx.doi.org/10.1016/j.bjorl.2014.08.017 808-8694/© 2014 Associação Brasileira de Otorrinolaringologia e Cirurg eserved. ther examination results were unremarkable. The patient’s istory was clear from trauma, barotrauma, chronic otitis edia, or anticoagulant therapy. An audiogram revealed ymmetrical, bilateral conductive hearing loss (Fig. 1C). ympanometry revealed flat bilateral tympanograms (Tip B). coustic reflexes were absent both ipsilaterally and conralaterally. Computerized tomography (CT) was not used ecause of a short medical history, and because of conerns regarding the side effects of radiation. The patient’s latelet count was 200,000/mm3; bleeding time was 10 min normal range: 1--3 min). All other hematological test results ere unremarkable. The patient was diagnosed with bilatral spontaneous hemotympanum. There is a high rate of pontaneous resolution of hemotympanum, but considering he immediate impacts of hemotympanum on a child’s hearng, amoxicillin/clavulanic acid (40 mg/kg/day, 2 × 1) was rescribed for two weeks in combination with nasal deconestant (three per day, 3 × 1). The tympanic membrane was eassessed after medical therapy. The tympanic membrane as normal and mobile during the Valsalva maneuver. The udiogram, acoustic emittance, and temporal magnetic resnance imaging (MRI) results were normal, including at the g otolaryngological examination.