Aural Foreign Bodies Among Patients Presenting to Ibn Sina Teaching Hospital, Mukalla, Hadhramout Province, Yemen.

Abstract

To describe the types of aural foreign bodies (FBs) among patients in Ibn Sina Teaching Hospital (ISTH) and to study the patient's symptoms, duration, complications and procedures used to extract them. A record based descriptive study was looked at patients with aural FBs at ISTH for 5years between 2009 and 2015. The diagnosis of aural FBs was based on personal history, and otoscopic findings. The data were obtained from the records. Patients with aural FBs were 154, (age 1-70years). Inorganic aural FBs were 100 (65%) and 54 (35%) were organic. Unilateral purulent aural discharge was in 72 (46.75%) patients, pain in 27 (17.53%), ear bleeding in 12 (7.8%), conductive hearing loss and tinnitus each was 8 (5.19%) and itching in 7 (4.55%). Duration of symptoms was <1week in 55 (35.7%) cases, 1-2weeks in 64 (41.6%) and 2-4weeks in 29 (18.8%). Forceps, syringing, hook and suction were the tools used for removal of the FBs, 56 (36.4%), 40 (26.0%), 36 (23.4%), 14 (9.1%) respectively. FBs were removed under G.A. were 30 (19%). Complications were otitis externa in 38 (24.7%) cases, tympanic membrane perforation in 29 (18.85%) and external meatus laceration in 28 (18.20%). The most common aural FBs found were inorganic (cotton tip, stone and eraser) and organic (fly, lice and bee). Complications were unilateral purulent discharge followed by pain and ear bleeding. FBs duration was from <1 to 4weeks. The common procedures used were forceps, syringing, hook and suction. Particularly, organic vegetative FBs were removed under general anesthesia.