Incidence of tick as foreign body in ear in Western Pahang and case series

Abstract

We report the incidence of tick as a manifestation of foreign body in the ear in our centre and how climate change is a contributing factor in the increasing amount of tick densities. The removal of tick can be difficult in centres with limited equipment and expertise. The commonest presentations may include ear pain or ear bleeding. However, in certain occasions, patient may come with its complications, such as otitis externa, otitis media, and rarely, isolated facial nerve palsy. Further discussion includes a case series and the complications and management of the foreign body manifestation.