Preventable Risks in the Management of Aural Foreign Bodies in Western Nigeria

Abstract

Background: Inserted foreign bodies in the ears are usually heralded by instantaneous attempts at removal by any caregiver with resultant injuries of variable magnitudes. Our aim is to describe the antecedent problems associated with this act and recommends possible preventive measures. Methods: This is a 10-year retrospective study of four hundred and nineteen patients with foreign bodies (FB) in the ear seen in the Otorhinolaryngology Department of the University College Hospital, Ibadan from 1997 – 2007. Results: Of the 419 patients with aural foreign bodies that were reviewed, 105 (25.1%) had prior attempts at removal mainly with sharp instruments by various caregivers before referral Otorhinolaryngologists. This was complicated by canal abrasion 96(91.4%), traumatic tympanic membrane rupture 87(82.9%), foreign body in the middle ear 18(17.1%) and hearing impairment 72(68.6%). However, among 314 patients who had primary removal done by the Otorhinolaryngologists, 22(7.0%) had complications; canal abrasion 22(7.0%), tympanic membrane rupture 9 (2.9%) and hearing impairment 6 (1.9%). Conclusion: Removal of aural foreign bodies is associated with risks of complications. Skills seemingly appear imperative for its successful removal and safety measures should be adapted for its removal. Failed attempt should prompt immediate referral to the specialists while repeated attempts discouraged.