Abstract

Inserted a big size of rubber ear phone cover into the nose is a rare case.Foreign body regarding children is common and need to be seriously considered.Nowadays, using an earphone for music players and games isverycommon among children that need to be more cautious.In general practitioner’s practice, several limitations seen with no fully equipped and emergency trolley, no general anaesthetic set up and no X ray. In this case report, we reported a 10-year-old child with bad smelling breath for 2 years with on and off pain and difficulty in breathing. It has become worsened until the child informshis mother regarding this incidence last weeks. Last 2 weeks, the child was examined in dental clinic for this bad smelling breath and no dental problem identify. The parents were refused to bring the child to the hospital because of this Covid-19 situation worsening in this state currently. They decided to cometo nearby general practitioner where the smelly and soaked with pus in this ear was removed without any complication in that clinic without any anaesthesia using blunt crocodile forceps. Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 467-469

Highlights

  • Chronic cases will lead to multiple complication such as tissues oedema, bony problem, and formation of granulation tissue 6

  • Apart from that, foreign body obstruction will present with unilateral, bad smelling nose discharge.7Tick infestation into the ear drum is uncommon, and removal in a 3-year-old child is a near impossibleat general practitioner (GP) setting 12

  • The mother decided to bring the child to a GP since the problem occurred during this pandemic covid-19 time

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Summary

Introduction

Foreign bodies among children less than 8-year-olds is commonly reported worldwide. There are several big sample size study done and it showed 75% children less than 8 years old[1,2,3,11]. Struggling during the procedure can lead to the nose injury and bleeding that will be the dangerous thing to consider. In this current pandemic of Covid-19 situation, most of the parents refuse to go hospital or government specialist centres. This is important to avoid injury to the ear canal and tympanic membrane. Apart from that, foreign body obstruction will present with unilateral, bad smelling nose discharge.7Tick infestation into the ear drum is uncommon, and removal in a 3-year-old child is a near impossibleat general practitioner (GP) setting 12

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