Body In External Auditory Canal Research Articles

AURAL SYRINGING: A ONE SIZE FITS ALL SOLUTION FOR EAR FOREIGN BODIES?

Objectives: To ascertain if aural syringing is a one size ts all solution for aural foreign body removal in a rural setting Methods: A Record based descriptive study was looked at paediatric and adult patients with Aural FB (foreign bodies) who visited ER (Emergency) and ENT-OPD (Out Patient Department) of a single institution between January 2022 and December 2022.The Diagnosis of Aural foreign bodies was based on personal history and Otoscopic ndings. Patient characteristics, foreign body type, removal attempts and complications were evaluated with respect to clinical setting and patient outcome. The Data was obtained from the records. Results: 86 patients were brought to the emergency department and ENT-OPD over a 12-month period with foreign bodies of the EAC (External Auditory Canal). Otolaryngologists used otoscope and standard metallic aural syringe as their mainstay of management. Analysis of ER and OPD cases revealed Inorganic aural foreign bodies were 65.11% and 34.88% were Organic foreign bodies. Unilateral Purulent Aural Discharge was in 46.51% (40) patients, pain in 17.44% (15), Ear Bleeding in 8.13% (7), conductive hearing loss and tinnitus was 10.46% (9) and itching in 4.65% (4). Duration of Symptoms was <1 week in 65.11% (56) cases ,1-2 weeks in 22.09% (19) and 2-4 weeks in 12.79% (11) cases. Successful removal of foreign bodies from ear by only applying aural syringing was achieved in 91.86% of cases, and usage of other methods of aural foreign body removal Forceps, Hook and Suction in 5.8% and foreign body removal under GA was 2.32% were recorded Conclusion Aural foreign bodies were commonly seen in paediatric population. Patients commonly present to the ER and OPD for removal of EAC foreign bodies. The common inorganic aural foreign bodies were cotton tip, stone and eraser whereas y, lice and bee were the organic FB. The most common symptoms and complications of aural FBs, were unilateral purulent discharge followed by pain, ear Bleeding, Tympanic membrane perforation, external meatus laceration, chronic otitis media and facial Nerve paralysis. The most common procedures used were Syringing followed by Forceps, hook and suction. It is observed that aural syringing performed by the trained hands of an otolaryngologist is a very effective method and can almost be described as a one size ts all solution for managing foreign bodies in EAC with some notable exceptions

Foreign Body in External Auditory Canal Masquerading as Middle Ear Polyp.

Aural Polyps are usually inflammatory in nature however they may rarely be a manifestation of a more severe disease. Aural Polyps that are resistant to conservative management point towards inflammatory polyp with underlying chronic otitis media.Rarely it may be due to foreign body or neoplastic lesions. We present a case of foreign body in external auditory canal masquerading as a middle ear polyp.

Application of Burow's solution for cement foreign body in the external auditory canal

IntroductionOnly two reports in English literature have described cement foreign bodies in the external auditory canal. Case summaryWe present the case of a 37 year-old man with cement foreign body in the right external auditory canal. Removal of the foreign body was difficult because of severe adhesion to the external auditory canal and tympanic membrane. We therefore used acidic Burow's solution to dissolve the alkaline cement deposition. Application of Burow's solution immediately caused the deposition to take on a paste-like consistency that was easily removed. DiscussionBurow's solution seems useful for removing cement foreign bodies in the external auditory canal.

Retrospective analysis of 158 cases with diagnosis of foreign body in external auditory canal

Retrospective analysis of 158 cases with diagnosis of foreign body in external auditory canal

An unusual foreign body in ear

Foreign bodies in external auditory canal in pediatric age group are quite often encountered by otolaryngologists in emergency as well as in outpatient. We report here a case of asymptomatic unnoticed unusual foreign body in external auditory canal which was removed by post-aural approach in a child admitted in the pediatric surgery ward of the hospital.

Colored illustrations of pediatric otorhinolaryngologic surgical techniques of a Turkish surgeon, Serefeddin Sabuncuoglu, in the 15th century

Serefeddin Sabuncuoglu is known to be the author of the first illustrated surgery book, Cerrahiyyetu'l Haniyye (Imperial Surgery), which was written in Turkish in 1465 a.d. at the age of 80. The purpose of this paper is to describe his contributions to pediatric otorhinolaryngology. Cerrahiyyetu'l Haniyye consists of three chapters totaling 412 pages, in which there are 191 sections dealing with a wide range of surgical specialties, including pediatric otorhinolaryngologic surgery. Sabuncuoglu explains some of child diseases and their treatment in a whole section, and gives information on the same subject in relevant part of sections. The illustrations he provides are not at a state of the art level with those of his contemporaries, but they bear a great importance considering the attitudes of Islam to the art of painting. For each section, a single, poetic sentence describes in detail the diagnosis, classification and surgical technique. Some authors have claimed that he only translated Ebu Kasim-al Zahravi (Albucasis)'s Al-Tasrif (Textbook of Surgery) and added the illustrations of the surgical techniques. Even if this is accepted, the illustrations are enough to entitle this work as a milestone. Serefeddin Sabuncuoglu describes medical and surgical management pediatric otorhinolaryngologic diseases such as harelip, hypertrophy of adenoids, atresia of external auditory canal, a foreign body in external auditory canal, short frenulum, abscess of head, mass and abscess of neck in children and unpleasant odor in nose in his textbook. Although not recognized and rewarded in his time, Serefeddin Sabuncuoglu was a great surgeon in Turkish medical history. The sections on children in his book are of great importance in pediatric otorhinolaryngology which became a different speciality in the last century. Writing his book at his 80's, he deserves to be considered as a distinguished scientist, medical doctor and illustrator of his era, considering the insulting and discriminating ideas toward women and children, especially girls, at that period.

Foreign bodies in external auditory canal

A SURVEY of the records of The Mount Sinai Hospital reveaIs that foreign bodies in the external auditory canal occur most commonly in young female children between two and one-half and seven years of age, the right ear being involved more frequently than the left. The experiences of Keen, l however, are not in accord with ours; of 5 I cases of foreign body in his series, omitting the cotton wool variety, there were 23 in the right ear, 27 in the left and one not stated. Keen advanced the explanation that five or six year old children when playing, are really ambidextrous. Previous unsuccessful attempts at removal were the rule in our patients. This is in agreement with the experiences of PoIitzer2 who stated that hardly I o per cent of the cases which come to the specialist had not undergone some manipulation. Some of the foreign bodies removed by us included beans, peas, a piece of porcelain crockery, glass beads of varied sizes and shapes, a tooth, a button, small pieces of graphite from a lead pencil, pieces of onion and cotton. The commonest foreign body encountered in adults, according to Asherson,3 is cotton wool which generally is inserted by the patient and forgotten. Other authors have reported finding fruit seeds, pebbles, glass, shot, insects, larva, coffee beans, slate, etc. Foreign bodies in the external auditory canal may be divided into two groups, those which cause few, if any symptoms and those which cause severe symptoms. I. Foreign Bodies Which Cause Minimal Symptoms. Occasionally during the course of an otoIaryngologic examination, a foreign body may be discovered in the ear. For example, a child was referred to the Out Patient Department for an opinion as to the advisibility of tonsillectomy. On Iooking into the external auditory canal, one saw a round red object which moved when the head was rotated into various positions. It was ascertained upon questioning the parent, that the child frequently pIayed with a red bead necklace. On syringing the external auditory canal with warm water a small bead was washed out. Another patient was seen in the clinic complaining of foul smelling discharge from the right ear of many years duration. The canal wall close to the tympanum was covered with granulations. There was considerabIe purulent discharge in the externa1 auditory canal and the tympanic membrane was not visible. Upon touching the granmations with a probe, the dirty grayish area which was thought to be the inner tympanic wall covered by granulations, moved. With a bayonet forceps, the grayish mass was gently loosened and removed. To our surprise, it was a piece of cotton about +d inch thick, encrusted with calcium salts. The drum was found intact. Within a few days, the granulomata on the canal wall disappeared and “the middle ear discharge” of many years duration ceased. PoIitzer2 reported an instance in which a piece of slate 3 cm. long was present in the external auditory canal for fifty years with no complaints other than deafness. The patient was seventy years old at the time of the r&nova1 of the slate and compIained onIy of poor hearing. Zaufa14 and Lucae5 reported removing cherry stones from the external auditory canal of asymptomatic patients after forty and forty-two years respectiveIy. Wells6 reported a case of deafness of thirty-three years duration resulting from pIacing a pea into the