Foreign Bodies In Ear Research Articles

Unusual Foreign Body in the Middle Ear: Surgical Removal of a Live Ant Entering the Tympanic Cavity Through an Ear Drum Perforation

This case report details the unusual occurrence of a live ant invading the middle ear cavity through a pre-existing perforation in the tympanic membrane of a 42-year-old female patient. She presented to an outpatient clinic with symptoms of sudden-onset tinnitus (“ringing”) and a foreign body sensation in her left ear. Otomicroscopy revealed an oval-shaped perforation in the posterior part of the left tympanic membrane, through which a dark, moving foreign object was observed in the middle ear. The object was identified as a live ant. Initial attempts to remove the insect under local anesthesia were unsuccessful, necessitating the patient’s admission for surgery. Under general anesthesia, an endoscopic tympanotomy was performed, and the ant was successfully removed without complications. The patient recovered and was discharged the following day. At her follow-up appointment, she remained symptom-free. This case highlights the rare yet possible occurrence of live foreign bodies entering the middle ear through tympanic perforations and the need for timely surgical intervention to prevent complications.

Pediatric Ear and Nose Foreign Bodies during COVID-19 Pandemic: Is it so boring to Stay at Home?

Introduction: During the COVID-19 lockdown children, confined at home, had a potentially increased risk of domestic accidents like the placement of foreign bodies in ears and noses. Thus, we analyzed the impact of the COVID-19 outbreak on Ear, Nose, and Throat (ENT) consultations in the ED of Giannina Gaslini Children’s Hospital in Genoa due to foreign bodies (FB). Methods: We retrospectively analyzed all ED admissions in our Institute due to an ENT diagnosis in a year of COVID-19 emergency starting from the first day of school closure, the February 24th, 2020 (COVID-19, group A), and compared them with data from the same period of the previous year (pre COVID-19, group B). We then compared the incidence of nasal and ear FB in these two periods. We also evaluated differences in the clinical severity, type of foreign bodies, presence of complications, and need for hospitalization in these two groups. Results: During the COVID-19 pandemic, there was a significant decrease in the need for ENT consultations (19% Group A vs. 23% Group B, p < 0.001). However, the percentage of ENT consultations for all FB increased (8% Group A vs. 4% Group B, p < 0.001), as well as for nose FB (0.6% vs.1.8%, p < 0.001), and ear FB (0.9% vs. 0.6%, p = 0.005). Conclusion: COVID-19 lockdown increased ENT ED accesses for foreign bodies, even though the overall need for ENT specialists in the ED decreased.

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

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.

309 Search and Rescue: Techniques for Ear Foreign Body Removal in the Emergency Department

309 Search and Rescue: Techniques for Ear Foreign Body Removal in the Emergency Department

A Prospective Clinical Study of Foreign Bodies in Ear, Nose and Upper Aerodigestive Tract - Our Experience.

A foreign body is an object foreign to location where it found. Foreign body (FB) in ear, nose and aerodigestive tract are common problem seen in children and adults. This study aims to know foreign bodies in terms of type, age, site, gender distribution and method of removal. This prospective study was performed in tertiary care centre from 2020-2022. A total 185 patients with foreign bodies in ear, nose and aero digestive tract who were presented to casualty and OPD were included in study. Their demographic data, age of presentation, clinical presentation, foreign bodies types, site of lodgement and management were included in study. Out of 185 patients, 99 were male [53.51%], 86 were female [46.48%]. FB were found to be maximum in ear (44.32%) followed by nose (37.29%), aerodigestive tract (18.37%). The foreign bodies were removed with or without local anaesthesia in 155 patients and under general anaesthesia in only 30 patients. In some patient foreign bodies like coin, small ear ring was expelled out spontaneously. Left Ear FB (51.21%) was seen most commonly than right ear [45.12%] & both ears (3.67%). Right Side of nasal cavity was frequently involved (69.56%) than left nasal cavity [28.99%] & in both nasal cavities (1.45%). In aerodigestive tract, FB most commonly seen at cricopharynx level [38.23%]. The early childhood group had highest number of patients. Foreign bodies in ENT can be easy as well as difficult at times. Thorough and timely clinical and radiological examination helps in diagnosing and subsequent timely intervention.

Foreign body in ear, nose and throat: Three year experience in a teaching hospital in Central India

Foreign body presentations in otolaryngology clinic are common and 11% of these were in emergency room of ENT hospitals. Paediatric populations were more commonly suffered from the ENT foreign bodies although adults were also suffered. Earlier studies have been done to found the prevalence, diagnosis, treatment and complication related to ENT foreign bodies, however in recent past none of the studies were conducted in our hospital. Hence this study will plan to find out the prevalence among childrens and adults. To evaluate the prevalence of ENT foreign bodies in paediatric and adult population along with its types, lodgment in different sites and clinical findings.The present study was conducted in ENT department, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh. Total number of patients attending ENT OPD and casuality were 354 between May 2018 to May 2021 included in present study. In collected data, demographic evaluation, different types of foreign bodies, their lodgment site and clinical features were evaluated. In our study maximum incidence were noted for foreign bodies of Nose 48.3% followed by 40.3% and 11.3% of Ear and Throat respectively and more common in 0-10 years of age in children with higher percentage of Nasal foreign bodies 34.7%. The types of foreign bodies which were common in both the children and adults were related to foodstuffs. Presence of ENT foreign bodies are more common in children and type and site of lodgment of foreign bodies varied in different age band.

Earmold Impression Material Foreign Body in the Middle Ear as a Hearing Aid Impression Complication: A Case Report

Hearing aid is an electronic device fitted to the ear and designed to amplify and deliver sound to the ear. Upon fitting a hearing aid, patients are required to make an earmold impression material for device fixation based on patient's personal preference, the shape and texture of the ear.

Meta-Analysis of Emergencies in ENT and its Management: An Ayurvedic Approach

Emergencies in ENT are common occurrence. Early diagnosis and management result in reduction in morbidity and mortality. In this study we have explained initial assessment, medical records, diagnosis on admission and outcome of emergency care. A total of patients were attended as an emergency in our institution’s hospital apart from OPD timing i.e., (9-4pm). The most common emergencies among pediatric age group were foreign body in ear, nose, and throat. The other most commonly encountered emergencies were RTA patients with cut or tear wound, epistaxis. In traditional text of Ayurveda mentioned terms like: Vegavastha Dhatugat Avastha, Upadrav, Asadhya Lakshanas, Agantuj Vyadhi, Sadhya, Ashu etc. for emergency conditions which are needed to be taken care of immediately The ENT emergencies play a key role in the management of life-threatening conditions requiring immediate evaluation and management. It is important to prioritize the emergency/non emergency cases in order to ensure proper care is given to the emergency cases.

Ear foreign bodies removal in the pediatric emergency department: tricks of the trade

Ear foreign bodies removal in the pediatric emergency department: tricks of the trade

An Unusual middle ear foreign body in a welder; our experience

Introduction: Welding accidents commonly present as burns, electrocution, skin injuries and penetrating foreign body in the eyes, face and neck. Ears are usually uninvolved, but the possibility of foreign bodies in the external ear canal or even in the middle ear should always be considered in non-resolving ear infections in welders.
 Case Presentation: A thirty-year old welder presented with ear discomfort and swollen ear canal and initially diagnosed and managed as otitis externa. But since it failed to resolve, he was extensively investigated and a metallic foreign body was identified in the middle ear, which was removed via endoscopic tympanotomy.
 Conclusion: This case highlights the fact that small sharp foreign bodies can penetrate through the tympanic membrane and leave an almost invisible perforation which heals completely. But in suspicious or symptomatic cases further investigations such as an X-ray or Computed Tomography [CT] scan might be needed to confirm diagnosis.

Foreign Bodies in Ear and Upper Aero-digestive Tract in Tertiary Level Hospital

Background: Foreign Bodies (FBs) are the commonest emergencies in Otorhinolaryngology. The most common incidences arein nasal cavity, ears and oropharynx. The most commonly swallowed foreign bodies in children are coins. It was aimed todescribe the nature, types, and location of FB impaction in addition to procedure of anesthesia & management of patients as well. Methods: All patients with history and clinical features of foreign body in otorhinolaryngology in both sexes during the 6months study period constituted the study population. This was a descriptive type of cross-sectional study done in a tertiarylevel hospital (Faridpur Medical College Hospital, Faridpur, Bangladesh). Results: The study was included 58 patients aged 6 months to 72 years were seen (mean: 22.46 years) with 33 males and 25females and a male: female ratio of 1.4: 1. Most common site of impaction were nasal cavity 19 cases (52.6%) then ear 13 cases(22.4%), hypopharynx 9 cases (8.6%),oropharynx 6 cases(10.3%), esophagus 5 cases (8.6%), soft tissue neck 4 cases (6.9%)and larynx 2 cases (3.4%). In this study most common FB was Fish bone 8(13.79%) then coin 5(8.62%). Most of the oro-pharyngeal FBs and nasal FBs were removed directly 33 (56.90%) by naked eye with forceps or FB hook. Only 2 cases (3.40%)nasal FBs were removed by endoscope. Esophagoscopy was done in 14 cases (24.1%).Foreign body soft tissue neck wasremoved with external approach in 4 patients (6.9%).Only in 3 cases microscope was needed to remove foreign body from ear(5.3%).Only in 2 cases (3.4%) laryngoscopy was needed to remove foreign body. FBs from nose & oropharynx mostlyremoved without anaesthesia 25(43.10%) though some FBs from nose & oro-pharynx were removed under local anaesthesiaby using 10% Xylocaine spray. Conclusion: The study findings felt the need for parental health education on object placements, and a high index of suspicionamong practitioners to facilitate early referral and avoid preventable complications.

Clinical Presentation and Treatment Outcomes of Foreign Bodies in the Ear among Patients Attended at Bugando Medical Centre, Mwanza, Tanzania

Background: Globally, foreign bodies (FBs) in the ear are commonly encountered by otolaryngologists and its removal can result in complications if attempts of removal are made outside the healthcare setting by untrained personnel. This study describes the clinical presentation and treatment outcomes among patients presenting with FB s in the ear at Bugando Medical Centre (BMC). Methods: This was a cross sectional study that was conducted at BMC between May 2019 and October 2019. Results: A total of 70 patients (M: F ratio = 1.3:1) were studied. The mean age at presentation for children was 5.1[±2.2] years, whereas that of adults was 28.9 [±16.1] years. The FBs were found in the right ear in 44(62.9%) patients, left ear in 25(35.7%) patients and in both ears in 1(1.4%) patient. Cotton was the most common FB in 34.3% of cases. Previous history of failed attempted ear FB removal by peripheral hospitals was reported in 15(21.4%) patients. Methods used in the removal of ear FB were ear syringing in 42(60.0%) patients, forceps extraction in 15(21%) cases, FB removal by suctioning 4(6%) and hooks in 9(15%) patients. Complications observed were external ear canal laceration (n=13; 50.0%), tympanic membrane perforation (n=9; 34.6%), otitis externa (n=3; 11.5%) and chronic otitis media (n=1; 3.8%) and were significantly associated with late presentation (≥ 7 days) (p-value =0.021) and previous history of failed attempted ear FB removal (p-value < 0.001). The outcome of treatment was excellent as all of the ear FBs were successfully removed with good improvement in hearing and clinical relief of symptoms. Conclusion: Ear FBs are common at BMC with the highest incidence in children less than 10years. Removal attempts by peripheral hospitals and delayed attending to specialized hospitals predisposes to complications. Parental education on close monitoring of their children to avoid such incidences and the need to immediately seek otorhinolaryngologists to prevent ..............

Pattern of ENT Emergencies in Tertiary Level Hospital

Background: Emergencies in ENT practice has a wide spectrum and management of each condition requires specialized skills. Crucial decisions are necessary to save patients life in hurried situations.
 Objectives: This study is carried out with an objective to find out pattern of ENT emergencies in tertiary level hospital.
 Methods: This is a cross sectional study was done in two major tertiary level hospitals (Dhaka Medical College Hospital, Sir Salimullah Medical College Mitford Hospital) of Dhaka, Bangladesh. This study was conducted in a period of six months and took into account all inpatient and outpatient emergencies in this period. These included 496 patients either admitted as emergency or took emergency treatment without admission from department of ENT and Head-Neck surgery of two tertiary level hospitals.
 Results: 496 patients of between age ranges 2 months-80 years with a mean age 26.3 years were included. Male female ratio was 1.9:1.55.65% patients are from rural area. The total throat related cases were maximum (40.52%) in comparison to ear (32.26%) and nose (27.22%). Inflammatory condition in pharynx (46.27%) is the most common among throat related emergencies, followed by foreign body in throat (32.26%). Fish bone impaction is the most common (33.36%) emergencies among foreign body in throat. Foreign body in throat was mostly seen in 0 to 10 age group. Acute upper respiratory tract infection is the highest (27.96%) among the pharyngeal emergencies. Laryngeal emergencies with stridor were most common (47.62%) among laryngeal, tracheal and bronchial emergencies other than foreign body. Among the otological emergencies external ear emergencies other than foreign body (40%) was most common. Vegetables foreign body in the ear was most common (40%) among the foreign body in ear. Foreign body in ear mostly found in 0 to 10 age group. Traumatic injury to external ear is the most common (18.75%) among external ear emergencies other than foreign body. Among the sinonasal emergencies epistaxis was most common (39.26%). Most of the cases were managed surgically (71.97%) 87.5% cases were recovered from emergencies with overall mortality of (1.21%).
 Conclusion: Epistaxis emerged as the leading cause of ENT emergencies followed by foreign body in ENT region. Most of the ENT emergencies were managed surgically under local anaesthesia. So, presence of otolaryngological department in thana and district level hospital could avoid unnecessary referral.
 Sir Salimullah Med Coll J 2022; 30: 67-74

“Itch” Gratification-Insect Polyembolokoilamania of the Ear

Foreign body in the ear is one of the most common conditions encountered at the otorhinolaryngology outpatient clinic. Insects, especially live insects present as painful foreign bodies of the external ear. Insects that are most frequently recovered from the ear canal include ticks, bees, beetles, and cockroaches. We present the case report of a 17-year-old girl with recurrent right ear foreign body (live insect) five times in a span of 6 months. This recurrent presentation of the patient on the same side (right) led us to suspect behavioral abnormality. She was diagnosed to have mild intellectual developmental disorder with obsessive compulsive disorder and was treated accordingly. Behavioral problems must be ruled out in recurrent cases of unilateral foreign body ear.

FOREIGN BODY EAR AND NOSE IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL-OUR TWO YEAR EXPERIENCE.

Background: Foreign bodies (FBs) in the ear and nose are relatively frequent emergencies seen in the ENT emergency and OPD. The FBs in the ear and nose are more common but not limited to children and mentally challenged adults. The most common ear and nose foreign bodies include plastic toys, food, and small household items. Majority of FBs are harmless but few like insects and sharp objects are extremely uncomfortable requiring emergency removal. Aims: and Objectives: In the current study we aimed to evaluate the common types, prevalence, age of presentation, sex predilection, clinical presentations, treatment approaches used and complications during extraction of ear and nose FBs in patients presenting FB induced emergency. Methods: The current study was a prospective study carried out for 2 years (June 2019-June 21). All the subjects attending Sri Maharaja Hari Singh Hospital (SMHS), Government Medical College Srinagar (J&K) presenting ear and nose FBs induced emergency, were enrolled in the current study. All the relevant demographic, clinical, and therapeutic modalities of each patient were recorded and then analysed using statistical software (SPSS version 14.) Results: A total of 770 subjects were recruited in the study with nearly equal males and female representation. The majority of cases (~70%) were in the age group of <10 years in both the genders. Majority of the cases were from urban areas. Among all the subjects recruited, a greater number of subjects had FB in ear (~63%), while as 37% had FB in the nose. About 5% of the subjects reported FB bilaterally in the ears. Paper was the prevalent nose FB, while as bead was found pervasive in the ear. Only 4.5% subjects needed general anaesthesia for the removal of FB, while as only 10.8% experienced bleeding during the FB removal. Conclusion: Foreign body ear and nose pose a common ENT emergency in the clinic and are usually presented in the young subjects. Unlike, the FB in the nose, the ear FB can be more harmful by causing tympanic membrane perforation. The treatment modalities for ear and nose FB removal depends upon the type and place of FB impaction in the subject.

Ear Foreign Body Extraction

Ear foreign body removal is a common procedure performed in the emergency department that can happen to anyone, both children and adults. The method used in writing this literature review is a literature review. Article writing consists of several sources originating from journals and related agency guidelines. Source searches were conducted on online portals for journal publications such as Medscape, Research gate and the National Center for Biotechnology Information/NCBI (ncbi.nlm.nih.gov), with the keyword used being “ear foreign body”. Various kinds of foreign objects have been reported to have entered the ear canal including insects, beads, paper and so on. Foreign body removal techniques consist of manual instrumental, irrigation, and suctioning. Removal of foreign bodies should not be performed if the patient is suspected of having a perforation of the tympanic membrane. Removal of a foreign body from the ear canal depends on the type of foreign body present in the ear canal.

Ear, Nose, and Throat Foreign Bodies in Children: A Retrospective Study.

Background: This study analyzed the presentation, characteristics, and management of foreign bodies in different age groups of pediatric patients with ear, nose, and throat foreign bodies. Methods: A retrospective study was performed using data from October 2012 to September 2020. A total of 1285 patients with ear, nose, and throat foreign bodies who were less than 12 years of age and who presented to the emergency room were included in this study. Their biographical data, clinical presentations, foreign body types and locations, and management outcomes were obtained from medical records and analyzed as three age groups (infancy: <2 years old; early childhood: 2–5 years old; and late childhood: 6–12 years old). Results: The early childhood group had the highest number of patients (n = 672; 52.2%). Throat was the most common location (59.2%), and bone was the most common type of foreign body. Among the children who visited our hospital, foreign bodies were actually found in only 657 patients (51.1%) and removed by an otolaryngologist in 625 (95.1%) cases. Conclusion: Our study could provide guidance for the diagnosis and management of pediatric patients who present to emergency departments with foreign bodies.

I’m All Ears: A Population-Based Analysis of Consumer Product Foreign Bodies of the Ear

The purpose of this study was to assess the nationwide incidence of ear foreign body (FB) presentations to the emergency department (ED) and analyze the most common FB consumer products encountered. The National Electronic Injury Surveillance System (NEISS) was evaluated for ED visits that included "ear foreign bodies" from 2010 through 2019. The most frequent foreign bodies were identified and organized by demographics. A total of 20,545 ear FB cases were found, with an estimated 608,860 ED visits nationwide. Female patients (56%) were more likely to have jewelry and first aid equipment FBs. Males between the ages of 5 and 15 years were significantly (P < 0.05) more likely to have paper products, pens/pencils, and desk supplies in their ears. Ear FBs represent a substantial proportion of healthcare expenditures. Although children are the most commonly affected individuals, all ages require further education and preventive measures.

Foreign Bodies in Ear: A Descriptive Study.

Foreign bodies (FB) in the external auditory canal are relative medical emergency. The objective of this study was to describe the types of FB and their complications. Hospital-based descriptive study. This study is done at sub-district hospital Nasirabad (district Ajmer) from period 1 January2016 to 31 May 2020 for period of 3years 5months included all patients with foreign body ear. A total of 126 patients were included. All cases were attended by ENT specialist. In our study we concluded that most common incidence is children less than 5years (63.49%), male:female ratio of 1.33:1, most of the patients present within 24h of presentation, in maximum cases there is no complications, maximum the foreign body is present in right ear. All cases were attended by ENT specialist. Maximum cases are done in local anaesthesia or no anaesthesia at all, 4 case in light anesthesia and 3 cases referred to nearby higher centre. In this we concluded that foreign body is usually present in less than 5years of age group. Proper instrumentation and proper skill is required to remove foreign body without any complications.

A child’s mysterious ear

&lt;p&gt;Foreign body in ear is an emergency encountered by an otolaryngologist and if not removed it can lead to serious complications. Most commonly foreign body in ear is lodged in external auditory canal while it’s rare to find it in middle ear. We report a case of foreign body in the middle ear in a 3-year-old child who presented to us with chronic discharging ear who was then suspected to be unsafe ear and so was taken up for exploration under microscope. A pink polypoidal mass arising from middle ear mucosa was found and following its removal- to our surprise; a blackish rubbery debris filling the middle ear cavity and attic area along with embedded foreign body was extracted. We conclude that pediatric patients with chronic ear discharge not responding to antibiotics should raise a suspicion of FB in the middle ear and explored timely.&lt;/p&gt;