scholarly journals Not ’just' a foreign body in the ear canal

2019 ◽  
Vol 12 (4) ◽  
pp. e229302
Author(s):  
Niall Woodley ◽  
Mohd Afiq Mohd Slim ◽  
Theofano Tikka ◽  
Richard Robert Locke

Foreign bodies are commonly seen by the Ear, Nose and Throat emergency team with cotton wool being the most common aural foreign body seen in the adult population. Most complications secondary to aural foreign bodies described in the literature are minor and rarely require any surgical intervention. Here, we present two cases with impacted cotton wool as aural foreign bodies which resulted in suppurative labyrinthitis and osteomyelitis causing profound sensorineural hearing. These cases highlight the importance of considering aural foreign bodies in the differential diagnosis in those presenting with unilateral symptoms as significant complications, although rare, can occur, particularly in those with delayed diagnosis.

Author(s):  
Gerald P. Sebastian ◽  
Rajinidevi Kaliyan ◽  
Pethuru Devadason

<p>In children the foreign bodies are a common occurrence which may be either accidental or self-induced as a matter of habit. Various materials like metal, plastic toy parts, food matters, etc have been reported as foreign bodies. Button batteries have been reported as foreign bodies in the ear, nose and throat are very relevant and practical, due to their early chemical disintegration in contact with mucosal surface; hence, need emergency surgical intervention to avoid complications. Here, we report five cases of button batteries in the ear nose and throat at various stages of presentation with their sequelae.</p>


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Alessandra D’Amico ◽  
Teresa Perillo ◽  
Lorenzo Ugga ◽  
Renato Cuocolo ◽  
Arturo Brunetti

AbstractIntra-cranial and spinal foreign body reactions represent potential complications of medical procedures. Their diagnosis may be challenging as they frequently show an insidious clinical presentation and can mimic other life-threatening conditions. Their pathophysiological mechanism is represented by a local inflammatory response due to retained or migrated surgical elements. Cranial interventions may be responsible for the presence of retained foreign objects represented by surgical materials (such as sponges, bone wax, and Teflon). Spinal diagnostic and therapeutic procedures, including myelography, chordotomy, vertebroplasty, and device implantation, are another potential source of foreign bodies. These reactions can also follow material migration or embolization, for example in the case of Lipiodol, Teflon, and cement vertebroplasty. Imaging exams, especially CT and MRI, have a central role in the differential diagnosis of these conditions together with patient history. Neuroradiological findings are dependent on the type of material that has been left in or migrated from the surgical area. Knowledge of these entities is relevant for clinical practice as the correct identification of foreign bodies and related inflammatory reactions, material embolisms, or migrations can be difficult. This pictorial review reports neuroradiological semeiotics and differential diagnosis of foreign body-related imaging abnormalities in the brain and spine.


2014 ◽  
Vol 129 (1) ◽  
pp. 93-94 ◽  
Author(s):  
W Nivatvongs ◽  
M Ghabour ◽  
G Dhanasekar

AbstractBackground:Removing a button battery from the ear can be a tricky and challenging procedure.Method and Results:We describe the innovative use of a magnetic telescopic rod to successfully remove a button battery from the ear canal of a nine-year-old boy.Conclusion:We propose that this equipment should be available in ENT clinics and operating theatres to be used for removing foreign bodies made from ferrous materials.


1930 ◽  
Vol 26 (9) ◽  
pp. 941-941
Author(s):  
B. Goland

Abstracts. Otorhinolaryngology. Prof. Uffenrode (D. med. Woch. 1929. No. 25.) describes 2 very interesting cases from his practice. 1. To remove peas from the ears of a 5-year-old child, a family doctor used tweezers. In view of the child's strong anxiety, chlorine ethyl anesthesia was applied, but the removal of foreign bodies from the ears was not possible; deep wound in the right ear canal. Secondary chlorine - ethyl anesthesia; the foreign body was removed from the left ear by washing, from the right ear it was not possible. The next day, an otorhinolaryngologist will remove the foreign body from the right ear; a wound of the tympanic membrane was established.


Author(s):  
Manish Munjal ◽  
Gopika Talwar ◽  
Shubham Munjal ◽  
Tulika Saggar

<p class="abstract"><strong>Background:</strong> The antero-inferior recess of the ear canal is not visible to the otologist, thereby effecting proper placement of the graft and thereby affecting its uptake .The visibility of this region in the adult population is assessed.</p><p class="abstract"><strong>Methods:</strong> The quadrants of tympanic membrane were examined in 60 subjects with perforated tympanic membrane undergoing tympanoplasty. The study was conducted in the department of ENT-HNS (ear, nose and throat-head and neck surgery), Dayanand Medical College and Hospital, Ludhiana.  </p><p class="abstract"><strong>Results:</strong> With the microscope in 48 (80%) entire perforation could be visualized and in 12 (20%) margins were not in the line of view. 5 perforations were posterior superior and 12 were total perforations. Otoendoscope examination with zero degree could show the entire margin of the perforation.</p><p class="abstract"><strong>Conclusions:</strong> In 80% population the antero-inferior quadrant of the tympanic membrane is accessible to straight vision of the microscope.</p>


2018 ◽  
Vol 100 (8) ◽  
pp. 632-634 ◽  
Author(s):  
S Morris ◽  
MS Osborne ◽  
AL McDermott

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Methods Hospital Episode Statistics for 2010–2016 were used to calculate the number of nasal and aural foreign bodies that have been removed in hospital. Data for adults and children have been compared. Results 8752 nasal and 17,325 aural foreign bodies have been removed from adults and children over the course of 6 years. Children were responsible for 95% of the 8353 nasal and 85% of the 14,875 aural foreign body presentations. Children aged 1–4 years are most at risk of injury. Conclusion Children are more likely to present to hospital than adults with a foreign body in the ear or nose. Aural bodies were more likely to need removal in hospital for both populations. Authors believe that these require identification and removal by an ear, nose and throat specialist to prevent morbidity. The overall number of procedures performed annually in children has not reduced over the study period; an average of 1218 nasal and 2479 aural foreign body removals are performed each year with an annual cost of £2,880,148 to NHS England.


2010 ◽  
Vol 46 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Elisabeth C. Snead ◽  
John W. Pharr ◽  
Brendon P. Ringwood ◽  
Jennifer Beckwith

A vaginal foreign body consisting of a piece of retained calvarium from a macerated fetus was identified and removed using vaginoscopy in a 4-year-old, spayed female bulldog. The dog had a 12-month history of chronic mucopurulent vaginitis. Vaginal foreign bodies, although uncommon, are a differential diagnosis for recurrent mucopurulent or hemorrhagic chronic vaginal discharge. A case of chronic vaginitis caused by a long-retained intravaginal foreign body in a dog is described and compared to four other canine cases reported in the literature.


1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.


2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Merih Onal ◽  
Gultekin Ovet ◽  
Necat Alatas

Foreign bodies lodged in the upper airway are a common occurrence in children. Many unusual foreign bodies in the nose have been reported as foreign bodies like nuts, plastic toy parts, beads, and so forth. Most of these produce minimal morbidity but button batteries due to their early chemical disintegration require early surgical intervention. Here, we report a case of button battery lodged in the nose for several years with a symptom of nasal obstruction and chronic sinusitis.


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