A child’s mysterious ear

<p>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.</p>

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Foreign Body in External Auditory Canal Masquerading as Middle Ear Polyp

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-021-02404-3 ◽

2021 ◽

Author(s):

J. Mansoor Ahmed ◽

Sourabh Kandi ◽

Thoufeer C.P.

Keyword(s):

Foreign Body ◽

Middle Ear ◽

External Auditory Canal

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Middle Ear Ceruminous Gland Adenoma Obstructing the Eustachian Tube Orifice

Case Reports in Otolaryngology ◽

10.1155/2021/5987353 ◽

2021 ◽

Vol 2021 ◽

pp. 1-3

Author(s):

Hamin Jeong ◽

Haemin Noh ◽

Chang-Hee Kim

Keyword(s):

Hearing Loss ◽

Eustachian Tube ◽

Middle Ear ◽

External Auditory Canal ◽

Clinical Characteristics ◽

Middle Ear Mucosa ◽

Mixed Hearing Loss

Ceruminous glands are located in the skin of the cartilaginous portion of the external auditory canal, and ceruminous gland adenoma originating from the middle ear mucosa is extremely rare. We report a case of middle ear ceruminous gland adenoma which caused long-standing otomastoiditis and mixed hearing loss with a large air-bone gap by obstructing the bony Eustachian tube. We discuss the clinical characteristics and histologic features of the present case.

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A Child Presenting with a Bullet in the Middle Ear: Case Report

Clinical Medicine Insights Case Reports ◽

10.4137/ccrep.s8214 ◽

2012 ◽

Vol 5 ◽

pp. CCRep.S8214

Author(s):

Patorn Piromchai ◽

Somchai Srirompotong ◽

Piyawadee Lertchanaruengrith ◽

Robert Mills

Keyword(s):

Foreign Body ◽

Middle Ear ◽

External Auditory Canal ◽

Foreign Bodies ◽

Community Hospital ◽

Metallic Foreign Body ◽

Ear Canal ◽

Case Presentation ◽

Adults And Children ◽

Otoscopic Examination

Introduction Foreign bodies in the external auditory canal are common in both adults and children. Removal of the foreign body requires skill, but is usually successfully performed in the emergency department. We report a case of a child with a bullet in ear canal which was pushed into the middle ear during an attempt to remove it. Case Presentation A 6-year-old Thai boy went to the community hospital with his parents, who reported that their child had pushed a bullet into his ear. Otoscopic examination revealed a metallic foreign body in his external auditory canal. The first attempt to remove the foreign body failed and the child was referred to an otolaryngologist. We found that the tympanic membrane was ruptured, with granulation tissue in the middle ear and the bullet was located in the hypotympanum. The foreign body was removed via a post-auricular approach. Conclusion Removal of a foreign body from external auditory canal is an essential skill for physicians. Careful removal can prevent further trauma and complications. When the first attempt fails, referral to an otolaryngologist is recommended.

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Middle ear foreign body causing cholesteatoma and external auditory canal granuloma: a case report

Journal of Otology ◽

10.1016/s1672-2930(12)50006-1 ◽

2012 ◽

Vol 7 (1) ◽

pp. 25-27

Author(s):

Zhou Shui–Hong ◽

Wang Qin–Ying ◽

Wang Shen–Qing

Keyword(s):

Case Report ◽

Foreign Body ◽

Middle Ear ◽

External Auditory Canal

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An uncommon experience during removal of a foreign body from ear of a child

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2016.v24i1.75 ◽

2016 ◽

Vol 24 (1) ◽

pp. 47-48

Author(s):

Sanjoy Kumar Ghosh ◽

Abir Chaudhury

Keyword(s):

Foreign Body ◽

Middle Ear ◽

External Auditory Canal

A difficult to extract geoid bead was successfully removed from the middle ear cavity by threading it with monofilament polypropylene without drill-out of the bony annulus or widening the isthmus of the external auditory canal.

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Laser-Assisted Tympanostomy in Pediatric Patients with Serous Otitis Media

Otolaryngology ◽

10.1016/j.otohns.2005.07.007 ◽

2005 ◽

Vol 133 (4) ◽

pp. 601-604 ◽

Cited By ~ 4

Author(s):

Emmanuel P. Prokopakis ◽

Vassilios A. Lachanas ◽

Panayotis N. Christodoulou ◽

George A. Velegrakis ◽

Emmanuel S. Helidonis

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Middle Ear ◽

Pediatric Patients ◽

Cure Rate ◽

Multivariate Statistical ◽

Middle Ear Mucosa ◽

Ventilation Tubes ◽

The Cost ◽

Serous Otitis Media

OBJECTIVES: To evaluate prognostic factors related with cure rate, in pediatric patients with serous otitis media treated with laser-assisted tympanostomy without ventilation tubes, in a single institution. PATIENTS AND METHOD: The procedure was performed on 124 ears in 88 individuals, from 3 to 14 years old. External auditory canal anatomy, type of anesthesia, tympanic membrane and middle ear fluid characteristics, myringotomy size, and laser parameters, in relation to cure rate, were accordingly studied. RESULTS: The overall cure rate by ear at the end of the 2-month follow-up period was 54.83%, whereas 45.17% still suffered from otitis media. Multivariate statistical analysis demonstrated that the presence of a thick tympanic membrane is significantly correlated with pure outcome in children with serous otitis media, when laser-assisted tympanostomy without ventilation tubes is performed favoring a worse cure rate ( P < 0.023). Other parameters did not statistically correlate with the outcome. A 41% parental dissatisfaction rate was noticed. CONCLUSION: This study addresses selection bias for children with serous otitis media, candidates for laser-assisted tympanostomy. These are related to the duration of serous otitis media, the condition of middle ear mucosa, the thickness of the tympanic membrane, the type of anesthesia, and the cost of laser apparatus. There is likely to be a causal relationship between outcome and tympanic membrane appearance in children undergoing laser-assisted tympanostomy.

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Are mucin genes yet to be cloned expressed by human middle ear mucosa?

Clinical Otolaryngology ◽

10.1046/j.1365-2273.1998.0135c.x ◽

1998 ◽

Vol 23 (3) ◽

pp. 265-265 ◽

Cited By ~ 1

Author(s):

Hutton ◽

Birchall ◽

French ◽

Kubba ◽

Severn ◽

...

Keyword(s):

Middle Ear ◽

Middle Ear Mucosa ◽

Mucin Genes ◽

Human Middle Ear

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Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽

10.1186/s12893-021-01089-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Weigang Gan ◽

Ning Xiao ◽

Yiyuan Feng ◽

Danmei Zhou ◽

Juanjuan Hu ◽

...

Keyword(s):

Foreign Body ◽

Pediatric Patients ◽

Treatment Delay ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

External Factors ◽

Factors Affecting ◽

Intrinsic Factors ◽

Common Location ◽

Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

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Immunohistochemical and qPCR Detection of SARS-CoV-2 in the Human Middle Ear Versus the Nasal Cavity: Case Series

Head and Neck Pathology ◽

10.1007/s12105-021-01378-6 ◽

2021 ◽

Author(s):

Arwa Kurabi ◽

Kwang Pak ◽

Adam S. DeConde ◽

Allen F. Ryan ◽

Carol H. Yan

Keyword(s):

Nasal Cavity ◽

Middle Ear ◽

Viral Infections ◽

Case Series ◽

Middle Ear Mucosa ◽

Viral Receptor ◽

Tissue Samples ◽

Angiotensin Converting Enzyme 2 ◽

Nasal Tissue ◽

Human Middle Ear

AbstractViral infections have already been implicated with otitis media and sudden sensorineural hearing loss. However, the pathophysiology of COVID-19 as it relates to otologic disorders is not well-defined. With the spread of SARS-CoV-2, it is important to evaluate its colonization of middle ear mucosa. Middle ear and nasal tissue samples for quantitative RT-PCR and histologic evaluations were obtained from post-mortem COVID-19 patients and non-diseased control patients. Here we present evidence that SARS-CoV-2 colonizes the middle ear epithelium and co-localizes with the primary viral receptor, angiotensin-converting enzyme 2 (ACE2). Both middle ear and nasal epithelial cells show relatively high expression of ACE2, required for SARS-CoV-2 entry. The epithelial cell adhesion molecule (EpCAM) was use as a biomarker of epithelia. Furthermore, we found that the viral load in the middle ear is lower than that present in the nasal cavity.

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