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

2012 ◽  
Vol 5 ◽  
pp. CCRep.S8214
Author(s):  
Patorn Piromchai ◽  
Somchai Srirompotong ◽  
Piyawadee Lertchanaruengrith ◽  
Robert Mills

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.

2021 ◽  
Author(s):  
Yuan Li ◽  
Zhong Li ◽  
Jun-Cai Liu

Abstract Background: Metallic foreign body migration into the pulmonary artery after limb trauma is extremely rare. If not treated in time, the patient may die. The metallic foreign body was implanted from the thigh into the pulmonary artery and remained for 5 years. It has never been reported in limb trauma.Case Presentation: The patient was a 51-year-old male who had a small metal foreign body embedded in the middle and lower left thigh due to trauma. The foreign body was not found during emergency debridement operation. During the operation, a full-body X-ray was used to reveal a high-density shadow in the left upper lung. The 3D-CT of the chest immediately confirmed that the high-density shadow was a small iron foreign body, and the iron fragment foreign body was present in the pulmonary artery branch, but no abnormal symptoms were observed. He was hospitalized for observation for 3 days without obvious discomfort and refused to open his chest. The patient then decided to leave the hospital voluntarily.Conclusion: Surgical removal of all foreign bodies traveling to the pulmonary artery is not necessary, and the most appropriate treatment plan should be made considering the location of the foreign body, the patient's wishes and the general condition.


Author(s):  
K. C. Prasad ◽  
Sreelekshmi S. ◽  
Abhilasha K. ◽  
Anjali P. K. ◽  
Induvarsha G. ◽  
...  

<p class="abstract">Foreign body ear, especially in the external auditory canal are common in adults and children. Most common age group presenting with foreign body is 2 to 10 years. Most common foreign bodies are seeds insects, paper, chalk pieces etc. Most common complications of foreign body ear are pain, bleeding, foul smelling discharge, otitis externa and irritation of ear. There are chances of external auditory canal laceration, bleeding, infection, perforation of tympanic membrane, dislodgement of foreign body towards inner region during the time of removal. This is a case of unnoticed impacted foreign body presented as chronic suppurative otitis media with postaural fistula, found on table broomstick foreign body which was removed using canaloplasty and further managed with tympanoplasty and cortical mastoidectomy.</p>


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):  
Preeti Shetti ◽  
Shivani Gupta ◽  
Paramita Debnath

<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>


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.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.


1996 ◽  
Vol 115 (2) ◽  
pp. P204-P204
Author(s):  
Charles A. Syms ◽  
Ralph A. Nelson

2020 ◽  
Vol 9 (2) ◽  
pp. 1-5
Author(s):  
Agata Szleper ◽  
Antoni Bruzgielewicz ◽  
Kazimierz Niemczyk

Foreign bodies of the external auditory canal are common pathology in otolaryngological practice. Complains that accompany this pathology depends on the nature of the foreign body and the time of retention. Because of the potential for serious complications to this seemingly prosaic pathology, reacting as quickly as possible is crucial. Below we describe an example of a long-standing foreign body in the external auditory canal, we present ways of dealing with the problem and potential complications that may be associated with it.


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