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 and to highlight on new FB not seen before which was the bluetooth devices that were used for cheating during high school examination in Al-Fallujah city. This was a two-year hospital-based descriptive study performed in the Department of Ear, Nose and Throat (ENT), Al-Fallujah General Hospital, from June 2011 to May 2013; during this period, 224 FB had been extracted from 224 patients. Beads were extracted from 68 patients (30.4%), cotton tips were extracted from 50 patients (22.3%), seeds and garlic were extracted from 31 patients (13.8%), papers were extracted from 27 patients (12.1%), insects were extracted from 24 patients (10.7%), button batteries were extracted from 13 patients (5.8%), and bluetooth devices were extracted from 7 patients (3.1%). Most of the cases did not develop complications (87.5%) during extraction. The main complications were canal abrasion (4.5%). Proper instrumentation allows the uncomplicated removal of many FB. The use of general anesthesia is preferred in very young children. Bluetooth device objects should be considered as new aural FB, especially in our territory.
Glomus tympanicum tumors, are benign tumors of neural crest cell origin. They can spread throughout the mesotympanum, hypotympanum, and mastoid causing symptoms of pulsatile tinnitus, conductive hearing loss. The surgical approach is determined by the extent of tumor involvement in the mesotympanum, hypotympanum, and mastoid. A transcanal or postauricular approach with the operating microscope is the traditional means used to surgically manage middle ear paragangliomas. Transcanal endoscopic ear surgery, an emerging minimally invasive approach that offers superior visualization of the middle ear cleft. We experienced a case of glomus tympanicum tumor in 77 year-old female with several year-history of intermittent pulsatile tinnitus and earfullness which was surgically removed through Transcanal endoscopic approach.
Orbital complications following endoscopic sinus surgery are rare but may lead to serious morbidity, because the paranasal sinuses are adjacent to the orbit. Orbital complications following blindness are mostly caused by direct injury of orbital contents such as optic nerve, extraocular muscles, and its blood supply. And it also progress rapidly. We report a case of orbital emphysema with visual loss after endoscopic sinus surgery without direct damage of orbital contents.
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