Ear and Nose Foreign Bodies

Kadish, Howard A.

doi:10.1177/000992280504400803

Cited by 28 publications

(12 citation statements)

References 15 publications

(33 reference statements)

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“…Some studies have reported percentages as high as 30% (9) and 53% (10) for removal of aural FBs under GA, while others have reported lower rates such as 12.2% (4) and 8.4% (2). Our rate of 14% for removal of aural FBs under GA suggests that there is room for improvement.…”

Section: Discussionmentioning

confidence: 99%

A 5-year review of aural foreign body removal in a Major Victorian Hospital

Ng¹,

Lim²

2018

Aust J Otolaryngol

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This review is to describe the epidemiology and complications associated with aural foreign bodies (FBs). This is a retrospective review of patients with aural FBs who presented to the Emergency Department (ED) in Frankston Hospital between 2012 and 2016. Peninsula Health Human Research Ethics Committee approved of this project. A total of 380 non-consecutive patients with aural FBs were included in this study and had a median [min, max] age of 21 [1, 85] years and 51% were male. Two hundred and seventy-eight (73.2%) had their aural FB successfully removed on the first attempt; the remaining on the second or more attempt. Forty (10.5%) patients had complications following aural FB removal. Increasing the number of aural FB removal attempts predicted post-extraction complications [3 attempts: odds ratio 3.4 (95% CI, 1.03-11.16), P=0.044]. Aural FB removal should be managed by experienced medical personnel and all failed attempts should be referred to ear, nose and throat (ENT) specialty.

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Section: Discussionmentioning

confidence: 99%

A 5-year review of aural foreign body removal in a Major Victorian Hospital

Ng¹,

Lim²

2018

Aust J Otolaryngol

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“…Small, graspable objects may be extracted with an alligator clamp, 6,7,10 whereas round, nongraspable objects may be removed with a Foley catheter or suction catheter, or with the use of nasal positive-pressure. 11,13,14 Novel devices have also been developed for object removal, such as the snare-loop technique to dissect adherent soft tissue away from smooth-surfaced foreign bodies for ease of removal 15 ; the use of a hand-held magnet for extraction of a small, smooth metallic object 16 ; or hand-held positive pressure devices that may easily extract smooth-surfaced objects from the nasal cavity. 17 Whereas the aforementioned devices are effective at removal of small, uniform, or round objects, removal of an object such as a hairpin requires unique manipulation with an alligator clamp or cupped forceps in order to facilitate removal without causing additional complications.…”

Section: Discussionmentioning

confidence: 99%

Removal of intranasal hairpin at the bedside: Two adult cases

Patel

Mener

2016

The Laryngoscope

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“…Removal of foreign bodies can be difficult because the ear is pain sensitive and bleeds easily [9]. Successful removal is influenced by the type of foreign body present, its visibility, patient cooperation, and the number of previously failed removal attempts [2, 3, 5, 8].…”

Section: Discussionmentioning

confidence: 99%

“…Hard, regular, smooth objects are among the most difficult to remove [8]. Irrigation, which could otherwise be a useful removal technique, is often not recommended because swelling in a moist ear canal may cause the object to become wedged in a confined space [9, 12]. However, the incidence of failed irrigation attempts and subsequent extraction difficulties may be overstated [1, 11].…”

Section: Discussionmentioning

confidence: 99%

“…While irrigation has been established as an effective mechanism for ear foreign body removal, organic foreign bodies such as beans, seeds, and dried fruit may swell with irrigation, potentially making extraction more difficult. If irrigation attempts fail, organic FB swelling may cause inflammation or make subsequent extraction more difficult [7, 9, 12]. …”

Section: Introductionmentioning

confidence: 99%

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Hydroscopic Properties of Organic Objects That May Present as Aural Foreign Bodies

et al. 2010

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BackgroundOrganic foreign bodies swell when irrigated with water, potentially making extraction more difficult. As the degree and rate of swelling of different types of organic foreign bodies has not been established, we aimed to analyze the hydroscopic properties of different organic foreign bodies in body temperature water.MethodsDry kidney beans, brown beans, peas, popcorn kernels, and dried fruits were soaked in a body temperature (37oC) water bath. Volume of these organic materials was measured hourly to 8 hours, then at 12, 16, 24, 28, 36 and 48 hours.ResultsAll dried fruits and beans increased in volume over time. The volume increase from baseline at 6 hours was between 43% (popcorn kernels) and 383% (kidney beans). Peas, popcorn, and raisins did not increase volume further after 6 hours. Kidney and brown beans had the greatest increase in volume overall (1268% and 482% respectively), and the greatest continued increase after 24 hours.ConclusionsMany organic substances that frequently present as aural foreign bodies may swell enough in water to lodge tightly in the ear canal. Typical popcorn kernels and dried peas will not swell sufficiently to lodge tightly in the ear canal of a typical child one year or older. A retained organic foreign body in a moist ear canal may cause inflammation until the foreign body can be removed. These risks may be offset by the advantages of successful removal with irrigation.KeywordsForeign body; Irrigation; Organic; Ear; Hydroscopic; Procedure; Removal

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Ear and Nose Foreign Bodies

Cited by 28 publications

References 15 publications

A 5-year review of aural foreign body removal in a Major Victorian Hospital

A 5-year review of aural foreign body removal in a Major Victorian Hospital

Removal of intranasal hairpin at the bedside: Two adult cases

Hydroscopic Properties of Organic Objects That May Present as Aural Foreign Bodies

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