External Auditory Canal Foreign Body Extraction Outcomes

Karimnejad, Kaveh; Nelson, Erik J.; Rohde, Rebecca L.; Costa, Dary J.

doi:10.1177/0003489417731578

Cited by 16 publications

(15 citation statements)

References 7 publications

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“…Foreign bodies in the EAC are very common and sufferers tend to visit hospital promptly because the effects are really annoying and sometimes painful. 10,11 A previous study showed that 85.9% of all aural FBs occurred in children, and the majority of the latter were aged 5 to 9 years. 7 The authors suggested that EAC FBs are more frequent in younger children because they are curious and careless.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

et al. 2019

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Objectives: Foreign bodies (FBs) in external auditory canal (EAC) can occur at any age but are especially common in children and adolescents. The aims of the study were to evaluate the clinical characteristics of EAC FBs in children and adolescents and to discuss their proper management. Methods: A retrospective medical chart review was performed on patients who were treated for EAC FBs in a tertiary referral center from January 2007 to December 2017. We investigated the parameters of age, sex, type of FB, sedation method, complications, and removal strategy. Results: Of 284 patients, 176 (62.0%) were male. Peak incidences were noted at the ages of 3 to 6 years and 17 to 18 years. The frequently observed FBs were insects, followed by air-gun pellets, cotton balls, marbles, and earrings. Forty-one (14.4%) EAC FBs were removed with the naked eye, while 243 (85.6%) were removed under microscope in the otolaryngology department. Of these patients, 23 (9.5%) were administered sedatives and 1 (4.1%) needed general anesthesia. During or after the removal procedure, 4 (15.5%) patients had complications of EAC abrasion or laceration (42, 14.8%), and tympanic membrane perforation (2, 0.7%). Conclusions: External auditory canal FB showed a distinct characteristic of incidence regarding age, related to removal strategies. Characteristics of FB must be considered for safe removal.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

et al. 2019

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“…ENTs have determined that ED/UC success rates have ranged widely, from 12% to 86%. 7,9,11,13,14,16 Studies conducted by ED/UC personnel, however, have exhibited consistence for higher rates of success, at 78% to 88%. 1,8,[10][11][12] Although not all research conducted by ENTs has disagreed with the findings by ED/UC personnel, our rate of 17.74% success by the ED/UCs again highlights a divergence.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the variation in findings, the literature has persistently demonstrated higher rates of aural FB removal success by associated ENT departments as compared with ED/UC departments. [8][9][10][11][12][13][14]16 Furthermore, Mingo et al 11 showed a statistically significant difference in the first-attempt success rates of ENTs (95.4%) when compared with PCPs (75%). Failure to remove aural FBs is particularly impactful for pediatric patients; each new attempt at FB retrieval may induce greater stress to the child, especially if the child experiences pain.…”

Section: Discussionmentioning

confidence: 99%

“…Success rates for extraction of pediatric aural FBs in the UC/ ED settings have ranged widely, from 7% to 80%, with higher success rates consistently reported in the ED literature. [7][8][9][10][11][12][13][14] Several studies have compared aural FB removal efficacy between UC/EDs and ENTs, but currently only 1 study has made comparisons that included pediatric PCPs. Furthermore, although methods of extraction have been well described in previous literature, differences in their efficacy remain obscure.…”

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confidence: 99%

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Pediatric Aural Foreign Body Extraction: Comparison of Efficacies Among Clinical Settings and Retrieval Methods

Shih

Brock

Liu

2020

Otolaryngol.--head neck surg.

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Objectives To compare the efficacy of aural foreign body (FB) extractions among medical care settings and determine if certain methods of extraction resulted in higher failure rates and procedural complications. Study Design Case series with chart review. Setting Emergency departments (EDs), urgent cares (UCs), pediatric primary care providers (PCPs), and otolaryngologists (ENTs). Methods A total of 366 pediatric patients with EAC foreign bodies at a tertiary children’s hospital and associated satellite clinics. Results The ED/UCs (17.46%), PCPs (75.22%), and ENTs (94.54%) exhibited highly variable success rates for pediatric aural FB extractions. Complications were considerably higher for attempts by ED/UCs (22.22%) as compared with PCPs (2.61%) and those of unclear etiology (2.73% of all attempts). Use of balloon-tipped catheters and adhesive-tipped probes (eg, cyanoacrylate/superglue) for FB extraction exhibited 0% success rates with high severity of complications. Conclusion Our statistics provide an example in which ED/UCs had higher failure rates at pediatric aural FB removals when compared with PCPs and ENTs. If a single provider (PCP or ED/UC) fails to retrieve an aural FB or if the provider is not comfortable conducting the procedure, then referral to an ENT is preferable to another PCP or ED/UC. Our evidence reveals that balloon-tipped catheters and adhesive-tipped probes for FB removal in the pediatric population are prone to failure and higher rates/severity of complications.

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“…4 Specifically, jewelry bead FBs in the ears of children have the lowest rates of successful removal. 10,11 Because jewelry represents the majority of FBs presenting in the age group from birth to 4 years old, educational efforts and prevention strategies should target these populations (Figure 5; Table 1). Complications of ear piercings should be discussed during the newborn discharge examination and pediatric wellness visits.…”

Section: Pediatric Presentationsmentioning

confidence: 99%

I’m All Ears: A Population-Based Analysis of Consumer Product Foreign Bodies of the Ear

Helbing

Straughan

Pasick

et al. 2021

Ann Otol Rhinol Laryngol

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Objectives: The purpose of this study was to assess the nationwide incidence of ear foreign body (FB) presentations to the emergency department (ED) and analyze the most common FB consumer products encountered. Methods: The National Electronic Injury Surveillance System (NEISS) was evaluated for ED visits that included “ear foreign bodies” from 2010 through 2019. The most frequent foreign bodies were identified and organized by demographics. Results: A total of 20,545 ear FB cases were found, with an estimated 608,860 ED visits nationwide. Female patients (56%) were more likely to have jewelry and first aid equipment FBs. Males between the ages of 5 and 15 years were significantly ( P < 0.05) more likely to have paper products, pens/pencils, and desk supplies in their ears. Conclusion: Ear FBs represent a substantial proportion of healthcare expenditures. Although children are the most commonly affected individuals, all ages require further education and preventive measures.

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External Auditory Canal Foreign Body Extraction Outcomes

Abstract: Patients commonly present to the ED for removal of EAC foreign bodies. Referral to an otolaryngologist is recommended if the object is spherical or after one unsuccessful attempt at removal.

Cited by 16 publications

References 7 publications

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

Pediatric Aural Foreign Body Extraction: Comparison of Efficacies Among Clinical Settings and Retrieval Methods

I’m All Ears: A Population-Based Analysis of Consumer Product Foreign Bodies of the Ear

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