Pediatric External Auditory Canal Foreign Bodies: A Review of 698 Cases

Schulze, Stacey L.; Kerschner, Joseph E.; Beste, David J.

doi:10.1067/mhn.2002.126724

Cited by 108 publications

(115 citation statements)

References 6 publications

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“…EAC is full of sensitive innervations supplied by fibers derived by vagus (nerve of Arnold), by auricular-temporal branch of mandibular nerve (3rd branch of the trigeminal nerve) and by a small contingent of fibers derived by the facial nerve. The innervations explain the exquisite sensitivity of these structures and the severe pain that the attempts of removal can cause so that very often a general anaesthesia or at least sedation must be used especially in younger patients [2][3][4]. This issue has received renewed attention in the last years [5,6], particularly in view of the aspects related to object removal, case management in the Emergency Department [7] and risk of complications [8].…”

Section: Introductionmentioning

confidence: 99%

Foreign bodies in the ears causing complications and requiring hospitalization in children 0–14 age: Results from the ESFBI study

Gregori¹,

Morra

Berchialla³

et al. 2009

Auris Nasus Larynx

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Objective: The occurrence of foreign bodies (FBs) in otorhinolaryngological practice is a common and serious problem among patients in paediatric age. The aim of this work is to characterize the risk of complications and prolonged hospitalization due to foreign bodies in ears in terms of the characteristics of the injured patients (age, gender), typology and features of the foreign bodies, the circumstances of the accident and the hospitalization's details. Methods: A retrospective study in major hospitals of 19 European countries was realized on children aged 0-14 with regard to the characteristics of the injured child and the FB, the circumstances of the accident and finally the hospitalization's details. Results: Four hundred and ninety eight cases were reported with an injury due to insertion of a FB in the ear (ICD931). Complications were observed in 65 (13.05%) children. Complications were lesion of auricular canal, perforation of tympanic membrane, local inflammation, bleeding, pain and otitis. Hospitalization lasted in median 1 day. The 82% of hospitalized children are in the ''day hospital'' regimen. The spherical, rigid and inorganic FB caused hospitalization in 61%, 63% and 84% of cases, respectively. Conclusion: Foreign body injuries in the ears are commonly encountered in clinical practice. The removal by non-ENT personnel can be associated to complications especially in children who have a variable level of cooperation.Occasions for the injury were mostly playing in the absence of watchful caregivers. Since prevention is the most essential way to deal with FB injuries public education should be encouraged. #

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Section: Introductionmentioning

confidence: 99%

Foreign bodies in the ears causing complications and requiring hospitalization in children 0–14 age: Results from the ESFBI study

Gregori¹,

Morra

Berchialla³

et al. 2009

Auris Nasus Larynx

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show abstract

“…The etiology of FB in the ear has been ascribed to general curiosity and a whim to explore orifices in children, playful insertion of FB into others' body parts, accidental entry of foreign body, preexisting disease in ear causing irritation, and habitual cleaning of ear and nose with objects like ear buds [4,5]. FB in ear can be classified in many ways like organic-inorganic, animate-inanimate, metallic-nonmetallic, hygroscopic-nonhygroscopic, regular or irregular, soft or hard, and so forth, according to their nature [6]. The method of removal usually depends on the type of FB, its position, and cooperation of the patient [7,8].…”

Section: Introductionmentioning

confidence: 99%

Foreign Body of External Auditory Canal: Review of 170 Cases

Koo¹,

Park²,

Bae³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

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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.

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“…The etiology of foreign bodies in nose or ear has been ascribed to general curiosity and a whim to explore orifices in children, playful insertion of foreign bodies into others' body parts, accidental entry of foreign body, preexisting disease in ear causing irritation, habitual cleaning of ear and nose with object like ear buds [1,2]. Foreign bodies in ear or nose can be classified in many ways like organic-inorganic, animate-inanimate, metallic-nonmetallic, hygroscopic-non hygroscopic, regular or irregular, soft or hard etc., according to their nature [3]. The method of removal usually depends on the type of foreign body, its position, and cooperation of the patient with a foreign body [4,5].…”

Section: Introductionmentioning

confidence: 99%

Study on Clinical Presentation of Ear and Nose Foreign Bodies

Moorthy

Madhira

Rau

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Ear and nose foreign bodies are common problems affecting the children but adults are not an exception. A prospective study involving 87 patients is undertaken concentrating on presentation of patients with various types of ear or nasal foreign bodies. In the present study common presenting complaints and uncommon presentation scenarios encountered by us like a nasal foreign body with intra cranial complications, an impacted middle ear foreign body with mastoiditis is discussed. The present article emphasizes the need of considering presence of foreign bodies even in the absence of appropriate clinical signs and symptoms suggestive of a foreign body in ear or nose.

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Pediatric External Auditory Canal Foreign Bodies: A Review of 698 Cases

Abstract: Certain foreign body and patient characteristics are associated with poor outcomes with removal attempts made under direct visualization. These cases should be referred directly to otolaryngologists for otomicroscopic removal.

Cited by 108 publications

References 6 publications

Foreign bodies in the ears causing complications and requiring hospitalization in children 0–14 age: Results from the ESFBI study

Foreign bodies in the ears causing complications and requiring hospitalization in children 0–14 age: Results from the ESFBI study

Foreign Body of External Auditory Canal: Review of 170 Cases

Study on Clinical Presentation of Ear and Nose Foreign Bodies

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