Presentation and management of aural foreign bodies in two Australian emergency departments

Ryan, Caroline; Ghosh, Angaj; Wilson-Boyd, Brian; Smit, Devilliers; O’Leary, Stephen

doi:10.1111/j.1742-6723.2006.00865.x

Cited by 29 publications

(37 citation statements)

References 13 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There were wide variations International Journal of Otolaryngology regarding the type of the aural FB; in Chai et al study, seeds or nuts were the commonest ear FB encountered which consisted of 226 (47.1%) cases; this was followed by plastic toys or beads [12]. In Ologe et al study grains and seeds (27.9%), beads (19.7%), cotton wool (13.6%), paper (8.8%), and eraser (8.2%) formed the bulk of the aural FB [14], but this differed from our results in which beads and cotton tips were common as compared to seeds; this was consistent with other studies [15]. In our study, garlic was encountered as an animate FB because it was used traditionally for the relief of earache.…”

Section: Discussioncontrasting

confidence: 57%

Foreign Body of External Auditory Canal: Review of 170 Cases

Koo¹,

Park²,

Bae³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

View full text Add to dashboard Cite

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.

show abstract

Section: Discussioncontrasting

confidence: 57%

Foreign Body of External Auditory Canal: Review of 170 Cases

Koo¹,

Park²,

Bae³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…The cotton buds at the end of cotton-tipped applicators may separate, requiring removal as a foreign body. 92 One case report did report fatal otogenic meningitis and brain abscess due to retained cotton swabs. 94 In a prospective study, Lee et al showed that complications do arise from self-cleaning of the external auditory canal.…”

Section: Interventions Not Recommended To Treat Cerumen Impactionmentioning

confidence: 99%

“…92 Removing cerumen with an oral jet irrigator was described by Larsen. 93 Flared tip and OtoClear Tip are promoted as safer tips to eliminate overinsertion and direct the water away from the tympanic membrane, theoretically avoiding the risk of injury by reducing the buildup of pressure causing damage or pain.…”

Section: Interventions Not Recommended To Treat Cerumen Impactionmentioning

confidence: 99%

Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)

Schwartz

Magit

Rosenfeld

et al. 2017

Otolaryngol.--head neck surg.

119

View full text Add to dashboard Cite

Objective. This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidencebased recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include• a consumer added to the development group;• new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); • enhanced information on patient education and counseling; • a new algorithm to clarify action statement relationships;• expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; • an enhanced external review process to include public comment and journal peer review; and • 3 new key action statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.Purpose. The primary purpose of this guideline is to help clinicians identify patients with cerumen impaction who may benefit from intervention and to promote evidence-based management. Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. The guideline is intended for all clinicians who are likely to diagnose and manage patients with cerumen impaction, and it applies to any setting in which cerumen impaction would be identified, monitored, or managed. The guideline does not apply to patients with cerumen impaction associated with the following conditions: dermatologic diseases of the ear canal; recurrent otitis externa; keratosis obturans; prior radiation therapy affecting the ear; previous tympanoplasty/myringoplasty, canal wall down mastoidectomy, or other surgery affecting the ear canal.Key Action Statements. The panel made a strong recommendation that clinicians should treat, or refer to a clinician who can treat, cerumen impaction, defined as an accumulation of cerumen that is associated with symptoms, prevents needed assessment of the ear, or both.The panel made the following recommendations: (1) Clinicians should explain proper ear hygiene to prevent cerumen impaction when patients have an accumulation of cerumen. (2) Clinicians should diagnose cerumen impaction when an accumulation of cerumen, as seen on otoscopy, is associated with symptoms, prevents needed assessment of the ear, or both. (3) Clinicians should assess the patient with cerumen impaction by history and/or physical examination for factors that modify management, such as ≥1 of the following: anticoagulant therapy, immunocompromised state, diabetes mellitus, prior radiation therapy to the head and neck, ear canal stenosis, exostoses, and nonintact tympanic membrane. (4) Clinicians should not routinely treat cerumen in patients who are asymptomatic and whose ears can be adequately examined. (5) Clinicians s...

show abstract

“…Q-tip use is mostly associated with external otitis and retained foreign bodies than tympanic membrane perforation 6,7 . In a primary care population, 36% of respondents to a survey admitted to cleaning their ears by placing a foreign body in the canal at least one time per day.…”

Section: Introductionmentioning

confidence: 99%

In Vitro Efficacy of a Consumer-Marketed Ear Cleaning Tool

Schneider

Crane

2014

Otology &Amp; Neurotology

View full text Add to dashboard Cite

Hypothesis The WaxVac ear cleaning device may be a useful adjunct for patients requiring aural toilet. Background Cerumen removal and routine aural toilet is a common complaint that presents to the otolaryngology clinic. We tested this device in order to make an appropriate recommendation to our patients. Methods We conducted in vitro testing of the WaxVac device on an artificial ear canal model and cadaveric temporal bones testing the strength of the suction, noise created by the device, and the ability of the device to remove foreign bodies from the external auditory canal. These foreign bodies included a PE tube, baby powder, a q-tip head, saline, and artificial cerumen. Results The WaxVac created very little suction as compared to Frazier tip suctions used in clinic. The device produced very little noise in the canal which was equivalent to a #3 Frazier tip suction. The WaxVac was unable to remove q-tip heads or artificial cerumen from the ear canal model or the cadaveric temporal bones. Very little of the saline could be removed by the WaxVac and only 20–50% of trials demonstrated removal of a PE tube. However, a large amount of the powder was able to be removed by the device. Conclusion While the concept of this device is good, the actual product does not produce adequate suction to remove cerumen or most common foreign bodies from the external auditory canal. It is unlikely to be useful for aural toilet.

show abstract

Presentation and management of aural foreign bodies in two Australian emergency departments

Cited by 29 publications

References 13 publications

Foreign Body of External Auditory Canal: Review of 170 Cases

Foreign Body of External Auditory Canal: Review of 170 Cases

Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)

In Vitro Efficacy of a Consumer-Marketed Ear Cleaning Tool

Contact Info

Product

Resources

About