Management: Referral Most foreign bodies may be safely deferred to ENT for removal in 1-2 days Batteries (esp. button batteries) and magnets should be removed emergently (local necrosis risk) Referral Indications Young or developmentally delayed patients [fpnotebook.com]

delay Behavioral Disorder such as ADHD Mental Illness Morbidity / Mortality Complications of placement and removal of foreign body can include: Canal Laceration Pressure or liquefactive necrosis (disc batteries) Otitis Externa Tympanic membrane perforation [fprmed.com]

[…] this man, whose presence calls, even more, into question why a woman of this age is sending her eggs off into frozen Siberian exile instead of joining them, if not in holy matrimony then at least in a sterile test tube, with this man’s, or any man’s, virile [guernicamag.com]

Figure 1: C) Status post FB removal, showing long arm of malleus and capitulum of stapes still in continuity. Figure 1: D) Gross picture of FB fragments upon removal. [enttoday.org]

There was no scar mark, skin discoloration, swelling, or tenderness in the pre-auricular and post-auricular region. The foreign body was embedded between the walls and did not move when attempt was made to remove it. [indianjotol.org]

[…] to inflammation/infection AGE Typical age between 3 and 8 years DIFFERENTIAL DIAGNOSIS Cerumen impaction Abrasion to ear canal Otitis Externa Tumor EVALUATION History Patient may admit to placing something in ear Parents witness placement Symptoms of otalgia [urgentcarepeds.org]

Foreign bodies are inserted into the ear more commonly by children than adults. [3] There are other clinical features apart from otitis externa attributable to a foreign body in the external meatus such as deafness, tinnitus, and otalgia. [3] The most [indianjotol.org]

Acute otalgia during sleep (live insect in the ear): a case report. Agri. 2009 Jan. 21(1):36-8. [Medline]. Davies PH, Benger JR. Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department. [emedicine.medscape.com]

Heart-shaped beads (aural foreign bodies), one removed from each of the external auditory canals of a girl, four years of age A girl, four years of age, presented with a one-week history of right-sided otalgia and otorrhoea. [racgp.org.au]

An unusual cause of tinnitus September 19, 2016 Po-Jun Chen, MD; Hsin-Chien Chen, MD, PhD Live insects found in the outer ear canal should be immobilized or killed before removal. [entjournal.com]

Foreign bodies are inserted into the ear more commonly by children than adults. [3] There are other clinical features apart from otitis externa attributable to a foreign body in the external meatus such as deafness, tinnitus, and otalgia. [3] The most [indianjotol.org]

Others may present with ear pain, discharge, bleeding, hearing loss or tinnitus [ 4, 5 ]. The goal of removal is to preserve the integrity of the ear while the foreign body is being removed. Removal may be done with or without general anaesthesia. [panafrican-med-journal.com]

Maggots: Flies are attracted to foul ear discharge and lay eggs. These eggs hatch into maggots. Maggots cause severe pain with foul discharge. Chloroform water is instilled into the ear to kill the maggots. [specialist-ent.com]

In rural areas of developing countries a dead housefly or maggots is commonly seen in the ears of children having ear discharge due to CSOM. [jemds.com]

Patients usually present with earache, aural fullness, or ear discharge. Occasionally it may be asymptomatic and found incidentally during routine otoscopic examination. [scielo.br]

[…] may rupture Canal erythema, swelling & foul smelling discharge may be late occurrences History Asymptomatic or incidental examination finding Pain in affected ear Noise or “drumming” in ear associated with insect foreign body Hearing loss Sensation of ear [fprmed.com]

In many cases, patients with foreign body in the ear are asymptomatic, and in children the foreign body is often an incidental finding, (3,4) other patients may present with pain, hearing loss, symptom of otitis media, or a sense of ear fullness. [jemds.com]

In many cases, patients with foreign bodies in the ear are asymptomatic, and in children the foreign body is often an incidental finding. 1, 19 Other patients may present with pain, symptoms of otitis media, hearing loss, or a sense of ear fullness. [aafp.org]

A patient with a penetrating foreign body who exhibits vertigo, ataxia, facial nerve damage, or hearing impairment should be urgently evaluated by an otolaryngologist. [pemcincinnati.com]

Central America reportedly insert leaves and other plant material into their ears as a form of native remedy. [5] Also, some adults with psychiatric disorders present to the emergency department with foreign bodies lodged in their ears as a form of self-mutilation [emedicine.medscape.com]

Central America reportedly insert leaves and other plant material into their ears as a form of native remedy. [5] Also, some adults with psychiatric disorders present to the emergency department with foreign bodies lodged in their ears as a form of self-mutilation [emedicine.medscape.com]

Follow-up A repeat exam is recommended within a week if you are experiencing no difficulties, and immediately should you experience discomfort, bleeding, drainage, dizziness, or significant hearing loss. [methodistsouthlake.com]

Earwax has a purpose, but it can buildup and cause problems like itching, hearing loss, dizziness, ringing in the ears, and pain. [medicinenet.com]

Whatever the type of object; if it has become lodged within your ear and is causing a blockage then this will cause dizziness (your balance will be affected), discomfort and a degree of hearing loss. [medic8.com]

If the wax impaction is causing pain, decreased hearing or dizziness, a doctor can irrigate (flush) the wax out of the ear gently with warm water and peroxide. [rxlist.com]

Urgent examination is indicated if the object is causing significant pain or discomfort, or there is significant hearing decline or dizziness. Exams and Tests Most objects can be seen with good lighting and a few instruments. [msafe.in]

Uncommon but potential otologic complications of ECFB removal include ossicular chain damage, sensorineural hearing loss, vertigo, facial nerve paralysis, and meningitis. [bcmj.org]

Vertigo Tympanic membrane perforation Facial Nerve Paralysis. [jemds.com]

A patient with a penetrating foreign body who exhibits vertigo, ataxia, facial nerve damage, or hearing impairment should be urgently evaluated by an otolaryngologist. [pemcincinnati.com]

An intact TM should be confirmed by pneumatoscopy beforehand, and the irrigation solution warmed to body temperature to prevent vertigo. [racgp.org.au]