An annual audit of the ear foreign bodies in hospital Universiti Sains Malaysia
AbstractForeign bodies or objects in the ear are one of the most common problems encountered by otorhinolaryngologist (ORL) with attendant complications, removal of which requires expertise. Patients with this problem who sought treatment in the otorhinolaryngology clinic of Hospital Universiti Sains Malaysia (HUSM) were studied for duration of one year from January 2010 to December 2010. Specifically, the clinical presentation, type of foreign body and management outcome were analysed. 72 patients were reviewed - 44 (61.1%) males and 28 (38.9%) females. The age range was one year to 75 years with 59.8% being children below 10 years old. Ear pain (56.9%) was recorded as the most common and persistent symptom and insects (54%) were the commonest foreign body encountered. 95% (69) of the foreign bodies were removed under clinic setting with only three (4.2%) cases requiring general anaesthesia. Post-removal complications were noted in only one patient (1.4%). Repeated attempts by untrained personnel should be avoided and timely referral is vital to avoid undesirable complications
Balbani AP, Sanchez TG, Butugan O, et al. Ear and nose foreign body removal in children. Int J Pediatr Otorhinolaryngol. 1998;46(1-2):37-42.
S, Tang IP, Velayutham P, et al. Foreign body in the middle ear, a hearing aid complication. Med J Malaysia. 2008;63(3):267-8.
Arora S, Goyal SK. Unusual foreign body in the ear in an adult patient with psychiatric illness. Indian J Psychiatry. 2009;51(2):164.
Ngo A, Ng KC, Sim TP. Otorhinolaryngeal foreign bodies in children presenting to the emergency department. Singapore Med J. 2005;46(4):172-8.
Shalini Singh Sisodia. Foreign body ear nose and throat - clinical presentation and management. 2008.
Ijaduola GT, Okeowo PA. Foreign body in the ear and its importance: the Nigerian experience. J Trop Pediatr. 1986;32(1):4-6.
Iseh KR, Yahaya M. Ear foreign bodies: observations on the clinical profile in Sokoto, Nigeria. Ann Afr Med. 2008;7(1):18-23.
Zamzil Amin A, Baharudin A, Shahid H, et al. Isolated facial palsy due to intra-aural tick (ixodoidea) infestation. Arch Orofac Sci. 2007;2:51-3.
Ryan C, Ghosh A, De Villiers S, et al. Adult aural foreign bodies. Int J Otorhinolaryngol. 2006;4:2.
Srinovianti N, Raja Ahmad RLA. Intra-aural tick infestation the presentation and complications.
Bressler K, Shelton C. Ear foreign-body removal: a review of 98 consecutive cases. Laryngoscope. 1993;103(4 Pt 1):367-70.
Antonelli PJ, Ahmadi A, Prevatt A. Insecticidal activity of common reagents for insect foreign bodies of the ear. Laryngoscope. 2001;111(1):15-20.