A rare case of chronic suppurative otitis media with foreign body in external auditory canal and mastoid antrum
Keywords:
Foreign body-broom sticks, Middle ear-auditory canalAbstract
Foreign bodies in External Auditory Canal (EAC) are common in both adults and children. Removal of foreign body requires skill but usually successfully performed in the ENT department. A 40 year old female patient presented with right ear discharge with decreased hearing. On examination, a pale, scanty, mucopurulent discharge, foul smelling with blood tinge, persisting even after medications. After aural toileting, tympanic membrane was perforated with granulation tissue in middle ear. Multiple broom sticks were found in the external auditory canal, mastoid antrum was removed via post auricular approach with excision of polyp with radical mastoid exploration. Removal of foreign body from EAC is an essential skill for ENT surgeon. Careful removal can prevent further trauma and complications. An aural polyp with ear discharge, never attempt to pull/avulsion.
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References
Eleftheriadou A, Chalastras T, Kyrmizakis D, Sfetsos S, Dagalakis K, Kandiloros D. Metallic foreign body in middle ear: an unusual cause of hearing loss. Head Face Med. 2007;3:23.
Simons JP, Eibling DE. Tympanic membrane perforation and retained metal slag after a welding injury. Otolaryngol Head Neck Surg. 2005;133(4):635-6.
Kohan D, Sorin A, Marra S, Gottlieb M, Hoffman R. Surgical management of complications after hearing aid fitting. Laryngoscope. 2004;114(2):317-22.
Jacob A, Morris TJ, Welling DB. Leaving a lasting impression: ear mold impressions as middle ear foreign bodies. Ann Otol Rhinol Laryngol. 2006;115(12):912-6.
Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope. 2003;113(11):1912-5.
Singh GB, Sidhu TS, Sharma A, Dhawan R, Jha SK, Singh N. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol. 2007;28(2):87-90.
Gregori D, Morra B, Berchialla P, Salerni L, Scarinzi C, Snidero S, et al. Foreign bodies in the ears causing complications and requiring hospitalization in children 0-14 age: results from the ESFBI study. Auris Nasus Larynx. 2009;36(1):7-14.
Benger JR, Davies PH. A useful form of glue ear. J Accid Emerg Med. 2000 Mar;17(2):149-50.
