This document discusses foreign bodies in the ear. It notes that foreign bodies in the ear can be either organic or inorganic materials that get stuck in the ear canal. Common organic foreign bodies include beans, nuts, and worms, while inorganic examples include beads, metals, and plastics. Signs of a foreign body in the ear include ear fullness, trouble hearing, itching, earache, fever, redness, bleeding, and drainage. Treatment depends on the type and size of the foreign body, and may involve irrigation, suction, or instrumentation to remove it. Complications can include ear canal abrasions, bleeding, infection, or perforation of the eardrum.

1. X-RAY FORIENGN BODY IN ENT
PRESENTER BY
DR V SANKAR NAIK
M.S ENT II nd year PG

2. Foreign bodies
in the ear
A foreign body in the ear is anything that gets
stuck in the ear canal other than earwax

3. Etiology
Anything that is inserted in the ear may get
stuck and cause an ear foreign body. These
things may include; ORGANIC (living or non
living)or INORGANIC
NON-LIVING
Sponge
Eraser
Paper
Wood
Cotton buds

4. LIVING
Beans
Nuts
Worms
INORGANIC
Bead
Metal
Stones
Plastic toys
Button
Batery

5. Clinical manifestations
Feeling of something in the ear
Ear fullness
Trouble in hearing
Itching
Otalgia (ear ache)
Fever
Redness
Bleeding
Thick drainage and a foul odor
If the foreign body is an insect, may feel movement
or hear buzzing

6. Diagnostic measures
History collection
Physical examination
Otoscopy
Audiometry

7. Management
Medical management
Treatment will depend on type of foreign body is in the
ear.
Treatment may also depend on how long and how deep
the
foreign body is in the ear canal and may include:
Pharmacological:
Numbing medicine may be put before trying to remove
the
foreign body. Sedative and pain medicines help to stay
comfortable, calm and relaxed.
Antibiotics to prevent an infection.
The three standard methods for removing foreign bodies
are :
Irrigation
Suction
Instrumentation

8. Surgical management
Surgery is done if the foreign body is very deep.
Surgery
may also be done to treat ear damage caused by the
foreign body.
Nursing management
Assess for nonverbal signs of ear pain to identify pain.
Educate the patient not to put fingers or other objects
into the ear.
Teach patient how to use topical antibiotics, oral
antibiotics, and other medications to promote healing.
Instruct patient to report any prolonged symptoms of
ear
pain, swelling, drainage, or plugged feeling

9. COMPLICATIONS
Ear canal abrasions
Bleeding
Infection
perforation of the tympanic membrane.
Otitis externa / otitis media
Foreign body granuloma

10. A variety of foreign bodies are ingested by children. Peak
incidence is in children less than 4 years of age (up
to 75%). The most common item ingested is probably the
coin (up to 70% of cases) (Figure 34.5). Symptoms include
drooling, pain, dysphagia and odynophagia. Small, blunt
foreign bodies may pass through unhindered. Foreign
bodies such as chicken and fish bones may stick in the
tonsil, tongue base, cricopharyngeus and pharyngeal wall
in reducing order of occurrence.92 Larger items typically
stick at the cricopharyngeus or upper oesophagus above
the aortic arch. Pathology within the oesophagus can
present with foreign body impaction.

12. quite uncommon in children and should raise the
possibility of eosinophilic oesophagitis. This condition is
discussed in more detail in Chapter 44, Reflux and
oesinophilic oesophagitis. When a food bolus is found in a
child, the surgeon should take three biopsies from the
lower oesophagus for histology and specifically request
examination for eosinophils. Flexible nasendscopy may
either identify the foreign body in the pharynx or
demonstrate saliva pooling in the pyriform fossae
indicating a hold-up in the oesophagus. Metallic foreign
bodies may be detected by metal detector or more usually
radiography (see Figure 34.5). Contrast swallow is not an
appropriate initial management as it obstructs endoscopy
and may result in aspiration.95 Whereas foreign bodies
such as small fish bones may absorb without removal,
most will require surgical removal.96 If not removed, some
foreign bodies migrate into the soft tissue of the neck.97
Controversy remains around the choice of flexible or rigid
endoscopy (Figure 34.6). The latter has a significantly
higher perforation rate compared to flexible type (0.2–1.2
versus 0.02–0.05),98 yet both methods have similar
success rates.99 Early intervention confers benefit of
reduced complications in particular for sharp foreign
bodies such as bones and pins.98, 100, 101 Complications
include perforation, mediastinal infection/ abscess,

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