Evaluation of Patients with External Auditory Canal Foreign Bodies

Öz

Background: External auditory canal foreign bodies, which are seen both in children and adults, are common otolaryngology emergencies. Serious complications may occur when trying to remove the foreign body and because of foreign body. To investigate the types of foreign bodies, complication rates, treatment protocols of patients with external auditory canal foreign bodies.
Materials and Methods: 186 patients who were diagnosed with foreign bodies in the external auditory canal were analyzed retrospectively between November 2016 and August 2019 in Sakarya Hendek State Hospital. Types of foreign bodies, age, gender, clinical symptoms, side of presentation, complications, treatment protocols were recorded.
Results: We detected 186 patients (116 males,70 females; mean age:36.7 years; range 9 month to 87 years) with external auditory canal foreign bodies. Foreign bodies were detected in right ear in 91 patients (%48.9), and in left ear in 87 patients (%46.8). 8 patients (%4.3) had bilateral foreign bodies and 6 patients (%3.2) had at least two foreign bodies in the same external auditory canal. 54 (%29) patients were children under 16 years of age, 132 (%71) were adults. Beads (%25.9) were the most common foreign bodies in children, cotton (%25) were the most common in adults. Foreign bodies were removed without use of any anesthetic agents in 179 patients but in 7 (%3,8) patients they were removed under general anesthesia.
Conclusion: Foreign bodies should be removed carefully under good vision using an otoscope or under the microscope by experienced otorhinolaryngologists to prevent complications. Both ears of the patients coming with the complaint of foreign body in external auditory canal should be examined carefully and after the foreign body is removed, the external auditory canal and the tympanic membrane should be evaluated again for the presence of another foreign body or any complication. The public should be informed about external auditory canal foreign bodies.
Key words: Foreign body, External auditory canal 

Dış Kulak Yolunda Yabancı Cisim Olan Vakaların Değerlendirilmesi

Öz

Dış Kulak Yolunda Yabancı Cisim Olan Vakaların Değerlendirilmesi AMAÇ: Dış kulak yolunda yabancı cisim olan olgularda yabancı cisim tipleri, komplikasyonları, tedavi yaklaşımları incelendi. MATERYAL ve METOD: Kasım 2015 ve Ağustos 2019 yılları arasında kulakta yabancı cisim nedenli tanı konulan 186 hastalar retrospektif olarak incelendi. Yabancı cismin tipi, hastanın yaşı, cinsiyeti, hasta şikayetleri, yabancı cismin hangi tarafta sık görüldüğü, komplikasyonlar, tedavi yöntemleri kaydedildi. BULGULAR: 186 kişinin (116 erkek, 70 bayan ortalama yaş 36.7 yıl dağılım: 9ay- 87 yıl) dış kulak yolunda yabancı cisim tespit edildi. 91 olguda (%48.92) sağ kulakta, 87 olguda (%46.77) sol kulakta, 8 olguda (%4.3) her iki kulakta yabacı cisim izlendi. 6 (%3.2) olguda tek kulakta birden fazla yabancı cisim izlendi. Hastaların 54’ ü 16 yaş altı çocuk, 132’si erişkindi. Çocuklarda en sık boncuk (%25.93), erişkinlerde en sık pamuk (%25) izlendi. 179 hastadan poliklinik şartlarında anestezi kullanmadan yabancı cisim çıkartılırken, 7 hastada genel anesteziyle yabancı cisim çıkarıldı. SONUÇ: Hem çocuklarda hem de erişkinlerde görülen dış kulak yolu yabancı cisimleri sık görülen Kulak burun boğaz (KBB) acillerindendir. Komplikasyonlardan kaçınmak için uygun aletler kullanarak tecrübeli KBB hekimlerince otoskop ya da mikroskop yardımı ile iyi görüş sağlanarak dikkatlice çıkartılmalıdırlar. Anahtar kelimeler: Yabancı cisim, dış kulak yolu, pamuk, boncuk Evaluation of Patients with External Auditory Canal Foreign Bodies. ABSTRACT: BACKGROUND: To investigate the types of foreign bodies, complication rates, treatment protocols of patients with external auditory canal foreign bodies. METHODS: 186 patients who were diagnosed with foreign bodies in the external auditory canal were analyzed retrospectively between November 2015 and August 2019. Types of foreign bodies, age, gender, clinical symptoms, side of presentation, complications, treatment protocols were recorded. RESULTS: We detected 186 patients (116 males,70 females; range 9 month to 87 years) with external auditory canal foreign bodies. Foreign bodies were detected in right ear in 91 patients(%48.92), and in left ear in 87 patients (%46.77). 8 patients (%4.3) have bilateral foreign bodies and 6 patiens (%3.2) have at least two foreign bodies in the same external auditory canal. 54 patients were children under 16 years old, 132 were adults. Beads (%25.93) were the most common foreign bodies in children, cotton (%25) were the most common in adults. Foreign bodies were removed without use of any anesthetic agents in 179 patients but in 7 patients were removed under general anesthesia. CONCLUSION: External auditory canal foreign bodies are common emergency problem of otorhinolaryngology in both children and adults. They should be removed carefully under good vision using otoscope or under the microscope by experienced otorhinolaryngologist for prevent complications. KEY WORDS: Foreign body,external auditory canal, cotton, bead

Anahtar Kelimeler

• Yabancı cisim
• pamuk
• boncuk
• dış kulak yolu

Kaynakça

1. 1. Da Silva BSR, Souza LO, Camera MG, Tamiso AGB, Castanheira LVR, Foreign Bodies in Otorhinolaryngology: A Study of 128 Cases. Intl Arch Otorhinolaryngol 2009;13:394-9 2. Fritz S, Kelen GD, Sivertson KT. Foreign bodies of the external auditory canal. Emerg Med Clin North Am 1987;5:183-92 3. Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope 2003;113:1912-5 4. Yeğin Y, Çelik M, Olgun B, Şimşek B, Altıntaş A, Kayhan F Dış kulak yolu yabancı cisim saptanan olguların değerlendirilmesi Kocaeli Medical J 2017;6;1:45-51 5. İlhan E, Memiş M, Ulucanlı S, Karadeniz D, Yaman H, Güçlü E. Dış Kulak Yolu Yabancı Cisimli 117 Hastanın Tanı Ve Tedavisi KBB-Forum.2014;13:31-4 6. Gül A, Yıldırım H, Yılmaz B, Şengül E, Akdağ M, Özkan H, et al. Dış Kulak Yolunda Yabancı Cisim Tanılı 158 Olgunun Retrospektif Analizi . Kulak Burun Boğaz Uygulamaları 2014;2:122-5 7. Schulze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol Head and neck Surg. 2002;127:73-8 8. 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;28:87-90 9. Al-juboori AN. Aural Foreign Bodies: Descriptive Study of 224 Patients in Al-Fallujah General Hospital , Irag. Int J Otolaryngol. 2013. 10. Olajide TG, Olage FE, Arigbede OO. Management of foreign bodies in the ear: a retrospective review of 123 cases in Nigeria. Ear Nose Throat Journal. 2011;90:E16-9 11. Bowles PF, Turrell C, Das P. Bialteral aural foreign bodies Aust Fam Physician. 2016 Apr;45(4):200-1. 12. Ansley JF, Cunningham MJ. Treatment of Aural Foreign Bodies in Children Pediatrics. 1998 Apr;101(4 Pt 1):638-41. 13. Burke RT, Gatton B, Melville LD. Mastoidits and Meningitis Complicating an Aural Foreign Body Pediatr Emerg Care. 2012 Oct;28(10):1070-1.