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Foreign bodies of the external auditory meatus

Foreign bodies in the external auditory canal are most often found in children when during the game they push various small objects (buttons, balls, pebbles, peas, beans, paper, etc.) into their ears. However, in adults, foreign bodies are often found in the external auditory canal. They can be fragments of matches, pieces of cotton, stuck in the ear canal at the time of cleaning the ear of sulfur, water, insects, etc.

Klinsky kartin depends on the size and nature of the foreign bodies of the outer ear. So, foreign bodies with a smooth surface usually do not injure the skin of the external auditory canal and for a long time can not cause discomfort. All other objects quite often lead to reactive inflammation of the skin of the external auditory canal with the formation of a wound or ulcer surface. Foreign bodies (cotton wool, peas, beans, etc.) that are swollen from moisture, covered with earwax can lead to blockage of the ear canal. It should be borne in mind that one of the symptoms of a foreign body of the ear is hearing loss as impaired sound conduction. It occurs as a result of a complete blockage of the ear canal. A number of foreign bodies (peas, seeds) are able to swell under conditions of humidity and heat, so they are removed after the infusion of substances that contribute to their wrinkling. Insects caught in the ear, at the time of movement cause unpleasant, sometimes painful sensations.

D and a g n about with t and to and. The recognition of foreign bodies is usually not difficult. Large foreign bodies linger in the cartilaginous part of the auditory meatus, while small ones can penetrate deep into the bony section. They are clearly visible with otoscopy. Thus, the diagnosis of a foreign body of the external auditory canal should and can be made by otoscopy.

In those cases when, with unsuccessful or inept attempts to remove a foreign body, made earlier, inflammation occurred with infiltration of the walls of the external auditory canal, the diagnosis becomes difficult. In such cases, if a foreign body is suspected, short-term anesthesia is indicated, during which both otoscopy and removal of the foreign body are possible.
To detect metallic foreign bodies, they resort to radiography.

Treatment. After determining the size, shape and nature of the foreign body, the presence or absence of any complication, choose the method of its removal. The safest way to remove uncomplicated foreign bodies is to wash them with warm water from a 100-150 ml Jeanet syringe, which is done in the same way as removing a sulfur plug.

When you try to remove it with tweezers or forceps, the foreign body can slip out and penetrate from the cartilaginous section into the bony section of the ear canal, and sometimes even through the tympanic membrane into the middle ear. In these cases, the extraction of a foreign body becomes more difficult and requires great caution and a good fixation of the patient’s head, short-term anesthesia is required. The probe hook is necessarily controlled by a foreign body and pulled out. A complication of instrumental removal of a foreign body can be rupture of the eardrum, dislocation of the auditory ossicles, etc. Swollen foreign bodies (peas, beans, beans, etc.) should be pre-dehydrated by pouring 70% alcohol into the ear canal for 2-3 days, as a result of which they are wrinkled and removed without much difficulty by washing.

If insects get into the ear, they are killed by pouring a few drops of pure alcohol or heated liquid oil into the ear canal and then removed by washing.

In those cases when a foreign body has wedged in the bone section and has led to a sharp inflammation of the auditory canal tissue or led to an injury to the eardrum, they resort to surgery under anesthesia. A soft tissue incision is made behind the auricle, the posterior wall of the cutaneous ear canal is exposed and cut, and the foreign body is removed. Sometimes it is necessary to surgically expand the lumen of the bone section by removing part of its posterior wall.
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Foreign bodies of the external auditory meatus

  1. Boil of the external auditory meatus
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal. Et and about l about d and I. The disease occurs as a result of infection, often staphylococci, entering the sebaceous and hair sacs when irritated skin is irritated by manipulations in the ear.
  2. Atresia and strictures of the external auditory meatus
    Ruby atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis media complicated by external otitis media, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after radical ear surgery. In the elderly and senile age, the walls of the ear canal collapse due to the loss of their elasticity, which leads to
  3. External auditory canal flushing
    Purpose: removal of the contents of the external auditory meatus. Equipment: Janet syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions Obtain patient consent for washing, explaining to him the purpose and course of the procedure. Set the patient sideways to himself. Wear gloves. Put a towel on the patient’s shoulder, oilcloth on top
  4. External auditory canal exostoses
    Exostoses are bone formations resulting from osteodystrophic processes of the temporal bone. Some attribute them to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obstruction of the ear canal appears ear noise, hearing loss, the process of excretion of sulfur or pus during otitis media is disrupted. Observed two
  5. External auditory canal cleansing
    Purpose To clean the patient’s ears. Indications Inability to self-service. Contraindications None. Possible complications When using hard objects, damage to the eardrum or external auditory canal. Equipment 1. Wadded turunds. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  6. Sulfur cork of the external auditory meatus
    Blockage of the external auditory canal with sulfur or with an admixture of the epidermis is a common occurrence. Under normal conditions, the secretion of the sulfur glands, drying up into lumps and crusts, falls out when chewing and talking due to movements of the mandibular joint and the anterior wall of the ear canal. Excessive sulfur accumulation may be associated with hyperfunction of the sulfur glands under the influence of irritating
  7. Spilled inflammation of the external auditory meatus
    External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious diffuse inflammation of the skin of the external auditory meatus. It occurs as a result of the penetration of infection through minor traumatic skin lesions that occur most often during manipulations in the ear. In addition, skin injuries due to chemical and thermal burns or injuries contribute to
  8. Foreign bodies of the outer ear
    Clinical picture Foreign bodies of the outer ear are most often observed in children who, playing with various small objects (pebbles, cherry stones, beads, buttons, sunflower seeds, peas, paper balls, etc.), put them into their ears. In adults, foreign bodies can be matches, pieces of cotton wool. There are also living foreign bodies (insects). Symptoms depend on the magnitude.
  9. Acquired stenosis of the external auditory meatus. H-61.3
    {foto46} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (lowering
  10. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Strong shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied by
  11. Auditory canal eczema
    Cause Frequent local irritation of the skin of the ear canal with general eczema. Predisposing factor for eczema of the auditory canal is suppuration from the ear in chronic suppurative otitis media, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and incorrect use of ointments and lotions. Symptoms of Itching. He can be so
    Foreign bodies in the external auditory canal are more common in children who, during games, put various small objects (buttons, beads, seeds, small bones, balls, pebbles, peas, beans, paper, parts from toys, grains, etc. into their ears. ) In adults, foreign bodies may have fragments of matches, pencil rods, pieces of cotton, stuck in the ear canal at the time of the toilet
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