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Foreign body of the external auditory canal

Foreign bodies in the external auditory canal are most often found in children when, during a 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 may be fragments of matches, pieces of cotton, stuck in the ear canal at the time of cleaning the ear from sulfur, water, insects, etc.

K l and N and c of a to and a to and r t and N and depends on the size and character of foreign bodys of an outside ear. So, foreign bodies with a smooth surface usually do not injure the skin of the ear canal and for a long time may not cause unpleasant sensations. All other subjects quite often lead to reactive inflammation of the skin of the external auditory canal with the formation of a wound or ulcer surface. Swollen with moisture, ear-coated foreign bodies (cotton wool, pea, beans, etc.) 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 a decrease in hearing as a violation of sound conduction. It occurs as a result of complete obstruction of the ear canal. A number of foreign bodies (peas, seeds) are able to swell under conditions of humidity and heat, therefore, they are removed after the infusion of substances that contribute to their wrinkling. Insects caught in the ear, at the time of movements cause unpleasant, sometimes painful sensations.

D and a gn 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 ear canal, and small ones can penetrate deep into the bone section. They are clearly visible during otoscopy. Thus, the diagnosis of a foreign body of the external auditory canal should and can be made by otoscopy.

In cases where unsuccessful or unskillful attempts to remove a foreign body, taken earlier, there was inflammation 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 shown, during which both otoscopy and removal of the foreign body are possible.
For the detection of metallic foreign bodies resorted to x-ray.

Treatment. After determining the size, shape and character of a foreign body, the presence or absence of any complication, the method of its removal is selected. The safest method of removing uncomplicated foreign bodies is to wash them out with warm water from a 100-150 ml Janet syringe, which is produced in the same way as removing a sulfur tube.

When trying to remove tweezers or forceps, a foreign body can slip out and penetrate from the cartilage section into the bone region of the ear canal, and sometimes even through the eardrum into the middle ear. In these cases, the removal of a foreign body becomes more difficult and requires great care and good fixation of the patient's head, a brief anesthesia is necessary. The hook of the probe must be under the control of vision is carried out for a foreign body and pull it. Complication of instrumental removal of a foreign body can be a rupture of the eardrum, dislocation of the auditory ossicles, etc. Swollen foreign bodies (peas, beans, beans, etc.) must first be dehydrated by pouring 70% alcohol into the ear canal for 2–3 days, as a result of which they shrivel and are removed without much difficulty by washing.

Insects, when they enter the ear, are killed by pouring a few drops of pure alcohol or heated oil into the ear canal, and then they are removed by washing.

In cases where a foreign body wedged in the bone section and caused a sharp inflammation of the tissues of the ear canal or led to injury of the eardrum, resorted to surgical intervention under general anesthesia. A soft tissue incision is made behind the auricle, the posterior wall of the auditory 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 back wall.
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Foreign body of the external auditory canal

  1. Boils of the ear canal
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair follicle, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membranous-cartilaginous part of the external auditory canal. This and about l about g and I. The disease occurs as a result of the penetration of infection, often staphylococci, into the sebaceous and hair follicles during irritation of contaminated skin by manipulations in the ear
  2. Atresia and stricture of the external auditory canal
    Rubric atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis, complicated by external otitis, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after a radical ear operation. In the elderly and senile age, there is a collapse of the walls of the ear canal due to the loss of their elasticity, which leads to
  3. Washing the external auditory canal
    Purpose: removal of the contents of the ear canal. Equipment: Janet's syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions. Obtain the patient's consent for washing, explaining to him the purpose and course of the procedure. Plant patient side by side. Wear gloves. Put a towel on the shoulder of the patient, on top - oilcloth
  4. Exostoses of the external auditory canal
    Exostoses are bone formations that are a consequence of osteodystrophic processes of the temporal bone. Some of them refer to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obturation of the ear canal, ear noise appears, hearing loss, disruption of sulfur or pus in otitis media is disturbed. There are two
  5. Purification of the external auditory canal
    Purpose To clean the ears of the patient. Indications The impossibility of self-service. Contra no. Possible complications When using hard objects damage the eardrum or external auditory canal. Equipment 1. Wadded turunda. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  6. Sulfur cap of the external auditory canal
    The blockage of the external auditory canal with sulfur or with admixture of the epidermis is not uncommon. Under normal conditions, the secret of the sulfur glands, drying into lumps and crusts, falls out during chewing and talking as a result of movements of the mandibular joint and the anterior wall of the auditory canal. Excessive accumulation of sulfur may be due to the hyperfunction of sulfur glands under the influence of irritating
  7. Spilled inflammation of the ear canal
    External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious spilled inflammation of the skin of the external auditory canal. Occurs as a result of the penetration of infection through minor traumatic skin lesions, most often formed during manipulations in the ear. In addition, skin damage from chemical and thermal burns or injuries contributes to
  8. Foreign body foreign ear
    The clinical picture Foreign body of the outer ear is most often observed in children who, playing with various small objects (pebbles, cherry bones, beads, buttons, sunflower seeds, peas, paper balls, etc.), put them into their ear. In adults, foreign bodies can be matches, pieces of cotton. There are also live foreign bodies (insects). Symptoms depend on the magnitude
  9. Acquired stenosis of the ear canal. 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 canal furuncle
    The cause of microtrauma to the skin of the ear canal when picking in the ears, hypothermia, carbohydrate metabolism, hypovitaminosis. Symptoms Severe shooting pain in the ear, if you delay the earlobe or click on the trestle - the pain in the ear increases. Increased pain also occurs when chewing and yawning. The skin of the external auditory canal is reddened, swollen. The disease may be accompanied
  11. Acute duct eczema
    Cause Frequent local skin irritation of the ear canal with general eczema. Predisposing factor to the eczema of the ear canal is suppuration from the ear in chronic purulent otitis, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and improper use of ointments and lotions. Symptoms Itching. He may 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 be fragments of matches, pencil sticks, pieces of cotton stuck in the ear canal at the time of the toilet.
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