Licensed books on medicine
<< Previous || Next >> |
FOREIGN BODIES OF THE EAR
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 can be fragments of matches, pencil rods, pieces of cotton, stuck in the ear canal at the time of the toilet of the ear from sulfur, water, etc. Sometimes, more often in a dream, insects (bugs, cockroaches, spiders, etc.) penetrate the ear.
Symptoms depend on the size and nature of the foreign bodies of the outer ear. Foreign bodies with a smooth surface do not injure the skin of the ear canal and do not show symptoms for a long time. Other objects often lead to the appearance of otitis externa with a wound and ulcer surface. Foreign bodies prone to swelling (cotton wool, peas, beans) can clog the ear canal. One of the symptoms of an obstructing foreign body is conductive hearing loss and noise in the ear. With partial blockage of the ear canal, the hearing does not deteriorate. Insects at the time of movement in the ear cause an unpleasant, painful sensation, especially in the eardrum. With gross, unsuccessful medical procedures, during an attempt to remove a foreign body, damage to the tympanic membrane and elements of the middle ear can occur.
Recognition of foreign bodies does not cause difficulties with otoscopy and sounding. Large bodies linger in the cartilaginous part of the ear canal, and small ones penetrate into the depth of the bony section. Radiography is performed to detect metallic foreign bodies.
Free-lying foreign bodies are removed by washing the ear with warm water or a solution of furatsilin from a Janet syringe with a capacity of 100-150 ml. In the presence of perforation of the tympanic membrane or purulent otitis media, it is recommended to carry out the removal with a Voyachek buttoned attic probe or hook. The consistency, size, shape and position of a foreign body is determined by sounding. It is not recommended to remove the foreign body with tweezers or forceps to avoid pushing it into the depth of the ear canal and damage to the eardrum. Insects are killed by instilling in the ear 700 alcohol or liquid sterile oil, then they are washed out. Swollen foreign bodies are removed after volume reduction by instillation of alcohol.
When foreign bodies get stuck in the ear canal or if they are inserted into the tympanum, when it is impossible to remove it in the usual way, they resort to surgical treatment. Under local or general anesthesia, a behind-the-ear incision of soft tissues is performed, separated, the posterior skin wall is dissected, and the foreign body is removed. If this is not enough, then they knock down part of the posterior bone wall of the auditory meatus and open the attic. It is not recommended to loosen dense foreign bodies near the facial nerve in order to avoid injury to it and elements of the middle ear.
The doctor of the military unit removes freely lying, easily accessible foreign bodies of the external auditory canal by rinsing in the absence of perforation of the tympanic membrane and inflammation of the outer, middle ear. In other cases, and with a failed attempt to remove a foreign body, the patient is referred to an otolaryngologist.
| << Previous || Next >> |
| = Skip to textbook content = |
FOREIGN BODIES OF THE EAR
- 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.
- Question 13 Foreign bodies of the ear
most often observed in children, stuffing various small objects (paper, fruit seeds, peas, sunflower seeds, beads, etc.) into the external auditory canal. In adults, there are pieces of cotton wool, fragments of matches, etc. Various insects (bugs, cockroaches, flies, etc.) can also get into the ear. Symptoms, course. Small foreign bodies with smooth walls in the absence of injury
- EAR INJURY, FOREIGN BODY OF THE EAR
In case of an external ear injury, first aid is similar to first aid for injuries. Damage to the eardrum can occur during explosions, diving, during diving operations. The rupture of the membrane is accompanied by pain, hearing loss, minor bleeding from the ear. First aid: - insert a sterile cotton swab into the external auditory meatus; - put on the ear
- Foreign bodies
Foreign bodies of the ear, nose, pharynx, and less commonly, the larynx, trachea, and bronchi, are more common. Foreign bodies of the ear are more common in children (paper, pencils, fruit bones), in adults - foreign bodies with sharp edges (fragments of matches) and insects. Rinsing with water is contraindicated during perforation of the tympanic membrane and complete obstruction of the lumen by a foreign body. Insects are killed before removal,
- Foreign bodies of the nose
Clinical picture Foreign bodies of the nose are more common in children who, during the game, insert various small objects into their nose (beads, buttons, sunflower seeds, peas, berry seeds, coins, pieces of paper, etc.). Foreign bodies can get into the nose during combat and industrial injuries of the face (shell splinters, bullets, pieces of glass, stones, molten metal), as well as with vomiting
- Foreign bodies
Foreign bodies in the throat Cause Foreign bodies often fall into the throat with food. It can be fish and meat bones, glass fragments, pieces of plastic, large pieces of food. Foreign objects can also get into the mouth - pins, nails, buttons, dentures. Foreign bodies enter the mouth as a result of rapid absorption of food, sudden laughter or coughing during meals, and
- 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 may be fragments of matches, pieces of cotton, stuck in the ear canal at the time of clearing the ear from
- Foreign bodies of the pharynx
Foreign bodies of the pharynx often come with food (fish and meat bones, glass fragments, pieces of wire, pieces of meat, lard). Foreign bodies can also be objects that accidentally fall into the mouth (pins, nails, buttons), dentures. Less common are living foreign bodies (leeches, roundworms). The ingestion of foreign bodies in the throat can be caused by such predisposing moments as fast food,
- Foreign bodies of the larynx
Foreign bodies of the larynx, trachea and bronchi are more common in children. They enter the respiratory tract if the child inadvertently eats and adults do not control the behavior of children. Among foreign bodies, sunflower seeds, watermelon, pumpkin, pieces of carrots, coins, pins, parts of fountain pens, toys, etc. are more common. In adults, foreign bodies enter the respiratory tract with careless and inattentive
- Foreign bodies of the larynx
Meat and fish bones, needles, pins, buttons, eggshells, dentures, coins, small parts of toys usually enter the larynx from the mouth, less often from the stomach when vomiting. Such foreign bodies are much less common, such as parts of broken surgical instruments, tissue removed during surgery (adenoids, palatine tonsil, polyp), as well as living foreign bodies (leeches, roundworms,
- ASPIRATION OF A FOREIGN BODY
Definition Foreign body aspirated into the respiratory tract. Etiology Foreign body aspirated by a child. Entry into the trachea of teeth displaced during manipulations in the upper respiratory tract. Surgical material remaining in the respiratory tract after surgery. Typical cases In children aged 7 months to 4 years: foreign body aspiration