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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 size and nature of the foreign body. In acute foreign bodies, pain and bleeding from the ear are noted. Foreign bodies obstructing the ear canal cause a feeling of pressure and noise in the ear, hearing loss, sometimes dizziness. With live foreign bodies there is a sharp pain in the ear and noise.
Urgent Care
The foreign body of the ear, as a rule, does not pose a danger to the patient and does not require urgent removal. Unskillful attempts to remove a foreign body are dangerous. To remove round foreign bodies, it is not recommended to use tweezers, as this can lead to their displacement into the bone section of the auditory meatus and even into the tympanic cavity. With tweezers, foreign bodies can only be removed in an elongated shape (match). With live foreign bodies, it is recommended to inject heated oil (sunflower or petroleum jelly) into the external auditory canal in order to kill the insect. Foreign body removal is performed by washing the ear with warm water or a disinfectant solution (potassium permanganate solution of weak concentration, 0.02% solution of furacilin) ​​from a Janet syringe with a capacity of 100-150 ml.
In the absence of a syringe, a rubber balloon is used. A stream of liquid is directed along the upper-back wall of the external auditory meatus, removing a foreign body with the liquid. Swelling foreign bodies (peas, beans) are dehydrated before being removed, after pouring a few drops of heated 70% alcohol into the ear. During the washing of the ear, the head should be well fixed. Ear washing is contraindicated in the presence of perforation of the eardrum (especially dry), with complete obstruction of the ear canal with a foreign body, as well as with foreign bodies of pointed shape (metal shavings).
Complicated patients are referred to the ENT department for surgical removal of a foreign body and treatment.
Foreign bodies of the middle ear
Clinical picture
Foreign body of the middle ear is rare. Observed for injuries and injuries of the temporal bone. With unsuccessful attempts to remove a foreign body can invade from the ear canal into the tympanic cavity. There is pain in the ear and hearing loss, bleeding from the ear. General condition may be severe. Dizziness, nystagmus, peripheral paresis of the facial nerve are possible.
Urgent Care
With bleeding, sterile turunda is introduced into the ear; the patient is urgently in the supine position sent to the ENT department.
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Foreign bodies of the outer ear

  1. 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 may have fragments of matches, pencil rods, pieces of cotton, stuck in the ear canal at the time of the toilet
  2. 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
  3. Question 13 Foreign bodies of the ear
    most often observed in children, stuffing various small objects (paper, fruit bones, 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
  4. 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, and 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
  5. 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,
  6. 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 military and industrial injuries of the face (shell fragments, bullets, pieces of glass, stones, molten metal), as well as with vomiting
  7. 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
  8. 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,
  9. 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
  10. 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. Much less common are foreign bodies such as parts of broken surgical instruments, tissue removed during surgery (adenoids, palatine tonsil, polyp), as well as living foreign bodies (leeches, roundworms,
  11. 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
  12. Foreign bodies of the esophagus
    The ingress of foreign bodies into the esophagus is random and the predisposing moments are considered in the description of the physiology of the esophagus. Foreign bodies linger in places of physiological constriction, most often (50 - 60%) - in the area of ​​cricopharyngeal constriction, which has powerful striated muscles. The second place in the frequency of fixation of foreign bodies is in the thoracic region -
  13. Alien bodies of the digestive tract
    Foreign bodies of the pharynx Foreign bodies almost always enter the pharynx with food. Hasty food, lack of teeth, diseases of the masticatory apparatus, sudden cough, laughter, talking with food contributes to their ingestion. In addition, foreign bodies can enter the pharynx through the nose, as well as from the larynx and esophagus. Of particular danger are large foreign bodies. They are stuck in the larynx.
  14. Foreign bodies of the pharynx
    Foreign bodies of the pharynx are quite common. They can be of various nature and shape: fish bones, metal objects (nails, pins), pieces of wood, shells of cereals, pieces of fruit, etc. Often in the throat pieces of unhealed food get stuck, dentures, etc. The reasons for the ingestion of foreign bodies in the throat are inattentive food intake, conversation, laughter with food. Children abandoned
  15. Foreign bodies of the nasal cavity
    Most often, foreign bodies of the nasal cavity are found in childhood. Children introduce various small objects into their nose - buttons, balls, folded pieces of paper, berry seeds, seeds, etc. Foreign bodies can enter the nose through the choana during vomiting and through the outer surface of the nose in case of injuries. Part of the nasal cavity may be left behind during surgery or after tamponade
  16. Foreign bodies of the larynx
    Objects that can be foreign bodies of the larynx are very diverse - from a fallen tooth and food items to small metal objects. They can lie freely or penetrate the soft tissue of the larynx. There are differences in the clinic of foreign bodies depending on their location. Foreign bodies of the upper floor of the larynx, including the vestibular folds and organisms of the ventricle, mainly result
  17. FOREIGN BODIES AND DAMAGE TO THE THROAT
    Foreign bodies fall into the throat when breathing or when swallowing and are countless diverse objects. The outcomes of a foreign body staying in the pharynx are different: it can be coughed up, expelled with an exhalation, spit out, lie freely in the pharynx without injuring the mucous membrane, advance further and become a foreign body of the larynx, trachea and bronchi, the esophagus, and finally, injure the mucous membrane and
  18. Foreign bodies in the airways
    Foreign bodies in the airways are found at any age, but most often in children under 5 years old (90% of cases), including in infants (10%). In infants, the greatest number of formidable bronchopulmonary complications is detected (70%). Despite significant achievements in practical medicine, technical equipment of clinical hospitals, the number of patients with foreign bodies does not
  19. Foreign bodies in the airways
    When a foreign body enters the respiratory tract of a child, a cough immediately appears, which is an effective means of removing a foreign body, an attempt to stimulate it is a first aid. In the absence of cough and its inefficiency with complete obstruction of the respiratory tract, asphyxia quickly develops and urgent measures are needed to evacuate a foreign body. DIAGNOSTICS Basic
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