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Ear Nose Throat J 2021 Jun 10:1455613211023019. Epub 2021 Jun 10.

Department of Otolaryngology-Head and Neck Surgery, 117747Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong, China.

Objective: To analyze the factors influencing the diagnosis and treatment of tracheobronchial foreign bodies (TFBs) in children.

Methods: The clinical data of 300 consecutive children with suspected TFBs who were admitted to our department between January 2016 and December 2019 were retrospectively collected, including demographics, diagnosis, history of foreign body inhalation, preoperative chest computed tomography (CT) findings, duration of foreign body retention, time from admission to operation, operation duration, duration of hospitalization, and complications.

Results: Among the 300 cases, the male:female ratio was 193:107, and the age range was 6 months to 12 years (median age: 19 months). Read More

BMJ Case Rep 2021 May 20;14(5). Epub 2021 May 20.

School of Medicine, The University of Western Australia, Perth, Western Australia, Australia.

Welding injuries to the tympanic membrane (TM) or middle ear are rare but can cause significant damage. These injuries occur when a hot spark or molten slag drops directly into the external auditory canal and through the action of gravity (because the ear is upright during such an injury), then risks burning through the TM. This can lead to a multitude of adverse consequences including chronic TM perforation, secondary purulent otorrhoea, facial palsy, taste disturbance, vertigo and hearing loss. Read More

Ear Nose Throat J 2021 May 16:1455613211014079. Epub 2021 May 16.

Department of Otolaryngology-Head & Neck Surgery, 71541Georgetown University Hospital, Washington, DC, USA.

Objectives: To report a case of ingested wire bristle embedded within the extrinsic musculature of the tongue requiring a transcervical approach for removal and to provide a revised algorithm for the management of ingested wire bristles.

Methods: The clinical record of 1 patient who ingested a grill brush wire bristle was reviewed. A literature review was also conducted to refine a treatment algorithm for managing ingested wire bristles. Read More

Int J Pediatr Otorhinolaryngol 2021 Jul 29;146:110753. Epub 2021 Apr 29.

Department of Otorhinolaryngology, The Affiliated Yi Wu Hospital of Wenzhou Medical University, Zhejiang, 322000, China. Electronic address:

Objective: To evaluate the outcome and complications of endoscopic removal of pediatric ear foreign bodies (FBs).

Methods: This study was a retrospective chart review of pediatric and adult patients who presented for ear FB removal over a 5-year period.

Results: In 191 children with ear FBs, 105 (55. Read More

Turk Arch Otorhinolaryngol 2021 Mar 26;59(1):80-83. Epub 2021 Mar 26.

Department of Otorhinolaryngology & Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal.

Foreign bodies in the external ear are very common. The same cannot be said about foreign bodies in the Eustachian tube (ET). We report the case of a 63-year-old woman with a history of painless left side otorrhea and hearing loss. Read More

J Emerg Trauma Shock 2021 Jan-Mar;14(1):28-32. Epub 2021 Mar 23.

Department of Emergency Medicine, Southside Hospital, Bay Shore, New York, USA.

Objectives: Patients come to the emergency department (ED) for the evaluation of foreign-body sensation in the neck. Given the dearth of clinical studies for this complaint, these patients are treated subjectively by different providers. We aim to propose a treatment approach that results in the timely diagnosis and removal of foreign bodies by comparing the common radiologic studies used in the ED for this complaint, determining the utility of consults, and providing an approach that minimizes length of stay. Read More

Int J Surg Case Rep 2021 Apr 23;81:105823. Epub 2021 Mar 23.

Department of Otolaryngology-Head and Neck Surgery, The Wollongong Hospital, Wollongong, New South Wales, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia; University of Wollongong School of Medicine, Wollongong, New South Wales, Australia.

Introduction And Importance: In the era of both new bilateral hypoglossal nerve stimulator and long-standing experience with Sistrunk's procedures, it is notable that the literature scarcely describes high anterior neck approaches, tending to focus on transoral removal of intra-glossal foreign bodies. Herein we describe a case of a low morbidity anterior approach for access to an intra-glossal foreign body and discuss the implications.

Case Presentation: A morbidly obese 73 year old lady presented acutely after inadvertent ingestion of a sewing needle. Read More

Turk Thorac J 2021 Mar 1;22(2):179-181. Epub 2021 Mar 1.

Department of Pulmonology, Jinnah Postgraduate Medical Center, Karachi, Pakistan.

Small-bore pleural catheters are used to drain simple effusions effectively. They are less invasive and more comfortable than tube thoracostomy. As with any other intervention, these small catheters have their associated complications. Read More

Ear Nose Throat J 2021 Apr 8:1455613211009129. Epub 2021 Apr 8.

Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

When fitting hearing aids, patients are required to make an earmold impression material for device fixation. It usually causes no problems, although in rare cases, the earmold passes through the middle ear through tympanic membrane perforations.- Foreign bodies may cause a delayed inflammatory reaction and deterioration of aeration, especially in the Eustachian tube. Read More

Ear Nose Throat J 2021 Mar 30:1455613211006007. Epub 2021 Mar 30.

71507Royal Darwin Hospital, Northern Territory, Australia.

Background: The external auditory canal's unique anatomical characteristics made the presence of foreign bodies (FBs) a clinical challenge, particularly in rural settings without ready access to tertiary care and specialist intervention.

Aims: Our study surveys the experience in aural FBs surgical management in a rural Australian tertiary center. It proposes a safe, easy, and affordable technique to remove stones from the ear canal. Read More

Ear Nose Throat J 2021 Mar 26:1455613211000804. Epub 2021 Mar 26.

Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.

The larynx is an uncommon location for live foreign bodies. The leech can reach the glottis during consumption of contaminated water but is usually expelled by an effective cough reflex. Patients present with hoarseness and dysphagia and occasionally with dyspnea or hemoptysis. Read More

Ann Otol Rhinol Laryngol 2021 Mar 4:3489421999536. Epub 2021 Mar 4.

Department of Otolaryngology, Head & Neck Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.

Objective: Airway foreign bodies are the leading cause of infantile deaths and fourth among preschool children. Airway foreign bodies in extremely premature neonates represent a rare but potentially lethal entity. There are very few reports in the literature describing the treatment of such a condition in premature neonates. Read More

J Laryngol Otol 2021 Mar 26;135(3):276-279. Epub 2021 Feb 26.

Department of Otorhinolaryngology and Head and Neck Surgery, Apollo Hospitals, Bengaluru, India.

Background: The occurrence of retained ear mould impression material is rare and can lead to complications. The current case report describes one such complication, where the silicone impression material used to take the impression of the ear canal flowed into the middle ear through the pre-existing tympanic membrane perforation. Five days later, the patient presented with worsened hearing and blood-tinged discharge from the ear. Read More

J Laryngol Otol 2021 Feb 22;135(2):117-124. Epub 2021 Feb 22.

Department of Otorhinolaryngology - Head and Neck Surgery, Fairfield General Hospital, Northern Care Alliance NHS Group, Bury, UK.

Background: Coronavirus disease 2019 imposed dramatic changes on ENT service delivery. Pre-pandemic, such changes would have been considered potentially unsafe. This study outlines the impact of lockdown on the incidence and management of ENT emergencies at a large UK centre. Read More

FP Essent 2021 Feb;501:30-37

Uniformed Services University F Edward Hébert School of Medicine Department of Family Medicine, 4301 Jones Bridge Road A1038, Bethesda, MD 20814-4799.

Ear pain (otalgia) is a common reason for visits to family physician offices and emergency departments. Otalgia is primary when the pathology originates from the ear, and is secondary for disease processes associated with otalgia and an ear examination with normal findings. The most common diagnosis related to otalgia in children and adults is acute otitis media (AOM). Read More

Ear Nose Throat J 2021 Feb 11:145561320984560. Epub 2021 Feb 11.

ENT Division, University of Eastern Piedmont, Novara, Italy.

Purpose: COVID-19 pandemic transformed the health system response worldwide. The aim of this study is to report changes about numbers and reason for ENT consultations in emergency department (ED) during COVID-19 pandemic comparing with those occurred the previous year (2019).

Methods: Data about patients admitted to adult and pediatric ED were collected from March 1 to May 31, 2019 and 2020. Read More

BMJ Case Rep 2021 Jan 18;14(1). Epub 2021 Jan 18.

Otorhinolaryngology, National Health Insurance Corporation Ilsan Hospital, Goyang, The Republic of Korea

Swallowed partial dentures in elderly patients is an emergency situation that requires a swift response. Here, we report a case involving a patient with severe intellectual disability who swallowed his denture, which lodged at the oesophagus inlet. After failure of endoscopic removal, denture with clasp was removed using long forceps through intraoral approach under intravenous sedation. Read More

HNO 2021 Mar 15;69(3):192-197. Epub 2021 Jan 15.

Klinik für Hals‑, Nasen- und Ohrenheilkunde, Klinikum Braunschweig, Holwedestraße 16, 38118, Braunschweig, Deutschland.

Background: Traumatic eardrum perforation is a common presentation in otorhinolaryngologic practices and emergency clinics. A consistent management strategy (active intervention vs. watchful waiting) is, however, still lacking. Read More

Cureus 2020 Dec 12;12(12):e12046. Epub 2020 Dec 12.

Medical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.

Otorhinolaryngologic foreign bodies may be encountered in-office visits, the emergency department, and speciality consultations. These include food, toys, and other small items, are present in pediatric patients. Because patients may be asymptomatic and the insertion of the foreign body not observed, obtaining medical care may be delayed. Read More

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Department of ENT-Otology, Neurotology & Cochlear Implant Unit, Christian Medical College and Hospital Vellore, Vellore, India.

A 42-year-old woman presented with fever, left ear pain, restricted mouth opening, difficulty in swallowing and inability to open her left eyelid for a period of 10 days. She was treated with antibiotics for the same at a local medical facility; however, a sudden decrease in her left eye vision prompted her to visit our tertiary centre. Her history was insignificant except for having multiple left ear syringing for an insect removal 10 days before onset of her current symptoms. Read More

World J Clin Cases 2020 Dec;8(23):5988-5998

Department of General Surgery, the Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310051, Zhejiang Province, China.

Background: Since 2017, the number of magnet ingestion cases has increased year over year in our hospital. Almost all of the ingested magnetic foreign bodies were magnetic beads, and most of the patients experienced intestinal perforations, causing substantial damage.

Aim: To summarize our experience with surgical treatment of multiple magnet ingestion in children. Read More

Ear Nose Throat J 2020 Dec 14:145561320981438. Epub 2020 Dec 14.

Department of Radiology, 75299Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Background: India announced nationwide lockdown on March 24, 2020, to control the COVID crisis. Due to lockdown, the health care system, that is, delivery and utilization of the health facilities were adversely affected.

Clinical Setting: Presentation and management of nasal foreign body cases over 3 months post COVID lockdown has been discussed. Read More

Indian J Otolaryngol Head Neck Surg 2020 Nov 22:1-2. Epub 2020 Nov 22.

Department of Otolaryngology and Head Neck Surgery, Government Medical College, Amritsar, Punjab India.

COVID-19 has been impacting a large number of people worldwide. In this lockdown has restricted people to stay at home which is likely to impact their physical and mental health especially children can result in a high prevalence of psychological distress. Long term home isolation has potentially increased the risk of domestic accidents in children like lodgment of foreign bodies in Ear, Nose and Throat. Read More

Urol Case Rep 2021 Jan 29;34:101472. Epub 2020 Oct 29.

The Ohio State University College of Medicine, Department of Urology, Eye and Ear Institute, 915 Olentangy River Rd, Columbus, OH, 43212, USA.

Retroperitoneal foreign bodies are rare indications for exploratory surgery. We present a case of a 19-year-old male with abdominal pain after a fall who was found to have a linear metallic object adjacent to the right ureter and inferior vena cava. Given the patient's pain and discomfort, he elected for robotic exploration of the retroperitoneum, which was carried out successfully with the Da Vinci Si® robot. Read More

BMJ Case Rep 2020 Nov 9;13(11). Epub 2020 Nov 9.

Eye Department, J Strus City Hospital, Poznan, Poland

Persistent epiphora significantly worsens one's quality of life. A commonly known method of treatment of complete obstruction of the lacrimal canaliculi is conjunctivodacryocystorhinostomy with placement of a glass Jones tube. Unfortunately, the use of such a prosthesis of the lacrimal tract often results in certain complications, the most frequent of which include extrusion or superior and inferior migration. Read More

Int J Pediatr Otorhinolaryngol 2020 Nov 1;138:110354. Epub 2020 Sep 1.

Head and Neck Surgery Department, Kaiser Permanente Oakland Medical Center, United States.

Objectives: To estimate the incidence of emergency department visits for pediatric ear foreign bodies. To identify the most common items and their trends.

Methods: The Nationwide Electronic Injury Surveillance System (NEISS) was queried for emergency department visits involving the diagnosis of foreign bodies in the ear including pinna and canal in children over the most recent 10-year span available. Read More

Fetal Pediatr Pathol 2020 Nov 5:1-7. Epub 2020 Nov 5.

Pathology & Laboratory Medicine and Pediatrics, Alberta Children's Hospital, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.

Background: Cutaneous pseudolymphoma (CPL) refers to a group of benign, reactive processes that mimic cutaneous lymphoma and are associated with a variety of triggering immune stimuli, including arthropod bites, drugs, and foreign bodies. In children, most cases of CPL are due to a variant of Borreliosis that is specific to Eurasia. Cutaneous pseudolymphoma secondary to ear piercing has only been documented in adults. Read More

Vestn Otorinolaringol 2020 ;85(5):78-82

Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia.

The Aim: To characterize methods of extraction of foreign bodies of maxillary sinuses, features of postoperative treatment of patients.

Material And Methods: The experience of treatment of patients with maxillary sinuses foreign bodies in the clinic of ENT of PFSMU of St.Petersburg is presented. Read More

Pan Afr Med J 2020 17;36:284. Epub 2020 Aug 17.

Faculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.

Foreign bodies in the ear are common in children but they rarely lead to complications. We here report a rare case of homolateral facial palsy in a 4-year old female child that occurred 15 days after introduction of toxic foreign body (Abrus precatorius seed) in her ear. The patients had signs of local necrosis associated with external otitis, without systemic involvement. Read More

BMJ Case Rep 2020 Oct 27;13(10). Epub 2020 Oct 27.

Department of Otorhinolaryngology, Universiti Kebangsaan Malaysia Fakulti Perubatan, Kuala Lumpur, Malaysia.

Penetrating foreign body in the head and neck can be catastrophic from injury to the constellation of vascular and neural structures in the neck. Early recognition and prompt surgical intervention is imperative to save lives. Herein, we present an unusual case of iatrogenic foreign body-a coiled guidewire embedded in the deep neck space. Read More