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Ear Nose Throat J 2020 Jul 7:145561320937829. Epub 2020 Jul 7.

Department of Otolaryngology-Head & Neck Surgery, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Saudi Med J 2020 Jul;41(7):715-719

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia. E-mail:.

Objectives: To analyze the data of patients with otorhinolaryngological foreign bodies and to evaluate the management and outcomes of foreign bodies to prevent complications.

Methods: A retrospective study was conducted over 8 years at Aseer Central Hospital to examine all admitted cases with foreign bodies in the ear, nose, throat, esophagus and bronchus during the period from January 2011 to January 2019. Patient demographic data, type of foreign body, and most common site were analyzed. Read More

Int J Pediatr Otorhinolaryngol 2020 Aug 8;135:110092. Epub 2020 May 8.

Newton Wellesley Hospital, Newton, MA, USA; Harvard Medical School, Boston, MA, USA.

While children, particularly infants, are susceptible to severe and critical COVID-19 disease, over 55% of pediatric cases are present in asymptomatic or mildly symptomatic children. Aerosolized SARS-CoV-2 viral particles remain viable for up to 3 hours, raising concern about risk to healthcare workers during aerosol generating procedures (APGs) in the airway and nasopharynx. Herein we describe the first case of a nasal foreign body in an asymptomatic child with SARS-CoV-2 infection. Read More

Ear Nose Throat J 2020 May 12:145561320920510. Epub 2020 May 12.

Department of Ear, Nose, and Throat Surgery, Federal Medical Centre, Ido Ekiti, Nigeria.

Foreign bodies in the ear are relatively common in emergency medicine. However, attempts at removal made outside the healthcare setting by untrained persons can result in complications of varying degrees. We conducted a 3-year retrospective review of 123 cases of aural foreign bodies at our hospital in Nigeria. Read More

Ear Nose Throat J 2020 Apr 13:145561320908477. Epub 2020 Apr 13.

Department of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkiye.

Rhinoliths are petrified masses formed by accumulation of endogenous or exogenous salts around a nidus. Although rarely formed by the body, the most common cause is foreign bodies forgotten in the nose at childhood. Rhinoliths are rare and have been reported as a single case report in the literature. Read More

Ear Nose Throat J 2020 Feb 13:145561320906329. Epub 2020 Feb 13.

Department of Otolaryngology Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY, USA.

We describe a novel and safe use of existing instrumentation in the removal of select foreign bodies in the upper aerodigestive tract to minimize health-care costs. A retrospective review of 4 cases involving visualized upper aerodigestive tract foreign bodies were identified via flexible laryngoscopy and extracted under local anesthesia from 2016 to 2018. All 4 patients were not in any airway distress and underwent successful removal of the foreign body, which included 2 fishbones, a sewing pin, and a wire bristle with a maxillary Heuwieser or giraffe instrument under flexible laryngoscopy visualizing using local anesthesia without complications. Read More

Int J Pediatr Otorhinolaryngol 2020 Jan 11;132:109871. Epub 2020 Jan 11.

Department of Otolaryngology - Head and Neck Surgery, Medstar Georgetown University Hospital, Washington, DC, United States. Electronic address:

Purpose: We aim to describe and review the management of pediatric aural foreign bodies (FBs).

Methods: We performed an observational study and retrospective chart review with statistical analysis of management for patients presenting with aural FBs to the Emergency Department (ED) with or without ENT consultation, or presenting directly to the ENT clinic.

Results: There were 166 objects in the ears of 155 children. Read More

Case Rep Otolaryngol 2019 27;2019:5236429. Epub 2019 Dec 27.

West Virginia University, Department of Otolaryngology-Head and Neck Surgery, Morgantown, WV 26505, USA.

Objectives: Foreign bodies of the external and middle ear are not uncommon; however, foreign bodies in the eustachian tube are rare. Here we describe the presentation, imaging, and endoscopic-assisted surgical management of a case of eustachian tube foreign body.

Methods: A 34-year-old male was seen for evaluation of foreign body of the left eustachian tube while working with metal at a machine shop. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):507-509

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

Cholesterol granuloma is a foreign body reaction to the deposition of cholesterol crystals, usually found in association to chronic middle ear diseases, being highly uncommon in the paranasal sinuses. Furthermore, a huge and aggressive cholesterol granuloma involving the maxillary sinus, hard palate, buccal space, and maxillary alveolus is extremely rare and has not been reported previously. This article reports a case of huge cholesterol granuloma in the maxillary sinus confused with an expansile odontogenic keratocyst, which was treated successfully via transnasal endoscopic approach. Read More

Ear Nose Throat J 2019 Dec 28;98(10):634-635. Epub 2019 Jan 28.

Department of Otolaryngology, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Chonbuk, Korea.

Ear Nose Throat J 2019 Dec 31;98(10):632-633. Epub 2019 Jan 31.

Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

Ear Nose Throat J 2019 Dec 9:145561319893164. Epub 2019 Dec 9.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.

Objectives: Foreign bodies (FBs) in external auditory canal (EAC) can occur at any age but are especially common in children and adolescents. The aims of the study were to evaluate the clinical characteristics of EAC FBs in children and adolescents and to discuss their proper management.

Methods: A retrospective medical chart review was performed on patients who were treated for EAC FBs in a tertiary referral center from January 2007 to December 2017. Read More

Vestn Otorinolaringol 2019 ;84(5):85-88

Russian Medical Academy of Continuous Professional Education, Moscow, Russia, 125993.

The procedure of taking an impression of the external auditory canal for the manufacture of individual earplugs in the ear canals can be associated with complications in some cases. The article describes the clinical case of ingestion of the impression mass during taking the impression of the external auditory canal in the patient with chronic otitis media. The presence of pronounced hearing loss has become the basis for the selection of a hearing aid. Read More

J Family Med Prim Care 2019 Sep 30;8(9):3042-3044. Epub 2019 Sep 30.

Department of Otolaryngology, King Fahad Central Hospital Jazan, Kingdom of Saudi Arabia.

Physicians, working in the primary care setting and/or emergency departments, encounter more often patients of any age group with foreign bodies in the external auditory canal (EAC) and urgent removal is crucial to avoid complications. The condition is more commonly managed on an urgent basis if the foreign body is a live insect that is more agonizing for the patient. Foreign body removal is quite challenging but an essential skill for first-level responders and different approaches, each with its own pros and cons, are used for EAC foreign bodies removal. Read More

BMJ Case Rep 2019 Oct 25;12(10). Epub 2019 Oct 25.

Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

Rhinoliths are calcareous concretions of the nasal cavity formed around a nidus that may be endogenous (eg, dislodged tooth) or an exogenous foreign body (eg, plastic bead inserted by a child). Rhinoliths are often found incidentally on endoscopy or imaging to assess for other pathologies. The incidence is estimated to be 1 in 10 000 of all otolaryngology outpatient presentations, but this is likely to be an underestimate due to the often asymptomatic nature of this condition. Read More

BMJ Case Rep 2019 Oct 25;12(10). Epub 2019 Oct 25.

Department of Otolaryngology Head & Neck Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Foreign body impaction in the oesophagus is a common cause of acute dysphagia. Oesophageal impaction of sharp objects such as dentures can be life threatening due to the risk of oesophageal perforation. This condition requires urgent treatment, and therefore prompt diagnosis and management is vital to avoid complications. Read More

Semin Ophthalmol 2019 14;34(7-8):518-532. Epub 2019 Oct 14.

Department of Ophthalmology, Southern California Permanente Medical Group, Baldwin Park, CA, USA.

: To determine the imaging approach for evaluating intraocular foreign bodies (IOFBs) by comparing the ability of different modalities [plain film x-ray, computed tomography (CT), magnetic resonsance imaging (MRI), convetional ultrasound, and ultrasound biomicroscopy] to detect and characterize IOFBs.: Systematic review of the literature.: CT is the most practical first step for evaluating patients with suspected IOFBs because it can detect a wide range of IOFB types at small limitis of detection. Read More

Ear Nose Throat J 2019 Dec 9;98(10):NP147-NP148. Epub 2019 Oct 9.

Department of Pediatric Otolaryngology-Head and Neck Surgery, Nemours Children's Clinic, Jacksonville, FL, USA.

Optom Vis Sci 2019 10;96(10):802-807

Department of Ophthalmology and the Eye Institute, Eye and Ear, Nose, and Throat Hospital, Fudan University, Shanghai, People's Republic of China.

Significance: The cases illustrate an insidious cause of decreased visual acuity after cataract surgery.

Purpose: The purpose of this study was to identify cases of postoperative vision loss caused by slight intraocular lens (IOL) malpositioning after cataract surgery.

Case Reports: Three patients presented with visual acuity decreased after cataract surgery. Read More

Trop Med Infect Dis 2019 Sep 18;4(3). Epub 2019 Sep 18.

Department of Neurosurgery, Royal Darwin Hospital, Darwin Northern Territory, Tiwi 0810, Australia.

Intracranial subdural empyema (ISE) is an uncommon condition previously associated with almost 100% morbidity and mortality. Since the introduction of antibiotics and advancements in diagnosis the complication rates have significantly improved. We report an unusual case of a 32-year-old Aboriginal male diagnosed with ISE. Read More

Br J Hosp Med (Lond) 2019 Sep;80(9):546-547

Consultant Psychiatrist, Oxford Psychological Medicine Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford.

BMJ Case Rep 2019 Aug 12;12(8). Epub 2019 Aug 12.

East of England Deanery, UK.

An active 72-year-old man presented to the accident and emergency department (A&E) with odynophagia, dysphagia and haemoptysis 6 days after a minor operation and was discharged after treatment for an aspiration pneumonia. He presented to A&E 2 days later with worsening symptoms and was found to have dentures lodged in his larynx which were then removed in theatre. For 6 weeks after removal, he had periodic episodes of frank haemoptysis requiring multiple blood transfusions and, after extensive investigation, was found to have an erosion into an arterial vessel on his right parapharyngeal wall, just posterior to the glossopharyngeal sulcus. Read More

Am J Otolaryngol 2020 Mar - Apr;41(2):102167. Epub 2019 Feb 15.

Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195, USA.

Objectives: To analyze what characteristics of patients and/or ear foreign bodies should prompt referral to otolaryngology with the goal to maximize successful removal and minimize complications.

Methods: This was a retrospective chart review of pediatric patients who presented for ear foreign body removal from January to December 2016 at a tertiary hospital center. Data collection included successful removal, major or minor complications, use of general or conscious sedation, use of otic or oral antibiotics, age of patient, comorbid behavioral disorders, and foreign body characteristics. Read More

BMJ Case Rep 2019 Aug 10;12(8). Epub 2019 Aug 10.

Thoracic Surgery, Royal Victoria Hospital, Belfast, UK.

We present the complex and rare case of an inhaled stoma button causing proximal tracheal stenosis in a laryngectomy patient. The patient was unaware he had inhaled his button and presented with increasing shortness of breath and noisy breathing. In this case we discuss the challenging management of the stenotic tracheal segment above the impacted stoma button and the surgical approach to this difficult airway. Read More

Ann Otol Rhinol Laryngol 2019 Dec 31;128(12):1141-1146. Epub 2019 Jul 31.

Department of Otorhinolaryngology, Amsterdam UMC, Amsterdam, Netherlands.

Objectives: Insertion of mold material into the middle ear is a complication of molding procedure for ear impression. These cases are referred to an ENT specialist. There is no standardized approach to this problem. Read More

Clin Case Rep 2019 Jul 17;7(7):1439-1441. Epub 2019 Jun 17.

Department of Otolaryngology Queen Elizabeth University Hospital Glasgow UK.

Foreign bodies in the ear are a common presentation that prompt referral to Otolaryngology. We describe a technique that is safe and simple to perform for the removal of metallic foreign bodies in the ear. Case report of an elderly gentleman presenting with otalgia and a hearing aid battery lodged within bony external ear canal. Read More

BMJ Case Rep 2019 Jul 27;12(7). Epub 2019 Jul 27.

Department of Otorhinolaryngology, Head and Neck Surgery, Hospital de Braga, Braga, Portugal.

We report the clinical case of a female patient who presented to our emergency department due to a septal abscess caused by the displacement of a dental implant into the nasal septum. The patient underwent surgical treatment for endoscopic foreign body excision and septal abscess drainage. Despite the presence of septal cartilage destruction, the L-shaped structure was preserved and no reconstruction was required. Read More

J Int Adv Otol 2019 Dec;15(3):466-468

Department of Otology, Auditory Implants and Skull Base, Pitié Salpêtrière Hospital, Paris, France.

This paper aims to describe a rare case of cochlear implant (CI) failure due to electrode array migration and review the literature on the topic. A 72-year-old woman complained of retroauricolar pain two years after receiving a left CI, with deterioration of the auditory skills and an increased impedance of electrodes. Temporal bone computed tomographic scans revealed a soft density tissue involving the left mastoid and the middle ear. Read More

Medicine (Baltimore) 2019 Jul;98(29):e16486

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Rationale: Esophageal foreign body is a commonly seen in China. However, pseudoaneurysm of the aortic arch caused by ingestion of fish bones is a rare, life-threatening condition.

Patient Concerns: A 71-year-old male was admitted to the Ear, Nose, and Throat department with a 4-day history of chest pain after eating fish. Read More

Clin Med Insights Ear Nose Throat 2019 1;12:1179550619858606. Epub 2019 Jul 1.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

A 35-year-old man with history of schizophrenia presented 3 weeks after placing a screw in his right nostril. Initial imaging showed a screw in the right ethmoid sinus with the tip penetrating the right cribriform plate. On exam, the patient was hemodynamically stable with purulent drainage in the right nasal cavity but no visible foreign body. Read More

J Laryngol Otol 2019 Jul 3;133(7):571-574. Epub 2019 Jul 3.

Department of Surgery, University of British Columbia, BC Rotary Hearing and Balance Centre at St Paul's Hospital, Vancouver, Canada.

Background: Endoscopic ear surgery is a technique that is growing in popularity. It has potential advantages in the low-resource setting for teaching and training, for the relative ease of transporting and storing the surgical equipment and for telemedicine roles. There may also be advantages to the patient, with reduced post-operative pain, facilitating the ability to complete procedures as out-patients. Read More

J Vet Emerg Crit Care (San Antonio) 2019 Jul 30;29(4):424-430. Epub 2019 Jun 30.

Department of Veterinary Medicine and Surgery, University of Missouri, Columbia, Missouri.

Objective: To describe 2 cases of organophosphate intoxication through a previously unreported method of exposure.

Case Series: A 2-year-old intact male Australian Cattle Dog (case 1) presented with progressive muscarinic and nicotinic clinical signs, and a 3-year-old neutered male mixed breed dog (case 2) presented after known ingestion of cattle ear tags. The dog in case 1 was discovered to have ingested cattle ear tags after abdominal radiographs. Read More

Ear Nose Throat J 2019 Jun 30;98(5):253-254. Epub 2019 Jan 30.

1 Department of Otolaryngology Head and Neck Surgery, The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.

Aust J Gen Pract 2018 10;47(10):682-685

MBBS, Principal House Officer, Ear Nose and Throat Surgery, Toowoomba Base Hospital, Qld

Background: Patients with foreign bodies in their ear, nose or throat typically present to general practitioners. The safe and timely removal of foreign bodies ensures good patient outcomes and limits complications.

Objectives: The aim of this paper is to outline common foreign objects and review the associated anatomy that may make removal difficult. Read More

Medicine (Baltimore) 2019 May;98(22):e15838

Department of Emergency Medicine, Seoul National University Hospital.

Foreign body (FB) injuries mainly occur in young children and may cause serious complications. The purpose of this study was to describe the epidemiological and clinical characteristics of FB injuries among children visiting the emergency department (ED) in South Korea and to compare the incidence and the ED results of FB injuries.Using data from the National Emergency Department Information System, FB injury-related ED visits among children (<7 years) between January 2010 and December 2014 were included. Read More

J Formos Med Assoc 2019 Sep 24;118(9):1290-1298. Epub 2019 May 24.

Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Background/purpose: This study performed a population-based analysis in the managements of adult ear, nose, and throat FBs in Taiwan.

Methods: The Taiwan Longitudinal Health Insurance Database 2000 were used, which comprises 1,000,000 beneficiaries randomly sampled in 2000 with a follow-up period from 2000 to 2013. Patients aged >18 years with ear, nose, or throat FB were identified according to the International Codes of Diseases. Read More

BMJ Case Rep 2019 Apr 29;12(4). Epub 2019 Apr 29.

Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK.

Foreign bodies are commonly seen by the Ear, Nose and Throat emergency team with cotton wool being the most common aural foreign body seen in the adult population. Most complications secondary to aural foreign bodies described in the literature are minor and rarely require any surgical intervention. Here, we present two cases with impacted cotton wool as aural foreign bodies which resulted in suppurative labyrinthitis and osteomyelitis causing profound sensorineural hearing. Read More

Semin Ultrasound CT MR 2019 Apr 28;40(2):147-156. Epub 2018 Oct 28.

Boston Children's Hospital, Department of Radiology, Boston, MA. Electronic address:

Pediatric patients present emergently with a wide variety of infectious, inflammatory, congenital, traumatic, and neoplastic conditions. Imaging plays a crucial role in distinguishing among the potential diagnoses, as often, history and physical exam is limited in these young sick patients. Understanding the imaging appearance of the range of conditions which are commonly encountered and their potential complications, facilitates appropriate and expedient management. Read More

Ophthalmol Retina 2019 03 10;3(3):258-269. Epub 2018 Oct 10.

Retina Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts. Electronic address:

Purpose: To report the ocular and adnexal injuries sustained by patients with Thomas A. Swift's electric rifles (TASER; TASER International, Scottsdale, AZ), review the literature, and discuss the management of this complex trauma.

Design: Multicenter, retrospective case series and literature review. Read More

J Emerg Med 2019 Jun 17;56(6):e115-e117. Epub 2019 Apr 17.

Division of Pediatric Otolaryngology, Department of Otolaryngology- Head and Neck Surgery, UPMC, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Background: Superabsorbent polymers (SAPs) are materials that can absorb large quantities of water. Small spherical SAPs are commonly marketed as toys for children.

Case Report: We report the case of a 4-year-old female who presented to a pediatric emergency department with a small, marble-sized SAP that was placed in her ear by herself during the course of play at daycare. Read More

Iran J Otorhinolaryngol 2019 Mar;31(103):123-126

Department of Otorhinolaryngology , Grant Government Medical College and Sir J.J Hospitals, Mumbai, India.

Introduction: Foreign bodies in the external auditory canal are fairly common, and tend to be seeds, toys, or insects. However, foreign bodies in the middle ear are rarer and are generally accidental or iatrogenic. Although there are numerous reports regarding fascinating foreign bodies in the ear, the same cannot be said about foreign bodies in the Eustachian tube (ET). Read More

Ear Nose Throat J 2019 Jul 28;98(6):321-323. Epub 2019 Mar 28.

1 Department of Otorhinolaryngology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Oct 20;136(5):397-399. Epub 2019 Mar 20.

Department of Otolaryngology Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Kita-Ku, 700-8558 Okayama, Okayama, Japan.

Introduction: Only two reports in English literature have described cement foreign bodies in the external auditory canal.

Case Summary: We present the case of a 37 year-old man with cement foreign body in the right external auditory canal. Removal of the foreign body was difficult because of severe adhesion to the external auditory canal and tympanic membrane. Read More

Mil Med 2019 03;184(Suppl 1):565-570

DoD-VA Vision Center of Excellence, Department of Ophthalmology, Madigan Army Medical Center, 6040 Jackson Ave, Tacoma, WA.

Background: The Military Health System recognizes the importance of analyzing "foreign bodies" removed from US service members through several policy documents. This activity focuses on detecting potentially toxic metals. Intra-ocular "foreign bodies" (IOFBs) represent a small, clinically important subset. Read More

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Otolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Necrotising otitis externa (NOE) is an infection originating in the soft tissues of the external auditory canal (EAC) spreading to the surrounding bone and rarely causing intracranial complications. It is usually caused by and has historically occurred in elderly patients with diabetes or immunodeficiency. EAC foreign body is a risk factor for otitis externa but has not been described in NOE. Read More

J Craniofac Surg 2019 May/Jun;30(3):936-939

Department of Otolaryngology, University of Health Sciences Bagcilar Training and Research Hospital.

Introduction: Glass ionomer bone cement is frequently applied with cartilage grafts in otology, even as a single unit.

Objective: This experimental study was performed to investigate the histopathological effects of bone cement on cartilage tissue.

Methods: The study was conducted between January 2018 and April 2018 and used 12 New Zealand White rabbits. Read More

BMJ Case Rep 2019 Jan 14;12(1). Epub 2019 Jan 14.

ENT, Royal Victoria Hospital, Belfast, UK.

Int J Pediatr Otorhinolaryngol 2019 Mar 7;118:165-169. Epub 2019 Jan 7.

Department of Otorhinolaryngology, Head and Neck Surgery "Otto Koerner", Rostock University Medical Center, Rostock, Germany.

Objectives: Foreign body incorporation in children is often a serious situation. Attention deficit hyperactivity disorder (ADHD) could be a risk factor for self-insertion of foreign bodies. Large cohort analyses are missing. Read More

BMJ Case Rep 2018 Dec 14;11(1). Epub 2018 Dec 14.

ENT Department, Ain Al-Khaleej Hospital, Al-Ain, United Arab Emirates.

We describe a case of a 15-year-old girl who presented to our clinic with long-standing right-sided rhinorrhoea which was occasionally foul-smelling and blood-stained with no other symptom of note. She had been treated many times with antibiotics. On examination, a rhinolith was discovered impacted posteriorly in right nasal cavity with mucopurulent discharge. Read More

Auris Nasus Larynx 2019 Aug 1;46(4):618-623. Epub 2018 Dec 1.

Department of Otorhinolaryngology Head and Neck surgery, Osaka University Graduate School of Medicine, 2-15 Yamadaoka, Suita-shi, Osaka, Japan.

Objective: Foreign bodies (FBs) in ear, nose, and throat (ENT) are common ENT emergencies but are sometimes life-threatening. However, FBs could be avoidable by the efficient announcement about the risk of these occurrence to the public. Fish bones are commonly found as throat FBs, and small toys are commonly found as pediatric ear and nose FBs. Read More