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Wilderness Environ Med 2022 May 26. Epub 2022 May 26.

University of Cincinnati College of Medicine, Cincinnati, Ohio; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.

A live insect within the external auditory canal is an unpleasant possibility during wilderness recreation. To our knowledge, no study has attempted to quantify the risk of this event occurring in the wilderness. However, such events anecdotally seem to occur with some regularity in a variety of climates. Read More

Ear Nose Throat J 2022 May 24:1455613221104428. Epub 2022 May 24.

Division of Otolaryngology - Head and Neck Surgery, 2202Cooper University Health Care, Camden, NJ, USA.

Chronic airway foreign bodies represent a rare and challenging entity faced by otolaryngologists. Herein, we describe the case of an adult woman found to have a 17 cm-long internalized tracheostomy stay suture retained 2 years after decannulation. Thorough evaluation and contingency planning allowed for safe and successful removal of this novel airway foreign body. Read More

Ear Nose Throat J 2022 May 21:1455613221091100. Epub 2022 May 21.

Department of Otolaryngology, 46608Far Eastern Memorial Hospital, Taipei, Taiwan.

The ingested fish bone (FB) is a common presentation for otolaryngologists in Asia. For FBs which could be identified by examinations with or without nasopharyngoscopy, direct removal would be an appropriate management. However, an ingested FB could occasionally perforate pharyngeal mucosa and migrate extraluminally. Read More

Ear Nose Throat J 2022 Apr 29:1455613221098787. Epub 2022 Apr 29.

Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, 90162Gyeongsang National University Hospital, Jinju, Korea.

Laryngopharyngeal or cervical pain following ingestion of foreign bodies is one of the most frequently encountered emergencies in otolaryngologic practice. Although most of these foreign bodies can be easily removed under laryngoscopic examination without any complications, surgical removal may be required when foreign bodies migrate extraluminally. This report describes two rare cases of ingested fishbones that had migrated, one each to the thyroid gland and submandibular gland. Read More

Ear Nose Throat J 2022 Mar 29:1455613221084076. Epub 2022 Mar 29.

Department of Otorhinolaryngology, 159358The Third Affiliated Hospital of ZunYi Medical University/First People's Hospital of Zunyi, Zunyi, China.

Neck-mediastinum foreign body (FB) is a common emergency in otorhinolaryngology head and neck surgery departments, and it can be lethal. We present a case of an uncommon foreign body in the neck-mediastinum. The FB was metallic and about 12 cm long. Read More

Ear Nose Throat J 2022 Mar 24:1455613221084040. Epub 2022 Mar 24.

Department of Otolaryngology-Head and Neck Surgery, 125573Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.

Penetrating neck injuries are not uncommon, while penetrated foreign bodies involving the larynx are rare, which can be critical and challenging even for experienced physicians. We presented a case of a 64-year-old man with a piece of grinder blade penetrating through the subglottic region, visiting our outpatient department with hoarseness persisting for 3 weeks. The flexible fiberoptic laryngoscope, CT and direct laryngoscope were used to establish the right diagnosis. Read More

J Korean Med Sci 2022 Jan 10;37(2):e19. Epub 2022 Jan 10.

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, Korea.

Background: South Korea has one of the world's fastest aging populations and is witnessing increased age-related hearing impairment cases as well as an increase in the number of hearing aid users. The aim of this study was to analyze complications caused by hearing aid mold materials. In addition, we hope to raise awareness of the harm and danger that inexperienced hearing aid providers can cause to patients. Read More

Ear Nose Throat J 2022 Jan 2:1455613211062454. Epub 2022 Jan 2.

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, 26714Jeonbuk National University, Jeon-ju, Korea.

A 53-year-old man with left facial pain was referred to our hospital. Nasal endoscopy revealed a purulent discharge at the left middle meatus and bulging of the uncinate process. Computed tomography demonstrated that the dental implant was blocking the left maxillary ostium. Read More

Laryngoscope Investig Otolaryngol 2021 Dec 27;6(6):1316-1320. Epub 2021 Oct 27.

Department of Anesthesia, College of Health Science Debre Tabor University Debre Tabor Ethiopia.

Background: Ear, nose, and upper esophageal foreign body (FB) impaction in children is a common emergency in-hospital service. There are no clear guidelines regarding the management of ingested FBs. This study aimed to determine the FB in terms of type, anatomic site, management outcome, and associated complications. Read More

Prim Care 2021 Dec 7;48(4):655-676. Epub 2021 Oct 7.

Department of Family Medicine, East Carolina University Brody School of Medicine, 101 Heart Drive, Greenville, NC 27834, USA. Electronic address:

Embedded fishhooks, digital ring entrapment, and foreign bodies of the ear, nose, and superficial eye and conjunctiva may present to primary care clinics and can often be managed there. This review is a guide for primary care clinicians for effective, pragmatic, and safe techniques to address these scenarios in the office and when to refer them to a surgeon. Read More

Ear Nose Throat J 2021 Sep 19:1455613211043678. Epub 2021 Sep 19.

Children's Ears, Nose, Throat, and Allergy, Orlando, FL, USA.

Button battery ingestion in pediatric populations is a common occurrence with severe sequelae. Multiple case reports have established the occurrence of death, fistula formation, mucosal erosion, esophageal perforation, and bleeding post-ingestion of button batteries. However, there is a gap in the literature on the occurrence of bilateral vocal cord paralysis post-lithium battery ingestion. Read More

Ear Nose Throat J 2021 Sep 7:1455613211036770. Epub 2021 Sep 7.

Department of Otorhinolaryngology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, People's Republic of China, Xuhui District, Shanghai.

Objective: Accidental pharyngeal fishbone ingestion is a common complaint in ear, nose, and throat clinics. Approximately two-thirds of the accidentally ingested fishbones can be removed using tongue depressors and indirect laryngoscopy. However, the remaining third is challenging to identify and remove using these methods. Read More

BMJ Case Rep 2021 Aug 16;14(8). Epub 2021 Aug 16.

Department of Otorhinolaryngology, Hospital Tuanku Ja'afar Seremban, Seremban, Malaysia.

Foreign body (FB) in the external auditory canal is more common among the paediatric age group compared with adult patients and it may be deposited in various ways. An accidental animate aural FB is reported to be commonly encountered in adults whereas inanimate FBs are likely to be found among adult patients with learning disability. An elderly man presented with accidental penetration of rattan tree stem into his ear while gardening. Read More

J Laryngol Otol 2021 Sep 5;135(9):825-828. Epub 2021 Aug 5.

ENT Department, Milton Keynes University Hospital, Milton Keynes, UK.

Objective: This case series, conducted during the coronavirus disease 2019 pandemic, investigates the impact of leaving aural foreign bodies in situ for a prolonged period of time, including the risk of complications and success rates of subsequent removal attempts.

Method: A retrospective study of aural foreign body referrals over a six-month period was carried out.

Results: Thirty-four patients with 35 foreign bodies were identified (6 organic and 29 inorganic). Read More

J Laryngol Otol 2021 Jul 25;135(7):648-651. Epub 2021 May 25.

Pragathi ENT Clinic, Chrompet, Chennai, India.

Background: Endoscopic ear surgery is a game changer in the field of otology. Training in endoscopic skills is essential for ENT residents, and is especially important during the coronavirus disease 2019 lockdown period. In such difficult times, ENT residents and surgeons can undergo hands-on training using a papaya petiole, even within their homes. 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

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

Digit J Ophthalmol 2021 25;27(1):17-21. Epub 2021 Mar 25.

Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.

Fish hook open-globe injuries (OGIs) are challenging to repair surgically because of the backward-projecting barb near the hook's point that prevents withdrawal of the hook. The most commonly reported ophthalmic surgical technique for removal of barbed hooks is advance-and-cut, wherein the fish hook is pushed through an iatrogenic wound to the exterior of the globe, the barb is cut off, and the shank is backed out of the entry wound. We report 2 cases of zone I OGIs with retained fish hooks successfully repaired using the back-out technique. 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

North Clin Istanb 2021 26;8(2):172-177. Epub 2020 Oct 26.

Department of Ear Nose Throat Head and Neck Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Objective: Rhinolithiasis is a rare condition which results from deposition of salt around a endogenous or exogenous nidus. In the literature, most of the reports are single case studies. In this study, we aimed to present the characteristics, symptoms, diagnosis, and treatment methods of 31 rhinolithiasis cases and to focus on the current literature. 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

Cureus 2021 Feb 28;13(2):e13616. Epub 2021 Feb 28.

Otorhinolaryngology, Hospital Tengku Ampuan Rahimah Klang, Klang, MYS.

A tooth in the nasal cavity is an uncommon phenomenon. The exact mechanism is unclear, and patients may present with non-specific nasal symptoms. We encountered a 24-year-old patient with history of cleft palate repair, presenting to us with unilateral nasal discharge not improving with conventional medications. 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

Ann Otol Rhinol Laryngol 2021 Oct 4;130(10):1198-1201. 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

Ear Nose Throat J 2021 Feb 15:145561321995010. Epub 2021 Feb 15.

Department of Otolaryngology-Head and Neck Surgery, 125573Chang Gung Memorial Hospital, Chiayi.

Arthropods may become lodged inside the ear and cause considerable emotional and physical trauma. Cases of centipedes being lodged in the external auditory canal have rarely been reported. In this article, we present the case of woman who had a centipede lodged inside her right external auditory canal. 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

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