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J Laryngol Otol 2021 May 25:1-4. 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

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 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

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

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

Ear Nose Throat J 2020 Nov 12:145561320973776. Epub 2020 Nov 12.

Department of Otorhinolaryngology-Head and Neck Surgery, Affiliated Hospital/Clinical Medical College of Chengdu University, Chengdu, China.

Hypopharyngeal liposarcomas are extremely rare. Due to the lack of experience, pathologists and surgeons find it difficult to make a clear diagnosis and provide accurate, timely treatment. A 43-year-old man with a complaint of foreign body sensation in the throat for 6 months and swallowing difficulty for 2 months was admitted to our department. 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

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

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

Indian J Otolaryngol Head Neck Surg 2020 Dec 17;72(4):513-514. Epub 2011 Apr 17.

E.N.T Department & Ear, Nose, Throat, and Head & Neck Surgery Research Center, Hazrat Rasoul - Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.

In this study we report a case with foreign body in the infratemporal fossa. The anatomic position of this region and the presence of important neurovascular structures make this region a sophisticated one. Commonly used open procedures can have morbidity of neurovascular system. Read More

J Laryngol Otol 2020 Oct 21:1-4. Epub 2020 Oct 21.

Otolaryngology Department, Blackpool Victoria Hospital, UK.

Objective: To develop a simulator of the external auditory canal and tympanic membrane that enables surgical trainees to practise their otomicroscopy skills, which is particularly valuable at a time where there is limited patient contact because of the coronavirus disease 2019 lockdown.

Methods: A simulator of the external auditory canal and tympanic membrane was made using a cardboard bowl, a 2 ml syringe and a latex glove. The simulator was used to practise otomicroscopy skills, including microsuction, foreign body removal, myringotomy and grommet insertion. Read More

Laryngoscope 2021 05 9;131(5):1168-1174. Epub 2020 Oct 9.

Department of Otolaryngology, Head and Neck Surgery, Stanford University, Lucile Salter Packard Children's Hospital, Palo Alto, California, U.S.A.

Objectives/hypothesis: Create a competency-based assessment tool for pediatric esophagoscopy with foreign body removal.

Study Design: Blinded modified Delphi consensus process.

Setting: Tertiary care center. Read More

Otolaryngol Pol 2020 May;74(5):1-5

Department of Otorhinolaryngology, Tokat State Hospital, Tokat, Turkey.

<b>Objective:</b> The aim of this study was to evaluate cases of of ear, nose and pharyngeal (ENT) foreign body (FB) in pediatric patients referred to the pediatric emergency department of the Department of Otorhinolaryngology in Tokat State Hospital (Turkey). <br><b>Methods:</b> The paper comprises a retrospective study of all ENT foreign bodies presented to the pediatric emergency Department of Otorhinolaryngology in Tokat State Hospital (Turkey) between January 1, 2012 and December 31, 2018. Subject to evaluation were also demographic and clinical characteristics of the patients, types and anatomic locations of FBs, locations of FB by age groups, the method used to remove FBs and the distribution of FB cases by months. Read More

Indian J Otolaryngol Head Neck Surg 2020 Oct 1:1-6. Epub 2020 Oct 1.

Department of ENT, St John's National Academy of Health Sciences, Sarjapur Road, Bangalore, Karnataka 560034 India.

Corona virus disease (COVID 19) is an infectious respiratory disease caused by the novel virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). With many countries implementing lockdown the surgical activities in the division of otolaryngology across the world has been affected with many hospital confining themselves to only emergency or essential surgeries. The aim of this work is to report and discuss the in the surgical activity of the otolaryngology unit of the St John's National Academy of Health Sciences, Bangalore (India) during the pandemic. Read More

Ear Nose Throat J 2020 Sep 14:145561320953707. Epub 2020 Sep 14.

Division of Otolaryngology-Head and Neck Surgery, Cooper University Hospital, Camden, NJ, USA.

A 32-year-old female with a history of bipolar disorder and schizophrenia was transported to our tertiary-care hospital after swallowing a large toilet paper holder bracket. Removal of the large foreign body required coordination between anesthesiology, otolaryngology, and trauma surgery. A tracheostomy airway was established, and the object was removed transorally. Read More

Clin Exp Otorhinolaryngol 2021 May 26;14(2):235-239. Epub 2020 Aug 26.

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

OTO Open 2020 Jul-Sep;4(3):2473974X20947026. Epub 2020 Jul 31.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.

Removal of foreign bodies from the infratemporal fossa is surgically challenging and fraught with risks. This report describes our experience with a minimally invasive transoral technique, utilizing endoscopic and image guidance technology, for retrieval of infratemporal fossa foreign bodies in 6 patients. The technique was successfully applied in all cases with identification and retrieval of the foreign bodies, which included 4 hypodermic needles broken off during dental injections, a cottonoid surgical sponge lost during a facial fracture repair, and a maxillary molar displaced during attempted extraction. Read More

Int J Surg Case Rep 2020 25;73:365-368. Epub 2020 Jul 25.

King Fahad Specialist Hospital, Dammam, Saudi Arabia.

A five years boy aspirated Light-emitting diode (LED) of a toy while playing. Initially, he had a cough which later on settled. Chest physician at the local hospital tried to retrieve foreign bodies endoscopically, but he failed. Read More

BMJ Case Rep 2020 Jul 28;13(7). Epub 2020 Jul 28.

Department of Dental Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India.

A 9-year-old girl presented with a foreign body obstruction inside her nose. The condition led to pain and nasal congestion. CT showed the presence of a radiopaque mass similar to a tooth in the right nasal cavity. Read More