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Foreign Bodies in the External Auditory Canal: An Evaluation of 95 Cases

Yıl 2022, Cilt: 32 Sayı: 6, 631 - 634, 31.12.2022
https://doi.org/10.54005/geneltip.1059293

Öz

Objective: The purpose of this study was to examine the demographic characteristics, form of presentation to hospital, the ear in which foreign bodies were observed, and the features thereof, in cases of foreign body in the external auditory canal (EAC) treated in our clinic.
Materials and Methods: Ninety-five patients presenting to our hospital due to foreign body in the EAC and treated in the Ear, Nose, and Throat (ENT) Clinic were included in the study. Patients’ medical records were examined, and age, sex, type of presentation to hospital, type of foreign body, and the ear involved were recorded.
Results: Sixty-eight (71.5%) of the 95 patients were adults aged 20-85, and 27 (28.5%) were children aged 2-17. Fifty-two (54.7%) patients were male and 43 (45.3%) were female. The foreign body was located in the right ear in 47 (49.5%) cases, the left ear in 45 (47.3%), and in both ears in three (3.2%). Twenty-seven (27.6%) of the foreign bodies consisted of cotton swabs, 14 (14.3%) of insects, 13 (13.2%) of beads, 11 (11.2%) of grass pieces.
Conclusion: Foreign bodies in the EAC are a frequent problem in ENT practice. In order to avoid complications, foreign bodies should be removed using appropriate techniques and equipment by professional ENT physicians.

Kaynakça

  • 1.Altintas M. Foreign bodies in the external auditory canal: A single center experience. Ann Med Res 2020; 27: 2852-5.
  • 2.Koo BM, Park JW, Bae KH, et al. Foreign Body of External Auditory Canal: Review of 170 Cases. Korean J Otorhinolaryngol-Head Neck Surg. 2017; 60: 599-604.
  • 3.Fornazieri MA, Cutolo D, Moreira JH, et al. Foreign-body in External Auditory Meatus: Evaluation of 462 Cases. Intl Arch Otorhinolaryngol 2010; 14: 45-9.
  • 4.Yadav R, Yadav DK. Foreign Bodies in Ear: A Descriptive Study. Indian J Otolaryngol Head Neck Surg Published: 25 August 2021.
  • 5.Singh GB, Sidhu TS, Sharma A, Dhawan R, Jha SK, Singh N. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol 2007; 28: 87-90.
  • 6.Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope 2003; 113: 1912-5.
  • 7.Rull G. Foreign bodies in the ear. Patient.co.uk. http://www.patient.co.uk/doctor/Foreign-bodies-in-the-Ear.htm. 2020; Accessed 4 Oct 2011.
  • 8.Schulze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol Head Neck Surg 2002; 127: 73-8.
  • 9.Olajide TG, Ologe FE, Arigbede OO. Management of foreign bodies in the ear: a retrospective review of 123 cases in Nigeria. Ear Nose Throat J 2011; 90: 16-9.
  • 10.Sağlam O, Saat B, Dursun E, et al. Ear Cotton Buds Forgotten in External Ear Canals. Cukurova Medical J 2014; 39: 373-6.
  • 11.Ilhan E, Memis M, Ulucanli S, Karadeniz D, Yaman H, Guclu E. Managment of external auditory canal foreign bodies: Evaluation of 117 cases. KBB-Forum Derg 2014; 13: 31-4.
  • 12.O'Toole K, Paris PM, Stewart RD, Martinez R. Removing cockroaches from the auditory canal: controlled trial. N Engl J Med 1985; 312: 1197.

Dış kulak yolunda yabancı cisimler: 95 olgunun değerlendirilmesi

Yıl 2022, Cilt: 32 Sayı: 6, 631 - 634, 31.12.2022
https://doi.org/10.54005/geneltip.1059293

Öz

Amaç: Yabancı cisimlerin en sık görüldüğü kulak burun boğaz (KBB) bölgesi dış kulak yolu (DKY)’dur. Bu çalışmanın amacı DKY’nda yabancı cisim nedeniyle kliniğimizde tedavi edilen olguların demografik özelliklerinin, hastaneye başvuru şeklinin, yabancı cisimlerin hangi kulakta görüldüğünün ve özelliklerinin incelenmesidir.
Gereç ve Yöntemler: Çalışmaya Eylül 2019-Eylül 2021 tarihlerinde DKY’nda yabancı cisim nedeniyle hastanemiz acil servisine veya KBB Polikliniği’ne başvuran ve KBB Kliniği’nde tedavi edilen 95 hasta dahil edildi. Hastaların tıbbi kayıtları incelenerek yaş, cinsiyet, hastaneye başvuru şekli, yabancı cismin türü ve hangi kulakta olduğu kaydedildi.
Bulgular: Çalışmaya dahil edilen 95 hastanın 68 (%71.5)’i yaşları 20-85 arasında değişen erişkin, 27 (%28.5)’si yaşları 2-17 arasında değişen çocuktu. Hastaların 52 (%54.7)’si erkek, 43 (%45.3)’ü kadındı. 46 (%48.4) hastada acil servise 49 (%51.6) hastada ise KBB Polikliniği’ne başvuru görüldü. 47 (%49.5) hastada sağ kulakta, 45 (%47.3) hastada sol kulakta ve 3 (%3.2) hastada da her iki kulakta yabancı cisim izlendi. Yabancı cisimlerden 27 (%27.6) tanesi pamuk, 14 (%14.3) tanesi böcek, 13 (%13.2) tanesi boncuk, 11 (%11.2) tanesi ot, 5 (%5.1) tanesi sarımsak, 5 (%5.1) tanesi kene, 4 (%4.1) tanesi çeşitli yiyecek maddeleri, 3 (%3.1) tanesi taş, 3 (%3.1) tanesi işitme cihazı parçası, 2 (%2) tanesi kulaklık parçası idi. Geriye kalan 10 (%11.2) hastada ise 1’er adet oyun hamuru, peçete, plastik vs. maddeler mevcuttu.
Sonuç: DKY’nda yabancı cisim KBB pratiğinde sık karşılaşılan problemlerdendir. Bu çalışmada da olduğu gibi erişkinlerde daha sık görülebilmektedir. Herhangi bir komplikasyonla karşılaşmamak için yabancı cisimler uygun teknik ve aletlerle profesyonel KBB hekimleri tarafından çıkarılmalıdır.

Kaynakça

  • 1.Altintas M. Foreign bodies in the external auditory canal: A single center experience. Ann Med Res 2020; 27: 2852-5.
  • 2.Koo BM, Park JW, Bae KH, et al. Foreign Body of External Auditory Canal: Review of 170 Cases. Korean J Otorhinolaryngol-Head Neck Surg. 2017; 60: 599-604.
  • 3.Fornazieri MA, Cutolo D, Moreira JH, et al. Foreign-body in External Auditory Meatus: Evaluation of 462 Cases. Intl Arch Otorhinolaryngol 2010; 14: 45-9.
  • 4.Yadav R, Yadav DK. Foreign Bodies in Ear: A Descriptive Study. Indian J Otolaryngol Head Neck Surg Published: 25 August 2021.
  • 5.Singh GB, Sidhu TS, Sharma A, Dhawan R, Jha SK, Singh N. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol 2007; 28: 87-90.
  • 6.Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope 2003; 113: 1912-5.
  • 7.Rull G. Foreign bodies in the ear. Patient.co.uk. http://www.patient.co.uk/doctor/Foreign-bodies-in-the-Ear.htm. 2020; Accessed 4 Oct 2011.
  • 8.Schulze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol Head Neck Surg 2002; 127: 73-8.
  • 9.Olajide TG, Ologe FE, Arigbede OO. Management of foreign bodies in the ear: a retrospective review of 123 cases in Nigeria. Ear Nose Throat J 2011; 90: 16-9.
  • 10.Sağlam O, Saat B, Dursun E, et al. Ear Cotton Buds Forgotten in External Ear Canals. Cukurova Medical J 2014; 39: 373-6.
  • 11.Ilhan E, Memis M, Ulucanli S, Karadeniz D, Yaman H, Guclu E. Managment of external auditory canal foreign bodies: Evaluation of 117 cases. KBB-Forum Derg 2014; 13: 31-4.
  • 12.O'Toole K, Paris PM, Stewart RD, Martinez R. Removing cockroaches from the auditory canal: controlled trial. N Engl J Med 1985; 312: 1197.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Ayhan Kars 0000-0003-4580-315X

Fatma Atalay 0000-0002-0344-1982

Kübra Topal 0000-0003-2179-4180

Erken Görünüm Tarihi 31 Aralık 2022
Yayımlanma Tarihi 31 Aralık 2022
Gönderilme Tarihi 17 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 32 Sayı: 6

Kaynak Göster

Vancouver Kars A, Atalay F, Topal K. Foreign Bodies in the External Auditory Canal: An Evaluation of 95 Cases. Genel Tıp Derg. 2022;32(6):631-4.