Foreign body in the ear canal-in children
Foreign body in ear is a common problem in pediatric population, especially in toddlers. The vast majority of items are lodged in the ear canal. Most cases of foreign bodies in the ear are not serious and can usually wait until the morning or the following day for removal. The object does, however, have to be completely removed quickly and with the least amount of discomfort.
Common objects found in ears include food material, beads, toys, and insects. Children often place items in their ears out of curiosity.
Insects are well known to crawl into the ear, usually when you are asleep. Sleeping on the floor or outdoors would increase the chance of this unpleasant experience. Pain is the most common symptom. If the object is blocking most of the ear canal, you may experience a decrease in hearing on that side.
If an object becomes lodged in the ear it is usually best to have it removed by an ENT doctor who can view the object with proper lighting and instruments.
Having a live insect in your ear can be extremely uncomfortable. People are often desperate to get the bug to stop moving. If you do not have a known hole in your eardrum, it is usually safe to place a few drops of mineral oil into the ear. This will kill the bug and allow you to calmly and safely get to the ENT specialist for removal.
The removal of any foreign body should be done with care, using an operating microscope. If the child is uncooperative, better do it after giving sedation.After removing the object, make sure there is no damage to the ear drum.
If any trauma to the ear canal, appropriate antibiotic ear drops are given.
Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 35 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the Jubilee Hospital, in Kerala, India.
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