Foreign Bodies

Question 1

What are the signs of a foreign body that causes conductive hearing loss

Answer 1

1. +/- otalgia, beating of wings, crawling, + discharge, odor
2. Usually a witnessed event

Question 2

What will be found on PE

Answer 2

Visualized FB in canal (examine bilaterally)

Question 3

What is the treatment of a foreign body that is causing conductive hearing loss

Answer 3

Removal
1. Pateint cooperation is a must
2. Anesthesia in canal may help
3. Ear curette/loop or alligator forceps
4. Do not push further into canal

Question 4

How to properly irrigate a foreign body

Answer 4

Aim at canal wall (up and around)
*dont do to raw beans or peas
*lidocine to immobilize insect before removal

Question 5

What should you not put into your ear

Answer 5

Do it put anything in your ear smaller than your elbow