Hazardous complications of animate foreign bodies in otology practice

Kapil Sikka, R. Agrawal, K. Devraja, J. V. Lodha, A. Thakar

Research output: Contribution to journalArticle

Abstract

Background: Animate foreign bodies in the ear are frequent occurrences in otology practice. Such foreign bodies may lead to hazardous complications. Method: This paper describes a retrospective study of six patients with a recent history of an insect in the ear who presented with various complications following intervention received elsewhere. Results: An insect was retrieved from the external auditory canal in four cases and from the antrum in two cases. The patients presented with progressive otological complications: two patients who presented with orbital apex syndrome and cavernous sinus thrombosis succumbed to the disease; three patients suffered sensorineural hearing loss; and two patients had persistent facial palsy. One patient with sigmoid sinus thrombosis, who presented early, experienced complete recovery. Conclusion: Insects in the ear can lead to hazardous complications. Animate foreign bodies should preferably be managed by a trained otologist, even in an emergency setting. Patients with delayed presentation and complications have a guarded prognosis.

Original languageEnglish
Pages (from-to)540-543
Number of pages4
JournalJournal of Laryngology and Otology
Volume129
Issue number6
DOIs
Publication statusPublished - 01-01-2015

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Otolaryngology
Foreign Bodies
Ear
Insects
Cavernous Sinus Thrombosis
Intracranial Sinus Thrombosis
Ear Canal
Sensorineural Hearing Loss
Facial Paralysis
Sigmoid Colon
Emergencies
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Sikka, Kapil ; Agrawal, R. ; Devraja, K. ; Lodha, J. V. ; Thakar, A. / Hazardous complications of animate foreign bodies in otology practice. In: Journal of Laryngology and Otology. 2015 ; Vol. 129, No. 6. pp. 540-543.
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Hazardous complications of animate foreign bodies in otology practice. / Sikka, Kapil; Agrawal, R.; Devraja, K.; Lodha, J. V.; Thakar, A.

In: Journal of Laryngology and Otology, Vol. 129, No. 6, 01.01.2015, p. 540-543.

Research output: Contribution to journalArticle

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AU - Lodha, J. V.

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AB - Background: Animate foreign bodies in the ear are frequent occurrences in otology practice. Such foreign bodies may lead to hazardous complications. Method: This paper describes a retrospective study of six patients with a recent history of an insect in the ear who presented with various complications following intervention received elsewhere. Results: An insect was retrieved from the external auditory canal in four cases and from the antrum in two cases. The patients presented with progressive otological complications: two patients who presented with orbital apex syndrome and cavernous sinus thrombosis succumbed to the disease; three patients suffered sensorineural hearing loss; and two patients had persistent facial palsy. One patient with sigmoid sinus thrombosis, who presented early, experienced complete recovery. Conclusion: Insects in the ear can lead to hazardous complications. Animate foreign bodies should preferably be managed by a trained otologist, even in an emergency setting. Patients with delayed presentation and complications have a guarded prognosis.

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