170예를 통해 본 외이도 이물
Foreign Body of External Auditory Canal: Review of 170 Cases
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and ObjectivesZZForeign bodies in the external auditory canal (EAC) are frequently encountered by otolaryngologists, emergency care physicians and pediatricians. The purpose of this study was to assess clinical characteristics, complications, as well as to investigate the proper management of foreign bodies in the EAC. Subjects and MethodZZWe retrospectively reviewed and analyzed clinical records of patients who presented with foreign bodies in the EAC at the otolaryngologic department of Keimyung University Dongsan Hospital from January, 2011 to October, 2016. ResultsZZOne-hundred seventy patients with aural foreign bodies were identified. The age of patients ranged from 12 months to 83 years, with 34.1% of the patients being under 10 years of age. Thirteen different types of foreign bodies were found, where insects, cottons and beads were the most common. Approximately 98% of the foreign bodies were removed without general anesthesia by using proper instruments under direct vision. Complications were observed in 5.8% of the patients: these included laceration and bleeding from the EAC (80%) and traumatic perforation of the tympanic membrane (20%). ConclusionZZVarious methods are available for foreign body removal from the EAC. In order to remove foreign bodies successfully and reduce complications, patients should be given precautions, such as, regarding adequate immobilization, prior to removing foreign bodies using proper instruments with a surgical microscope under appropriate anesthesia. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(12):599-604
Abstract
Background and ObjectivesZZForeign bodies in the external auditory canal (EAC) are frequently encountered by otolaryngologists, emergency care physicians and pediatricians. The purpose of this study was to assess clinical characteristics, complications, as well as to investigate the proper management of foreign bodies in the EAC. Subjects and MethodZZWe retrospectively reviewed and analyzed clinical records of patients who presented with foreign bodies in the EAC at the otolaryngologic department of Keimyung University Dongsan Hospital from January, 2011 to October, 2016. ResultsZZOne-hundred seventy patients with aural foreign bodies were identified. The age of patients ranged from 12 months to 83 years, with 34.1% of the patients being under 10 years of age. Thirteen different types of foreign bodies were found, where insects, cottons and beads were the most common. Approximately 98% of the foreign bodies were removed without general anesthesia by using proper instruments under direct vision. Complications were observed in 5.8% of the patients: these included laceration and bleeding from the EAC (80%) and traumatic perforation of the tympanic membrane (20%). ConclusionZZVarious methods are available for foreign body removal from the EAC. In order to remove foreign bodies successfully and reduce complications, patients should be given precautions, such as, regarding adequate immobilization, prior to removing foreign bodies using proper instruments with a surgical microscope under appropriate anesthesia. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(12):599-604
참고문헌 (20)
- Iseh KR, "Ear foreign bodies: observations on the clinical profile in Sokoto, Nigeria", Ann Afr Med, 7(1), pp.18~23 (2008)
- Fornazieri MA, "Foreign-body in external auditory meatus:evaluation of 462 cases", Int Arch Otolarynogol, 14(1), pp.45~49 (2010)
- Schulze SL, "Pediatric external auditory canal foreign bodies: a review of 698 cases", Otolaryngol Head Neck Surg, 127(1), pp.73~78 (2002)
- Balbani AP, "Ear and nose foreign body removal in children", Int J Pediatr Otorhinolaryngol, 46(1-2), pp.37~42 (1998)
- Thompson SK, "External auditory canal foreign body removal: management practices and outcomes", Laryngoscope, 113(11), pp.1912~1915 (2003)
- Yuca K, "Aural live foreign bodies in children", J Emerg Med, 25(1), pp.102~104 (2003)
- Ngo A, "Otorhinolaryngeal foreign bodies in children presenting to the emergency department", Singapore Med J, 46(4), pp.172~178 (2005)
- Suh BW, "Clinical analysis of the foreign bodies in the otolaryngological fields at private ENT clinic", Korean J Otorhinolaryngol-Head Neck Surg, 34(6), pp.1310~1315 (1991)
- Park CK, "Analysis of the foreign body in E.N.T. fields", Korean J Otorhinolaryngol-Head Neck Surg, 31(6), pp.984~992 (1988)
- Park SJ, "A statistical analysis of foreign bodies in otolaryngological field", Korean J Otorhinolaryngol-Head Neck Surg, 29(6), pp.848~858 (1986)
- Bang HS, "Clinical observation of foreign bodies in the external auditory canal", Korean J Otorhinolaryngol-Head Neck Surg, 10(4), pp.87~90 (1967)
- Cederberg CA, "Otomicroscope in the emergency department management of pediatric ear foreign bodies", Int J Pediatr Otorhinolaryngol, 73(4), pp.589~591 (2009)
- Ansley JF, "Treatment of aural foreign bodies in children", Pediatrics, 101(4 Pt 1), pp.638~641 (1998)
- Olajuyin O, "Aural foreign body extraction in children:a double-edged sword", Pan Afr Med J, 20, pp.186~ (2015)
- Antonelli PJ, "Insecticidal activity of common reagents for insect foreign bodies of the ear", Laryngoscope, 111(1), pp.15~20 (2001)
- Christopher JL, "Bailey’s Otolaryngology-Head and Neck Surgery", pp.2353~ (2015), Lippincott Williams & Wilkins
- Kim SK, "Removal of the spherical foreign body in the external auditory canal using cyanoarylate type adhesive", Korean J Otolaryngology-Head Neck Surg, 34(2), pp.344~346 (1991)
- Al-Juboori AN, "Aural foreign bodies: descriptive study of 224 patients in Al-Fallujah general hospital, Iraq", Int J Otolaryngol, 2013, pp.401289~ (2013)
- Pennant JH, "The laryngeal mask airway. Its uses in anesthesiology", Anesthesiology, 79(1), pp.144~163 (1993)
- Green SM, "Intramuscular ketamine for pediatric sedation in the emergency department: safety profile in 1,022 cases", Ann Emerg Med, 31(6), pp.688~697 (1998)