Foreign body removal from the external auditory canal in a pediatric emergency department

Jennifer Marin*, Jennifer Trainor

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

OBJECTIVES: To describe the experience with external auditory canal foreign body removal in a pediatric emergency department. To identify factors associated with procedural complications and/or failed removal. METHODS: Retrospective case series of patients treated in the emergency department over a 5-year period. Primary outcomes include success and complication rates. Secondary outcomes include removal rates in the otolaryngology clinic and operating room. RESULTS: Physicians in our pediatric emergency department successfully removed 204 (80%) of 254 foreign bodies. In 30 cases (12%), there was a complication. Multiple attempts at removal were associated with failure (relative risk [RR], 6.0; 95% confidence interval [CI], 3.0-12.0) and complications (RR, 3.1; 95% CI, 1.5-6.3). The use of multiple instruments was also associated with failure (RR, 5.4; 95% CI, 2.7-10.8) and complications (RR, 4.0; 95% CI, 2.0-7.6). Of the 244 patients in whom emergency department attempts at removal were made, 26 were successfully removed in otolaryngology clinic, and 14 were removed in the operating room. Foreign bodies present in the canal for more than 24 hours were not at higher risk of failed removal or complications. Patients younger than 4 years also were not at increased risk of having failed removal or complications. CONCLUSIONS: Physicians in a pediatric emergency department remove most foreign bodies from the external auditory canal successfully with minimal complications and need for operative removal. These data suggest that referral to otolaryngology be considered if more than 1 attempt or instrument is needed for removal.

Original languageEnglish (US)
Pages (from-to)630-634
Number of pages5
JournalPediatric emergency care
Volume22
Issue number9
DOIs
StatePublished - Sep 1 2006

Keywords

  • External auditory canal
  • Foreign body
  • Otolaryngology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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