OtoRhinoLaryngology Portal

The Leading Online Gallery of Otolaryngology and Head & Neck Surgery Specialty

OtoRhinoLaryngology Portal Video Collections @

YouTube & MEDtube

Hair Fragments

2 pieces of hair fragments which unintentionally entered the ear canal

during hair cut.  Epithelial migration can eventually extrude it naturally.

A long hair fragment reaching lateral process of malleus which had caused irritating sensation in the ear. 

 

Watch video of ear irritations after a haircut @ YouTube.

 

Foreign Body Just Beyond External Ear Introitus

Although easily visible, its removal often end up being done under general anaesthesia in children due to fear and uncooperativeness.

Round-Shaped Foreign Body- Instrument for Its Removal

Figure shows a round-shaped foreign body in the ear canal.  Ring-curette or angled/spoon-shaped instrument as illustrated are suitable to be used for its removal.  Crocodile forceps can be slippery and unsuitable for this purpose. 

Small foreign body can also be removed by syringing provided

there is no eardrum perforation.

 

Watch video of toy pistol bullet removal @ YouTube

Foreign Body Removal by Using Suctioning Technique

A shiny diamond-shaped foreign body being removed by using suction cannula under endoscopic view. Inset figure in the right is the dimension of the foreign body.

Gravel in The Ear with Traumatic Laceration

Figure show gravel impacted deep in the ear canal and surrounding fresh blood due to laceration caused by the foreign body.

Quire's Ear Forceps

 

 At rest.

 

In engaged position (upturn end) to sinuate and rake out foreign body (FB) - typically suitable for round-shaped FB.

Foreign Body: Organic Material

Chilli fragment which had caused right ear irritation and pain in a 3 year old boy. 

Cotton Bud Tip-Related Issues

Foreign Body in The Ear Canal

Cotton tip usage is not necessary as the ear canal has self cleasing property. 

It can potentialy cause injury and foreign body impaction.  This image shows retained cotton of Q-tip cotton left inside the osseous meatus

with surrounding epithelial reactions.

Retained cotton with evolving otomycosis.

2 pieces of Q-tip fragments impacted beyond the second isthmus

of ear canal without local reactions.

Ear canal wall abrasion (arrow).

Impacted cotton bud tip with blood-stained discharge and reactive otitis externa.

Left cotton fibre (dotted rectangle) in the ear canal from cotton bud usage.

Peri-handle of malleus perforation complicating cotton bud tip impaction with acute otitis media.  Arrow - exposed handle of malleus, TM - tympanic membrane, 1 - lateral process of malleus, 2 - umbo.

 

Watch video of ear canal laceration @ YouTube

Foreign Body in The Ear: Insect

      Foreign body in osseous meatus               Removed ants fragments.

         with secondary otitis externa.

Trapped insect in right auditory meatus which had caused troubling tinnitus and was found dead upon examination.  Left upper image - pre ear toilet view.

Cockroach in the ear.

Cochroach rendered dead by instilling olive oil prior to its removal.

 

     

 

Live spider in the ear - before (left) and after (right) its removal.

 

  

Watch video of live insect in the ear canal @ YouTube

Blood-Sucking Ectoparasite in The Ear Canal

 

The recovered dead tic.

 

 Live tick with its proboscis embedded into the introitus of the ear canal.  The black materials are its faecal material.  This patient also has impacted earwax.

 

Watch videos of tick removal @ YouTube

Video 1                              Video 2

 

A dog tic with proboscis embedded in the tissue of tympanic annulus.

 

Watch video of dog tick in the ear @ YouTube

 

Long-standing Foreign Body without Infection

Foreign Body with Secondary Infection

Embedded Earring

 A partially-embedded earring in the right ear lobule (top left figure) and after its manipulation (top right figure) prior to removal.

Removed earring showing its components.

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