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.
Although easily visible, its removal often end up being done under general anaesthesia in children due to fear and uncooperativeness.
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
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.
In engaged position (upturn end) to sinuate and rake out foreign body (FB) - typically suitable for round-shaped FB.
Chilli fragment which had caused right ear irritation and pain in a 3 year old boy.
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
Deeply impacted foreign body (X) in the right ear canal which was identified as softened broken dark blue colour pencil nib. The ear canal surface and the eardrum were heavily stained by the melted nib particles.
Bubbles in in diluted hydrogen peroxide help in detaching adhered smears of the foreign body particles attached on deeper external auditory canal and tympanic membrane (TM) surfaces.
Minimal residual stains which will eventually be cleared by intrinsic epithelial migration. A short course of antibiotic eardrop was prescribed.
Foreign body in osseous meatus Removed ants fragment.
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
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
A dog tic with proboscis embedded in the tissue of tympanic annulus.
Watch video of dog tick in the ear @ YouTube