Foreign matter of an ear — the alien object which is in external acoustical pass or got into a cavity of a middle or inner ear. Any small household subject or a stone, a toy, a piece of paper, plasticine, cotton wool, a wooden chip or a stick, seeds of plants, an insect or other live organism, a detail of the hearing aid, a congestion of ear sulfur can be a foreign matter of an ear. The foreign matter of an ear is shown a congestion and ear pain, decrease in hearing, pressure sense in an ear, sometimes dizziness and vomiting. Diagnostics of a foreign matter of an ear is carried out by means of an otoskopiya. Removal of a foreign matter of an ear depending on its sizes and a form is carried out by washing, a tool way or way of surgical intervention.
Foreign matter of an ear
Like foreign matters of a throat and nose the foreign matter of an ear is most often diagnosed for children. During the game the child himself enters an alien subject into external acoustical pass. It is good if he tells about it to parents. Otherwise it is long the object which is in an ear leads to development of an inflammation. At adults the foreign matter of an ear arises in a random way. Quite often different injuries as a result of which the earth, sand, a glass piece, a splinter of the blown-up shell, a bullet, etc. can get into an ear become the reason of a foreign matter of an ear. At the same time the foreign matter of an ear can settle down not only in external acoustical pass, but also in a drum cavity or in an inner ear. The elderly people suffering from the expressed relative deafness, a foreign matter of an ear can have batteries and details of the hearing aid.
Classification of foreign matters of an ear
On the emergence mechanism the otolaryngology divides foreign matters of an ear on exogenous and endogenous. The exogenous foreign matter of an ear gets into it from the external environment, and endogenous — is formed directly in an ear. The majority of foreign matters of an ear have an exogenous origin. Sulfuric traffic jams belong to endogenous foreign matters.
In character foreign matters of an ear are subdivided into 2 big groups: lifeless (inert) and live (mobile). Small stones, sand, seeds of various plants, household objects belong to lifeless foreign matters of an ear (a button, a bead, the battery, small toys and the designer's details, pieces of paper, polyfoam, cotton wool and so forth). The insect who incidentally got from air or crept in an ear until the person slept can be a live foreign matter of an ear or lay on a grass; a bloodsucker or a larva from an open reservoir which got into external acoustical pass to bathing time. Also allocate freely lying and fixed foreign matters of an ear.
Lifeless foreign matter of an ear: symptoms, diagnostics, removal
The foreign matter of an ear of inanimate nature in certain cases can not cause any unpleasant feelings at the patient. As a rule, it belongs to small and smooth objects. Larger foreign matter of an ear, interfering with passing on an acoustical pipe of a sound wave, causes a hearing impairment and feeling of a congestion of an ear. The foreign matter of an ear, the having sharp ledges, can wound skin of external acoustical pass or an eardrum that leads to emergence of pain and bloody allocations from an ear. It is capable to punch an eardrum. As a result of perforation the infection leading to emergence of average otitis can get into a cavity of a middle ear.
The foreign matter of an ear in a varying degree annoyingly affects skin of external acoustical pass, stimulating sekretorny activity sulfuric and sweat glands. As a result of the increased humidity such foreign matters of an ear as grains of peas, corn and haricot, inflate over time and increase in volume. At the same time they completely block a gleam of acoustical pass that is followed by a considerable hearing impairment, feeling of a raspiraniye in an ear and pain. Reaching the considerable sizes, the similar foreign matter of an ear squeezes fabrics in acoustical pass, causing their necrosis. It is wedged in acoustical pass that much more complicates its removal. Big danger is represented by the batteries which got into an ear. Carrying electric current in the damp environment, they can become the reason of a necrosis of the site of skin of acoustical pass.
In due time not the remote foreign matter of an ear leads to development of inflammatory reaction. In such cases emergence of pain in an ear, allocation from it mucopurulent separated, deterioration in hearing is observed. At the expressed inflammation temperature increase of a body, a headache is possible. Inflammatory reaction is followed by puffiness which reduces a gleam of acoustical pass that considerably complicates withdrawal of a foreign matter of an ear.
The foreign matter of an ear of inanimate nature often is found at simple survey of external acoustical pass. For the best survey of acoustical pass at the adult patient or the child of advanced age the otolaryngologist one hand delays an auricle up and back. At small children the auricle is displaced down and back. If the patient asked for the help not at once, then the inflammation and hypostasis which developed in acoustical pass interfere with visualization of a foreign matter of an ear and can hide it. In such cases diagnostics requires carrying out an otoskopiya and mikrootoskopiya. At existence of allocations conduct their microscopy and a bacteriological research for definition of a type of the microorganisms which caused inflammatory process and their sensitivity to antibiotics. If the alien subject got into an ear as a result of a trauma, the skull X-ray analysis is in addition appointed. The foreign matter of an ear should be differentiated from tumors of an ear, damages of external acoustical pass, perforation of an eardrum, external otitis and a hematoma.
Removal of a foreign matter of an ear whenever possible has to be carried out as soon as possible until in acoustical pass inflammatory reaction developed or there was a swelling of hygroscopic alien objects. It is not necessary to try to remove a foreign matter of an ear independently. Such attempts can lead to wound of skin of acoustical pass, damage and perforation of an eardrum, secondary infection.
The easiest way of removal of a foreign matter of an ear is washing. It is carried out by the water heated to body temperature. The doctor gathers water in the syringe with a cannula, enters the end of a cannula into acoustical pass and under small pressure makes washing. If necessary the procedure is repeated several times. After washing the liquid which remained in an ear is removed by means of a turunda. Washing of an ear is contraindicated in the presence in it batteries, thin and flat foreign matters which can be carried by current of water in depth of acoustical pass, and also in case of perforation of an eardrum.
Removal of a foreign matter of an ear can is carried out by the thin ear hook got for an alien subject so that to take and pull out it from acoustical pass. In order to avoid traumatizing acoustical pass and perforation of an eardrum manipulation has to be carried out under constant visual control. Before extraction of the seeds which bulked up from humidity in an ear dig in 96% ethyl alcohol which thanks to the dehydrational action promotes reduction of a foreign matter in volume.
In the absence of the expressed pain syndrome removal of a foreign matter of an ear can be carried out without anesthesia, in other cases local anesthesia is necessary, and small children have the general sedation. After extraction of a foreign matter of an ear make careful survey of external acoustical pass regarding damages and inflammatory sites. At detection of those leather is processed solution of boric acid, in addition appoint a mortgaging of ear antibacterial ointment.
In case of the expressed inflammatory changes and puffiness of acoustical pass, extraction of a foreign matter of an ear is postponed for several days during which perform the combined anti-inflammatory, antiedematous and antibacterial treatment. Subsiding of the inflammatory phenomena increases chances of safe withdrawal of an alien subject.
Surgical removal of a foreign matter of an ear is made at impossibility of its extraction through external acoustical pass. Operation is carried out through a small section behind an auricle.
Live foreign matter of an ear: symptoms, diagnostics, removal
The live foreign matter of an ear moves in external acoustical pass, than brings to the patient the mass of unpleasant feelings: pain, tickling, noise in an ear. Constantly moving, the live foreign matter of an ear leads to irritation of the receptors of the wandering nerve located in acoustical pass with developing of dizziness and reflex vomiting. At children convulsive attacks are possible. Some insects are capable to emit the specific chemicals annoyingly influencing thin skin of acoustical pass and causing its necrosis.
The intolerable feelings accompanying a foreign matter of an ear of wildlife force the patient to see a doctor at once. The diagnosis is confirmed when carrying out an otoskopiya.
As a rule, a live foreign matter of an ear destroy in the beginning, and then make its removal. Quickly to get rid of unpleasant symptoms, the patient can independently immobilize an insect, having dug ethyl alcohol, vaseline or sunflower oil in an ear. It is better to entrust the subsequent removal of a foreign matter of an ear to the otolaryngologist. Thanks to the bystry address to the doctor at the patient with a live foreign matter of an ear inflammatory complications usually do not manage to develop and the insect successfully leaves during the washing of an ear, extraction by tweezers or a hook.
Sulfuric stopper: symptoms, diagnostics, removal
Formation of a sulfuric stopper can be the result of the raised production of ear sulfur, difficulty of its otkhozhdeniye because of anatomic narrowness or curvature of external acoustical pass. The wrong hygiene of ears also promotes emergence of sulfuric traffic jams. For example, a habit to clean ears, entering an ear stick into acoustical pass, can lead to a sulfur zatalkivaniye in depth of an ear and to formation of a sulfuric stopper.
The foreign matter of an ear in the form of a sulfuric stopper is shown generally by feeling of a congestion of an ear and decrease in hearing. The feeling of elevated pressure in acoustical pass is possible. If the sulfuric stopper adjoins to an eardrum, there is a noise in an ear. Diagnose sulfuric traffic jams by survey of external acoustical pass and an otoskopiya.
Removal of a sulfuric stopper, as well as the majority of other foreign matters of an ear, is made first of all by washing. Previously to the patient within several days recommend to dig in hydrogen peroxide which softens a sulfuric stopper in an ear and facilitates its removal. At futility of washing tool removal of a sulfuric stopper with application of ear nippers or a special hook is shown.