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<p>Aural foreign bodies (AFBs) are frequently encountered in otolaryngology outpatient and emergency settings, particularly among children due to their curiosity and limited motor control. Timely and skilled intervention is crucial to avoid complications, especially in resource-limited or high-volume settings. This study aimed to evaluate the demographic profile, types, clinical presentations, complications, and removal techniques of AFBs in patients presenting to a tertiary care hospital in Eastern India. It also explored associations between foreign body types, age groups, complications, and prior removal attempts. A descriptive cross-sectional study was conducted at a tertiary care hospital of Eastern India over a defined period, enrolling 100 patients with AFBs through systematic random sampling. Data were gathered using a structured proforma and analyzed with SPSS version 25.0. Statistical associations were evaluated using the Chi-square test and Fisher’s exact test. Most patients were children aged ≤ 10&#xa0;years (77%), with a slight male predominance (52%). Right-sided involvement was more common (57%). Pearl beads (25%), seeds (20%), pencil fragments (13%), and erasers (12%) were the most prevalent foreign bodies. Intentional insertion accounted for 84% of cases. Syringing (44%) and microscope-assisted removal under general anesthesia (32%) were the primary techniques. Complications occurred in 30% of patients, with external auditory canal injuries and tympanic membrane perforations significantly associated with specific foreign body types (p = 0.0227). Prior unsuccessful removal attempts by non-specialists were strongly linked to increased complications. Aural foreign bodies remain a common pediatric emergency with significant morbidity if not managed properly. Timely referral to ENT specialists, discouraging removal attempts by untrained individuals, and enhancing public awareness are essential measures to minimize complications. Region-specific data such as this can help inform standardized management protocols and improve patient outcomes.</p>

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The Aural Foreign Body Conundrum: Demographics, Complications, and Management from a Tertiary Care Perspective

  • 期刊论文

  • 发表日期：

    2025年10月11日

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  • Somnath De,
  • Tithi Debnath,
  • Riya Das,
  • Tanmoy Sarkar

摘要

Aural foreign bodies (AFBs) are frequently encountered in otolaryngology outpatient and emergency settings, particularly among children due to their curiosity and limited motor control. Timely and skilled intervention is crucial to avoid complications, especially in resource-limited or high-volume settings. This study aimed to evaluate the demographic profile, types, clinical presentations, complications, and removal techniques of AFBs in patients presenting to a tertiary care hospital in Eastern India. It also explored associations between foreign body types, age groups, complications, and prior removal attempts. A descriptive cross-sectional study was conducted at a tertiary care hospital of Eastern India over a defined period, enrolling 100 patients with AFBs through systematic random sampling. Data were gathered using a structured proforma and analyzed with SPSS version 25.0. Statistical associations were evaluated using the Chi-square test and Fisher’s exact test. Most patients were children aged ≤ 10 years (77%), with a slight male predominance (52%). Right-sided involvement was more common (57%). Pearl beads (25%), seeds (20%), pencil fragments (13%), and erasers (12%) were the most prevalent foreign bodies. Intentional insertion accounted for 84% of cases. Syringing (44%) and microscope-assisted removal under general anesthesia (32%) were the primary techniques. Complications occurred in 30% of patients, with external auditory canal injuries and tympanic membrane perforations significantly associated with specific foreign body types (p = 0.0227). Prior unsuccessful removal attempts by non-specialists were strongly linked to increased complications. Aural foreign bodies remain a common pediatric emergency with significant morbidity if not managed properly. Timely referral to ENT specialists, discouraging removal attempts by untrained individuals, and enhancing public awareness are essential measures to minimize complications. Region-specific data such as this can help inform standardized management protocols and improve patient outcomes.