Published: 2020-08-25

Ear, nose and throat foreign bodies and their spectrum in rural South India

S. Juthika Rai, B. V. Chandre Gowda, Rakshita R. Kamath


Background: Ear, nose and throat foreign bodies are among the most common emergencies presenting to Otorhinolaryngologists world over and when dealt with poorly can cause high morbidity and mortality. Our study aimed at analysis of age, gender, types of foreign bodies and various aspects of their management in rural population.
Methods: An observational prospective study was conducted in MVJ Medical College and Research hospital, Hoskote which is a tertiary care teaching hospital in rural Karnataka. 224 patients complaining of foreign body in ear, nose and throat between June 2018 to December 2019 were analyzed.

Results: Among 224 patients, majority were >10 years of age (57%). Most common site was ear (63.8%) followed by nose and throat. Single site foreign bodies were vast with cotton being most common object. About 67% foreign bodies were organic objects with 28%living and 72% non-living. 4% of the cases needed anesthetic augmentation for removal of which only 8 cases required general anesthesia. 60% cases were previously attempted removal cases with 2.7% cases developing sequela at follow up.

Conclusions: Early presentation, timely intervention and skilled removal by otorhinolaryngologists can help prevent adverse outcomes of foreign body Ear Nose and throat.


Foreign body, Rural study, Ear, Nose, Throat

Full Text:



Sarkar S, Roychoudhury A, Roychaudhuri BK. Foreign bodies in ENT in a teaching hospital in Eastern India. Indian J Otolaryngol Head Neck Surg. 2010;62(2):118-20.

Figueiredo RR, Azevedo AA, Kós AO, Tomita S. Complications of ent foreign bodies: a retrospective study. Rev Bras Otorrinolaringol (Engl Ed). 2008;74(01):7-15.

Tupasi TE, Miguel CA, Tallo VL, Bagasao TM, Natividad JN, Valencia LB, et al. Child care practices of mothers: implications for intervention in acute respiratory infections, Ann. Trop. Paediatr. 1989;9(2):82-88.

Das SK. Aetiological evaluation of foreign bodies in the ear and nose. J Laryngol Otol. 1984;98:989-91.

Chiun KC, Tang IP, Tan TY, Jong DE. Review of ear, nose and throat foreign bodies in Sarawak General Hospital. A five year experience. Med J Malaysia. 2012;67(1):17-20.

Ray R, Dutta M, Mukherjee M, Gayen GC. Foreign body in ear, nose and throat: experience in a tertiary hospital. Indian J Otolaryngol Head Neck Surg. 2014;66(1):13-6.

Shrestha I, Shrestha BL, Amatya RC. Analysis of ear, nose and throat foreign bodies in dhulikhel hospital. Kathmandu Univ Med J. 2012;10(38):4-8.

Anderson GF, Hussey PS. Population aging: a comparison among industrialized countries. Health Aff (Millwood) 2000;19:191-203.

Nakamura Y, Ito K, TakedaM, Matsuda E, Oda N. A clinical analysis of 75 foreign bodies in the external auditory canal including a cobweb as a foreign body. Practica Otologica. 2012;05:1033-7.

Bressler K, Shelton C. Ear foreign-body removal: a review of 98 consecutive cases. Laryngoscope. 1993;103:367-70.

Mukherjee A, Haldar D, Dutta S, Dutta M, Saha J, Sinha R. Ear, nose and throat foreign bodies in children: A search for socio-demographic correlates. International Journal of Pediatric Otorhino-laryngology. 2011;75(4):510-2.

Ribeiro da Silva BS, Souza LO, Camera MG, Tamiso AGB, Castanheira VR. Foreign bodies in otorhinolaryngology: a study of 128 cases. Int. Arch. Otorhinolaryngol. 2009;13(4):394-9.

Mishra A, Shukla GK, Bhatia N. Aural Foreign bodies. Indian J of pediatrics. 2000;67(4):267-9.

Bressler K, Shelton C. Ear foreign-body removal: a review of 98 consecutive cases. Laryngoscope. 1993;103(4):367-70.

Endican S, Garap JP, Dubey SP. Ear, nose and throat foreign bodies in Melanesian children: an analysis of 1037 cases. Int J Pediatr Otorhinolaryngol. 2006;70(09):1539-45.

Onotai LO, Uriah S. External auditory canal foreign bodies: Clinical profile and management outcomes in Port Harcourt, Nigeria. J Med Res Prac. 2013;2(5):111-5.

Hobson JC, Lavy JA. Use and abuse of cotton buds. J R Soc Med.2005;98(8):360-1.

Viswanatha B, Dutta RK, Anilkunar R, Sumatha D. Migration of a foreign body from post aural area to the external ear canal. Int J Otorhinolaryngol. 2009;10(2):1-4.

Franc¸ois M, Hamrioui R, Narcy P. Nasal foreign bodies in children. Eur. Arch. Otorhinolaryngol. 1998;255:132-4.

Tong MCF, Ying SY, Hasselt van CA. Nasal foreign bodies in children. Int. J. Pediatr. Otorhinolaryngol. 1996;35:207-11.

Kim HU. Oroesophageal Fish Bone Foreign Body. Clin Endosc.2016;49(04):318-26.

Zohar Y, Avidan G, Shvili Y, Laurian N. Otolaryngologic cases of Munchausen’s syndrome. Laryngoscope. 1987;97:201-3.

Ishikawa H, OmataT. Statistical analysis of 83 cases of foreign bodies in the externalauditory canal. Practica Otologica.1998;91: 899-904.

Ahn JH, Cho GS, Chung JW, Yoon TH. Analysis of the 169 patients with external auditory canal foreign bodies in the emergency department. Korean J Audiol. 2010;14:8-11.

Zamzil Amin A, Baharudin A, Shahid H. Isolated facial palsy due to intra-aural tick (ixodoidea) infestation. Arch OrofacSci. 2007;2:51-3.

Srinovianti N, Ahmad RL. Intra-aural tick infestation, the presentation and complica-tions. The Int Med J Malaysia. 2003;2(2):1-5.

Ugwu GI, Okolugbo NE. Otogenic tetanus: case series. West Afr J Med. 2012;31:277-9.

Olajide TG, Ologe FE, Arigbede OO. Management of foreign bodies in the ear: a retrospective review of 123 cases in Nigeria. Ear, Nose and Throat J. 2011;90(11):E16 -9.

Fasunla AJ, Ogunleye OO, Ijaduola TG. Healthcare givers' skill and foreign bodies in the ears of children in the tropics. Int J Pediatr Otorhinolaryngol. 2007;71(2):191-5.

Cederberg CA, Kerschner JE. Otomicroscope in the emergency department management of pediatric ear foreign bodies. Int J Pediatr Otorhinolaryngol. 2009;73(4):589-91.

Parajuli R. Foreign bodies in the ear, nose and throat: an experience in a tertiary care hospital in central Nepal. Int Arch Otorhinolaryngol. 2015;19(2):121-23.

Ngo A, Ng KC, Sim TP. Otorhinolaryngeal foreign bodies in children presenting to emergency department. Singapore Med J. 2005;46(4):172-8.

Ansley FJ, Cunningham JM. Treatment of Aural Foreign Bodies in Children. Pediatrics. 1998;101(4): 638-41.

Hon SK, Izam TM, Koay CB, Razi A. A prospective evaluation of foreign bodies presenting to the Ear, Nose and Throat Clinic, Hospital Kuala Lumpur. Med J Malaysia. 2001;56(4):463-70.