Centipede inside ear: utility of video otoscopy
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20232530Keywords:
Centipede, Foreign body, Otoscope, Primary care, Primary health centreAbstract
Patients with ear related symptoms constitute a considerable group visiting primary health centres. Video otoscope is an upgraded version of traditional otoscope equipped with features that make it suitable for use among primary care physicians in diagnosing the diseases of ear and in removal of foreign bodies from ear. A 5-year-old child presented with sudden onset left ear pain and itching that woke her up from sleep. Examination with a video otoscope revealed a non-motile insect-like foreign body in the external auditory meatus. Upon proper removal under the guidance of video otoscopy, it was found to be a centipede mingled with cerumen. Contra lateral ear was also cleared of impacted cerumen. Patient’s ear ache and sense of ear blockage resolved and patient continued to be symptom free on follow-up. Video otoscopy is a useful technique and its introduction in primary care settings may lead to a better management of patients with ear related complaints.
References
Kohli C, Kadirvelu U, Garg S, Sharma N. Burden of ear morbidities among children in primary care setting in Delhi. Clin Epidemiol Glob Health. 2016;4:S12-6.
Chen CH, Huang CY, Cheng HL, Lin HH, Chu YC, Chang CY, et al. Smartphone-Enabled versus Conventional Otoscopy in Detecting Middle Ear Disease: A Meta-Analysis. Diagnostics (Basel). 2022;12(4):972.
Damery L, Lescanne E, Reffet K, Aussedat C, Bakhos D. Interest of video-otoscopy for the general practitioner. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(1):13-7.
Lundberg T, Biagio de Jager L, Swanepoel W, Laurent C. Diagnostic accuracy of a general practitioner with video-otoscopy collected by a health care facilitator compared to traditional otoscopy. Int J Pediatr Otorhinolaryngol. 2017;99:49-53.
Jones WS. Video otoscopy: bringing otoscopy out of the "black box". Int J Pediatr Otorhinolaryngol. 2006;70(11):1875-83.
Kroukamp G, Londt JG. Ear-invading arthropods: a South African survey. S Afr Med J. 2006;96(4):290-2.
Antonelli PJ, Ahmadi A, Prevatt A. Insecticidal activity of common reagents for insect foreign bodies of the ear. Laryngoscope. 2001;111(1):15-20.
Orobello NC, Dirain CO, Kaufman PE, Antonelli PJ. Efficacy of common reagents for killing ticks in the ear canal. Laryngoscope Investig Otolaryngol. 2018;3(6):492-5.
Friedman EM. Removal of Foreign Bodies from the Ear and Nose. N Engl J Med. 2016;375(2):194.
Ding MC, Tsai YT, Tsai MS, Hsu CM, Chang GH. Safe Removal of a Centipede From the Ear By Using an Innovative Practicable Method: A Case Report. Ear Nose Throat J. 2023;102(3):NP123-5.