Foreign Body in Middle Ear leading to Facial Palsy in a Child: A Case Report
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Foreign bodies [FB] in ENT are common in children. In ear they are mostly found in external auditory canal (EAC) but are rare in middle ear. The FB which is tightly lodged in the EAC and those which are present in medial third of EAC near tympanic membrane should be referred to otolaryngologist as it requires magnification and special instruments to remove them. Case report: We present a case of a 3 year old male child who inserted a flower seed in the left ear. There were multiple attempts of foreign body [FB] removal by an inexperienced doctor in a village causing tympanic membrane [TM] perforation and further pushing the FB into the middle ear leading to facial palsy. We planned the endoscopic FB removal under general anaesthesia [GA]. On exploration the FB was found it impacted in the middle ear impinging on the facial nerve with mucosal oedema, debris and blood clots present all around. HRCT was done showed normal facial nerve and ossicles. Conclusion: The facial nerve functions recovered and TM perforation healed in 3 weeks post operatively. We report this case to create awareness as multiple forceful attempts to remove FB may lead to its lodgement deep in the canal and leads to complications.
Authors and Affiliations
Shahab Ali Usmani, H. P. Singh, Ashutosh Pandey, Satya Prakash Agarwal
Keywords
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