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Foreign bodies in the ear, nose, and breathing tract (airway) sometimes occur in children. Foreign bodies refer to any object that is placed in the ear, nose, or mouth that is not meant to be there and could cause harm without immediate medical attention.
It is important for parents to be aware that children may cause themselves or other children great harm by placing objects in the ear. The reason children place things in their ears is usually because they are bored, curious, or copying other children. Sometimes, one child may put an object in another child's ear during play. Insects may also fly into the ear canal, causing potential harm. It has also been noted that children with chronic outer ear infections tend to place things in their ears more often.
instruments may be inserted in the ear magnets are sometimes used if the object is metal
cleaning the ear canal with water a machine with suction to help pull the object out
After removal of the object, your child's physician will then re-examine the ear to determine if there has been any injury to the ear canal. Antibiotic drops for the ear may be prescribed to treat any possible infections.
suction machines with tubes attached instruments may be inserted in the ear
After removal of the object, your child's physician may prescribe nose drops or antibiotic ointments to treat any possible infections.
the "eating" tube (esophagus). Food may be the cause of obstruction in children who do not have a full set of teeth to chew completely, or those children who simply do not chew their food well. Children also do not have complete coordination of the mouth and tongue which may also lead to problems. Children between the ages of 7 months and 4 years are in the greatest danger of choking on small objects, including, but not limited to, the following:
choking or gagging when the object is first inhaled coughing at first wheezing (a whistling sound, usually made when the child breathes out)
Although the initial symptoms listed above may subside, the foreign body may still be obstructing the airway. The following symptoms may indicate that the foreign body is still causing an airway obstruction:
stridor (a high pitched sound usually heard when the child breathes) cough that gets worse child is unable to speak pain in the throat area or chest hoarse voice blueness around the lips not breathing the child may become unconscious
Modified tweezers or forceps can be used to reach in and grab the object with the help of an otoscope so important structures are not damaged. Gentle suction can be used to suck out the object. Irrigation of the canal with warm water and a small catheter can flush certain materials out of the canal and clean out debris. Some doctors have devised ingenious and novel ways to remove objects from ear canals (paper clips, magnets, glue, etc.)
Small children do not tolerate painful or scary interventions, and may need to be sedated medically to have objects removed from their ears. Often with children, the first try is the most successful, as subsequent attempts to remove an object can be painful and frightening to the child. Insects in the ear canal are often killed with either lidocaine (an anesthetic) or mineral oil. They are then flushed out with gentle warm water irrigation. After the foreign object is removed the doctor may put the patient on antibiotic drops for five days to a week to prevent infection from trauma to the ear canal.