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Writer's pictureDr. Preethi MS., DNB., (ENT)

Foreign bodies in the Ear: An ENT Emergency

Foreign bodies in the ear can be a common and potentially serious problem, yet many people are not aware of the risks and proper management of these intruders. The ear is a delicate and intricate organ, and even small objects can cause significant damage if left untreated. From insects, beads, to small toys, foreign bodies can be found in various forms and sizes. In this blog post, we will explore the types of foreign bodies that can be found in the ear, the symptoms they can cause, and the best methods for managing and preventing these intrusions. Whether you're a parent, caregiver, or simply want to know more about ear health, this post will provide you with valuable information and tips for keeping your ears safe and healthy. So, let's dive in and take a closer look at foreign bodies in the ear.


The common foreign bodies that we come across in ear include:

  1. Insects: Insects, such as moths, beetles, and roaches, can accidentally fly or crawl into the ear canal, especially when the patient is asleep. They can cause discomfort and even injury if not removed in a timely manner.

  2. Beads or Small Toys: Children are at a higher risk of inserting small objects such as beads, stones or small toys into their ears. These objects can cause blockages, pain and even damage to the ear drum.

  3. Seeds or Food Particles: These types of foreign bodies are often seen when people are working in outdoor environments or handling food items. They can get stuck in the ear canal and cause irritation and pain.

  4. Glass or Metal Shards: These types of foreign bodies are usually seen in industrial or construction settings. They can cause serious injuries if not removed promptly.

  5. Other foreign bodies: Other foreign bodies such as cotton swabs, paper clips, and even ear plugs can cause blockages and injury if inserted too far into the ear canal.

It is essential to note that these are not the only types of foreign bodies that can be found in the ear, but are some of the most common examples. The key is to be aware of any signs of discomfort, pain or hearing loss and seek medical attention if any of these symptoms are present



Certain segment of the population is more susceptible to foreign body insertion in the ear.

  1. Children: Children are at a higher risk of inserting small objects into their ears due to their curiosity and lack of understanding of the risks. Parents and caregivers should keep small objects out of reach and educate children on the dangers of inserting objects into their ears.

  2. Outdoor activities: People who work or engage in outdoor activities, such as farming, construction, or gardening, are at a higher risk of foreign body insertion due to the increased likelihood of exposure to seeds, debris, and insects.

  3. Occupational hazards: Certain occupations, such as industrial work or woodworking, increase the risk of foreign body insertion due to the use of machinery and materials that produce small particles or shrapnel.

  4. Ear canal abnormalities: People with ear canal abnormalities, such as narrow or deformed ear canals, may be at a higher risk of foreign body insertion as the ear canal may be more susceptible to blockages.

  5. Ear cleaning habits: Over-cleaning or improper cleaning of the ear canal can lead to the insertion of foreign bodies, such as cotton swabs or paper clips, which can cause blockages and injury.

  6. Cognitive or physical disorders: People with cognitive or physical disorders, such as dementia or developmental disorders, may be more prone to inserting foreign bodies into their ears. It's important that caregivers and family members are aware of this risk and take the necessary precautions.

  7. Using hearing aid: People using hearing aid are more likely to have foreign body insertion due to the small size of the device and the need to handle it frequently.

It is important to be aware of these risk factors and take the necessary precautions to prevent foreign body insertion in the ear.


The symptoms of an ear foreign body include:

  1. Pain: The most common symptom of a foreign body in the ear is pain. The pain can be felt in the ear canal or the surrounding area and can range from a dull ache to a sharp, stabbing sensation.

  2. Itching: Another common symptom is itching, caused by the presence of an insect or other foreign body in the ear.

  3. Blockage: A feeling of fullness or blockage in the ear can also be a symptom of a foreign body. This can lead to partial or complete hearing loss.

  4. Drainage: Foreign body in the ear can also cause drainage from the ear, including blood, pus or clear fluid.

  5. Tinnitus: Ringing or other noises in the ear (tinnitus) may be a symptom of a foreign body in the ear.

  6. Dizziness or Vertigo: Dizziness or vertigo can also be a symptom of a foreign body in the ear, particularly if the foreign body is impacting the inner ear or the balance organ.

  7. Nausea or vomiting: Nausea or vomiting can also be a symptom of a foreign body in the ear, particularly if the foreign body is impacting the inner ear or the balance organ.

  8. Swelling: Swelling of the ear canal or surrounding area may also be present with a foreign body in the ear.


Foreign body removal from the ear:

  1. Removal by a healthcare professional: Foreign bodies in the ear should be removed by an ENT specialist. They have the necessary tools and skills to safely and effectively remove foreign bodies from the ear without causing injury.

  2. Ear irrigation: Ear irrigation is a common method used by ENT surgeons to remove foreign bodies, such as dead insects, from the ear canal. A stream of water is directed into the ear canal to loosen and flush out the foreign body.

  3. Suctioning: Suctioning is another method used by ENT surgeons to remove foreign bodies from the ear. A small suction device is inserted into the ear canal to remove the foreign body.

  4. Forceps or other instruments: In some cases, foreign bodies may need to be removed using forceps or other instruments. The healthcare professional will use specialized instruments to gently grasp the foreign body and remove it from the ear. They may also use an otoendoscope to aid in visualising the ear canal while removing the foreign body.

  5. Medications: In some cases, medications may be prescribed to help alleviate symptoms caused by the foreign body or to prevent infection.

It is important to note that the management of ear foreign body will vary depending on the type and location of the foreign body. It is important to follow the ENT specialist's instructions and not attempt to remove the foreign body on your own as this can cause injury or further complications.


Complications of ear foreign bodies:

  1. Ear canal injury: Attempting to remove a foreign body from the ear without proper training or equipment can cause injury to the ear canal or eardrum, resulting in pain, bleeding, or hearing loss.

  2. Infection: A foreign body in the ear can cause an infection, which can lead to inflammation, swelling, and discharge. If left untreated, an ear infection can cause damage to the ear canal or eardrum.

  3. Perforated eardrum: If a foreign body is not removed in a timely manner, it can cause a perforation (hole) in the eardrum, which can lead to hearing loss, ear pain, or discharge.

  4. Facial nerve paralysis: In rare cases, a foreign body in the ear can cause injury to the facial nerve, leading to facial paralysis.

  5. Brain abscess: In very rare cases, a foreign body in the ear can travel through the eustachian tube and into the middle ear, leading to a brain abscess.

It's important to seek medical attention as soon as possible if you suspect that you or someone you know has a foreign body in their ear. The earlier the foreign body is removed, the less likely it is to cause complications.


Prevention of ear foreign bodies:

  1. Avoid using cotton swabs or other objects to clean the ears: Cotton swabs and other objects should not be used to clean the ears as they can push the earwax further into the ear canal and can also cause injury to the ear canal or eardrum.

  2. Keep small objects away from children: Children are at a higher risk of inserting foreign bodies into their ears, so it's important to keep small objects such as beads, buttons, and toys away from them.

  3. Avoid inserting foreign objects into the ears: It's important to avoid inserting foreign objects into the ears, such as pencils, paperclips, or fingernails, as these can cause injury or infection.

  4. Follow proper ear hygiene: Proper ear hygiene can help prevent foreign bodies in the ear. This includes avoiding ear cleaning products or excessive cleaning of the ears and keeping ears dry.

  5. Be aware of symptoms: Be aware of symptoms that may indicate the presence of a foreign body in the ear, such as ear pain, discomfort, or hearing loss, and seek medical attention if any of these symptoms are present.

  6. Get regular check-ups: Regular ear check-ups can help identify foreign bodies or other issues in the ear before they become a problem, so it's important to schedule regular check-ups with an otolaryngologist.

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