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Suctioning the Nasopharyngeal Airway01:29

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Related Experiment Video

Updated: Feb 22, 2026

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
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External Auditory Canal Foreign Body Extraction Outcomes.

Kaveh Karimnejad1, Erik J Nelson2, Rebecca L Rohde3

  • 11 Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis Missouri, USA.

The Annals of Otology, Rhinology, and Laryngology
|September 29, 2017
PubMed
Summary
This summary is machine-generated.

Pediatric external auditory canal (EAC) foreign body removal is more successful in otolaryngology clinics than emergency departments. Spherical objects and multiple removal attempts decrease success rates.

Keywords:
and airwayclinical outcomes researchcommon childhood external ear problemsexternal auditory canalforeign bodies in the earmiscellaneousnosepediatric ear disorderspediatric otolaryngology

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Area of Science:

  • Otolaryngology
  • Pediatric Emergency Medicine
  • Medical Device Technology

Background:

  • Foreign bodies in the pediatric external auditory canal (EAC) are common presentations.
  • Management strategies vary based on clinical setting, impacting outcomes.

Purpose of the Study:

  • To compare the success rates of pediatric EAC foreign body extraction between emergency departments (ED) and otolaryngology (OTO) clinics.
  • To identify factors influencing successful foreign body removal in children.

Main Methods:

  • Retrospective chart review of 1197 pediatric patients with EAC foreign bodies from January 2010 to April 2015.
  • Analysis of patient demographics, foreign body characteristics, removal techniques, and complications.
  • Comparison of outcomes based on clinical setting (ED vs. OTO).

Main Results:

  • Successful removal rates were significantly higher in the OTO clinic (92.9%) compared to the ED (67.9%).
  • Beads and spherical objects were associated with lower success rates.
  • Complication rates were substantially higher in the ED (35.7%) versus the OTO clinic (5.0%).

Conclusions:

  • The ED is a common initial point of care for pediatric EAC foreign bodies, but with lower success rates and higher complication risks.
  • Referral to an otolaryngologist is recommended for spherical foreign bodies or after an initial unsuccessful removal attempt.