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Subject: Foreign Body Removal from the Nose and the Ear
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Suction and suction tips
Foreign body in the nasal cavity or external auditory canal
An uncooperative patient or infant who cannot be restrained
Distal location or displacement of the foreign body
Trauma-induced distortion of the normal anatomy
Previous ear surgery (because of increased risk of perforation)
Known or suspected cholesteatoma
PEARL: Note how using a headlight frees up both hands so that they can be used for instrumentation.
PITFALL: Regardless of which instrument is being used for removal, if manipulation results in displacement of the foreign body further back in the nasal cavity or further down the external auditory canal, attempts at removal should cease and otolaryngology consultation should be considered.
PITFALL: If bleeding occurs such that visualization of the object is obscured, attempts at removal should be stopped and otolaryngology consultation should be initiated.
Nausea or vomiting with removal of an object in the ear