Dubois M, François M, Hamrioui R
Service ORL, hôpital Robert-Debré, Paris, France.
Arch Pediatr. 1998 Sep;5(9):970-3. doi: 10.1016/s0929-693x(98)80005-5.
Foreign bodies in the external ear canal present a frequent situation in pediatric practice. It is generally benign, but infectious complications may occur.
Between January 1996 and March 1997, 35 children with a foreign body in the ear canal were treated in the ENT department of Robert-Debré hospital.
Age ranged from 15 months to 14 years, with a mean of 6.5 years. The sex ratio was 1.2 (19 boys/16 girls). Five children had bilateral foreign bodies. The most frequent foreign bodies were pearls (8/40) and cockroaches (7/40). Eleven children had complications: ear canal laceration in five cases, otitis externa in five cases, cervical adenitis in three cases, general septic syndrome with fever in one case, and drum perforation in one case.
The methods of extraction and the management of the complications are discussed.
外耳道异物在儿科临床实践中较为常见。通常为良性,但可能会发生感染性并发症。
1996年1月至1997年3月期间,35名外耳道有异物的儿童在罗伯特·德布雷医院耳鼻喉科接受治疗。
年龄范围为15个月至14岁,平均年龄为6.5岁。男女比例为1.2(19名男孩/16名女孩)。5名儿童双耳有异物。最常见的异物是珠子(8/40)和蟑螂(7/40)。11名儿童出现并发症:5例耳道撕裂,5例外耳道炎,3例颈部腺炎,1例伴有发热的全身脓毒症,1例鼓膜穿孔。
文中讨论了取出方法及并发症的处理。