Impacted Incus Foreign Body in the Eustachian Tube

Foreign bodies in the external auditory canal are fairly common, and tend to be seeds, toys, or insects. However, foreign bodies in the middle ear are rarer and are generally accidental or iatrogenic. Although there are numerous reports regarding fascinating foreign bodies in the ear, the same canno...

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Bibliographic Details
Published inIranian journal of otorhinolaryngology Vol. 31; no. 103; pp. 123 - 126
Main Authors Parelkar, Kartik, Shere, Devika, Wallic, Ankur, Dave, Varun, Rao, Karthik
Format Journal Article
LanguageEnglish
Published Iran Mashhad University of Medical Sciences 01.03.2019
Subjects
Case Report
Foreign body
Endoscopy
Middle ear
Eustachian tube
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Summary:Foreign bodies in the external auditory canal are fairly common, and tend to be seeds, toys, or insects. However, foreign bodies in the middle ear are rarer and are generally accidental or iatrogenic. Although there are numerous reports regarding fascinating foreign bodies in the ear, the same cannot be said about foreign bodies in the Eustachian tube (ET). A 20-year-old male patient presented with right-sided active squamosal chronic otitis media (COM) persisting for 10 years. An incidental finding of a hyperintense foreign body (FB) located near the isthmus of the right ET was reported on high-resolution computed tomography (HRCT) of the temporal bones. The FB was bony (eroded incus), which was impacted near the isthmus of the ET and was extremely difficult to remove. A natural FB such as an eroded ossicle in the ET which aggravated the adhesive otitis and caused active squamosal COM has not been reported in the literature. We have reported this case not only for its rarity but also to make readers aware of such incidental findings which can be found only by imaging, and to suggest how they can be tackled with current equipment and technology.
ISSN:2251-7251
2251-726X