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"Listening to the symptoms described by the patient, I thought it was an acute attack of otitis media, but I didn't expect the headlamp to shine and see a black thing blocked in the ear canal." This is certainly not normal, I quickly told the patient not to move, clipped out to see, is only a live cockroach. Chen Minfen, chief physician of the Department of Otolaryngology of Taizhou Hospital, showed the patient's ear almost every day, and often pulled out all kinds of strange things from the patient's ear, and did not feel it, and this live cockroach made her a little surprised.
The patient, Mr. Liu, 36 years old this year, a native of Linhai, suddenly woke up in the middle of the night this day, and a sharp pain came from his left ear. He instinctively used his fingers to pluck it, but he didn't pick up anything, but his ears began to buzz. He thought it was his ear that had entered the water, and tried to absorb water with a cotton swab, but it did not help. Staying up until dawn, Mr. Liu went to the hospital for treatment, and when he saw the cockroaches clipped out by the doctor, he was nauseated and surprised.
"The cockroach is about a centimeter long, with its head facing inward, trying to drill forward, but the ear canal is narrow, and it is stuck there, some distance from the eardrum. Fortunately, the eardrum is not touched, otherwise it is likely to cause perforation of the eardrum. After Chen Minfen clipped out the cockroach, he carefully checked it again, the cockroach body was intact, there was no leftover limb and broken arm, the ear canal was slightly red, the eardrum was complete, and there was no need for medication, Mr. Liu only needed to pay attention to not pulling out the ears these days, not entering the water, to avoid infection.
Is it disgusting to suddenly catch a cockroach without mental preparation? "No, I've been accustomed to pulling all kinds of weird things out of patients' ears over the years." Chen Minfen said with a smile.
Doctors take out of the ears of a large number of foreign objects: cockroaches, mosquitoes, small moths, maggots, unknown bugs and other living creatures, cassia seeds, red beans, mung beans, peanuts, melon seeds, pencil refills, stickers, small diamonds, sand particles, stones, concrete blocks, iron filings, welding slag, hair and other foreign objects.
"Living creatures generally burrow into themselves, other foreign bodies, some accidentally fell into it, and foreign objects in children's ears, some of which were stuffed by themselves." Chen Minfen said.
For doctors, regardless of whether there is a living object or other foreign body in the ear canal, it is necessary to find a way to remove it as safely as possible to avoid further injury. But it is sometimes not so easy to safely remove foreign objects from the ear canal.
There are two types of things that are more troublesome to take. One is that a living creature enters the ear, and the patient accidentally stabs the living creature to death when the ear is plucked, and it is also broken. The struggle of the living creature when it is dying is likely to have caused damage to the ear canal and eardrum, coupled with the damage caused by blind random digging, the ear canal may be blurred with flesh and blood, and it is not so easy to distinguish between "enemy and enemy" and clean up the "battlefield". The other type is a small foreign body, attached to the surface of the eardrum, especially when embedded in the tympanic membrane and the angle of the anterior lower wall of the external auditory canal, when taking it, the patient needs to be highly cooperative, otherwise it may accidentally injure the eardrum, and sometimes the foreign body needs to be taken under the endoscopy of the general anesthesia ear.
If you find a foreign body in your ear, how can you tell if it is a living object?
"Live creatures enter the ear canal, can not go out and are anxious, they crawl in the ear canal, the patient will have obvious discomfort, sometimes severe pain, if damage to the skin of the ear canal, there will be ear bleeding." If a living creature touches the eardrum, like a drum, the patient will experience tinnitus. If the eardrum is damaged, hearing loss may occur. "Chen Minfen.
Chen Minfen reminded that whether it is a living creature or not, if the ear continues to hurt or tinnitus, it is best for patients to seek medical treatment in time and see more clearly under professional equipment. Don't dig it yourself up, so as not to poke the foreign body deeper, or smash it, or stimulate the living thing to drill further in, which may damage the eardrum. If it is far from the hospital, or can not seek medical treatment in time, you can pour some sesame oil into the ear, after the living object is soaked, it can reduce further damage to the ear, and then the patient should still go to the hospital as soon as possible to remove the foreign body.
Source: Taizhou Net, China
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