Academic journal article Indian Journal of Psychiatry

Unusual Foreign Body in the Ear in an Adult Patient with Psychiatric Illness

Academic journal article Indian Journal of Psychiatry

Unusual Foreign Body in the Ear in an Adult Patient with Psychiatric Illness

Article excerpt

Byline: Sanjay. Arora, Sandeep. Goyal

Sir,

Foreign body in ear is a common problem in pediatric population. In adults mostly we encounter accidental animate foreign body like cockroaches. Presence of inanimate foreign body in ear of an adult patient is very rare. We present a case of an adult patient with an unusual foreign body, beedi (a south Asian form of cigarette made by rolling tobacco in a tendu leaf) in his ear. We attribute this foreign body to psychiatric illness of the patient and propose to discuss that all adult patients with inanimate foreign body ear should be subjected to psychiatric evaluation.

Foreign bodies in the external auditory canal are a common presentation to the ENT department. The profile of foreign bodies in children's ears has been reported from a number of countries, however the adult experience is not well documented. Most reports of foreign bodies in the ears of adults have consisted of isolated, interesting cases. Unpublished data from the John Hopkins emergency department (US) 1987 found that the most common aetiology in adults (85% in 106 patients) was accidental entry of insects, 50% of these being cockroaches.[sup] [1] Bressler et al , (US) 1993 also found cockroaches to be the most common foreign body amongst 98 patients, although they did not differentiate between adult and paediatric groups.[sup] [2] Antonelli et al , (US) similarly report beads and insects, particularly cockroaches; to be the commonest foreign bodies in the external auditory canal from 273 combined paediatric and adult patients.[sup] [3] Ryan et al , found the majority of foreign bodies in adult patients to be the cotton wool tips of cotton buds. These are frequently used by the general population for cleaning or itching of the external ear canal.[sup] [4] We discuss a case of unusual foreign body in ear of an adult patient.

We present the case of a 32-year-old male patient, Mr. R who was taking treatment for schizophrenia. He was on maintainence therapy with Olanzapine 10mg before sleep with no active symptoms. …

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