69200 Removal foreign body from external auditory canal; without general anesthesia

Name of the Procedure:

Removal of Foreign Body from External Auditory Canal

Summary

This procedure involves carefully removing an object that has become lodged in the external ear canal without the use of general anesthesia. It is commonly performed by an ENT (ear, nose, and throat) specialist using specialized instruments.

Purpose

The primary aim is to safely remove the foreign object to prevent infection, hearing loss, or damage to the ear canal and tympanic membrane (eardrum).

Indications

• Pain or discomfort in the ear
• Hearing loss or blockage
• Presence of an object in the ear canal that is visible or causing symptoms
• Ear discharge or bleeding
• Infection or inflammation caused by the foreign body

Preparation

• No fasting or special nutritional requirements.
• Patients may be advised to avoid ear drops or inserting additional objects into the ear before the procedure.
• A preliminary examination to confirm the presence and exact location of the foreign body.

Procedure Description

1. The patient sits comfortably in an examination chair.
2. An otoscope is used to visualize the ear canal and the foreign object.
3. Depending on the object, various tools such as forceps, suction devices, or irrigation syringes may be used.
4. The clinician carefully extracts the object while avoiding injury to the ear canal or eardrum.
5. The ear is inspected again to ensure complete removal and to check for any trauma or infection.

Duration

Typically, the procedure takes 15-30 minutes.

Setting

The procedure is usually performed in an outpatient clinic or a doctor's office.

Personnel

• ENT specialist (Otolaryngologist)
• Nurse or medical assistant to provide support

Risks and Complications

• Minor ear canal abrasions or bleeding
• Potential damage to the eardrum
• Residual discomfort or temporary hearing changes
• Rarely, infection if the foreign body or process caused trauma

Benefits

• Immediate relief from discomfort and restored hearing.
• Prevention of further complications such as infection or hearing loss.
• Quick procedure with minimal downtime.

Recovery

• Patients can usually return to normal activities shortly after the procedure.
• Follow-up care may include monitoring for signs of infection or additional ear drops if prescribed.
• Avoid inserting anything into the ear and follow any specific care instructions provided.

Alternatives

• Observation if the object is small and not causing symptoms (may naturally migrate out).
• Irrigation with warm water or saline (if appropriate and the object is non-organic).
• Referral to an ENT specialist if initial attempts by a general practitioner are unsuccessful.

Patient Experience

• Patients might feel a slight pressure or discomfort during the procedure, but it is generally well-tolerated.
• Local numbing agents can be applied to minimize discomfort.
• Post-procedure, mild soreness and temporary hearing changes might occur but should resolve quickly.
• Pain management is usually not necessary, but pain relievers can be used if needed.