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Ear emergencies - Overview

Definition of Ear emergencies:

Ear emergencies include objects in the ear canal and ruptured eardrums.

Considerations:

Children often stick objects into their ears. These objects can be difficult to remove because the ear canal is a tube of solid bone that is lined with thin, sensitive skin. Any object pressing against the skin can be very painful. In many cases, a doctor will need to use special instruments to examine the ear and safely remove the object.

Causes:

Pain, hearing loss, dizziness, ringing in the ear, and ruptured eardrums can be caused by:

Inserting cotton swabs, toothpicks, pins, pens, or other objects into the ear.
Sudden changes in pressure, as from an explosion, blow to the head, flying, scuba diving, falling while water skiing, or being slapped on the head or ear.
Loud percussions, such as a gun going off.

Ear anatomy

First aid kit

Foreign object in ear

Foreign object removal

Ruptured eardrum

External and internal ear

Eardrum repair - series

Reviewed last on: 8/3/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Thomas SH, White BA. Foreign bodies. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 57.

Byyny RL, Shockley LW. Scuba diving and dysbarism. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 141.

Acoustic trauma

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