Ear or nasal foreign body

Template

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Site (title)Choose oneTitle

LocationChoose oneFirst line

ObjectChoose one

PretreatmentChoose any

RemovalChoose one

After removalChoose any

Follow-upChoose one

Counseling

Mild soreness or a small amount of bleeding can happen after removal. Recommended supportive care with tylenol or motrin as needed for discomfort. Keep small objects, button batteries, and magnets out of reach of young children. Return precautions given including pain, bleeding, drainage or a bad smell from the ear or nose, fever, trouble breathing, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Ear foreign body
• No concern for a button battery, magnet, or other high-risk object
• Removed under direct visualization with forceps; tolerated without complication
• No residual material or injury after removal
• Follow up as needed

Mild soreness or a small amount of bleeding can happen after removal. Recommended supportive care with tylenol or motrin as needed for discomfort. Keep small objects, button batteries, and magnets out of reach of young children. Return precautions given including pain, bleeding, drainage or a bad smell from the ear or nose, fever, trouble breathing, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

High-risk object screen; button battery to ED
Oxymetazoline and lidocaine before nasal removal
Forceps, hook, suction, mother's kiss, self-blow; ear irrigation only for nonorganic objects with intact TM; insects immobilized first; two attempts then ENT
Prevention guidance

Return precautions in the template

painbleedingdrainage or a bad smell from the ear or nosefevertrouble breathing

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.