A RARE PRESENTATION OF FOREIGN BODY IN THE EAR WITH TRAUMATIC DISLOCATION OF THE INCUS IN A FEMALE CHILD: A CASE REPORT

Foreign bodies in the middle ear are a rare occurrence. This is a case report of a 5 year old female, with plastic button in the left ear, with history of attempted removal using a metal hook, leading to subtotal perforation of the tympanic membrane and traumatic dislocation of the incus. On surgery a yellow colored plastic button, measuring about 1x 1 cm size was removed from middle ear by retroauricular approach. Myringostapediopexy using autologous incus and temporalis fascia under general anesthesia was done. Patient improved clinically post operatively. Foreign bodies in the ear should be removed with caution. Blind removal by instrumentation can lead to complications like tympanic membrane perforation and ossicular disruption. Early surgical intervention with tympanoplasty under anesthesia with tympanoplasty at the same sitting can prevent further complications and correct the hearing loss.