{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T14:46:48Z","timestamp":1758811608580},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T00:00:00Z","timestamp":1434326400000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115000961_sec1\"><jats:title>Background:<\/jats:title><jats:p>Animate foreign bodies in the ear are frequent occurrences in otology practice. Such foreign bodies may lead to hazardous complications.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000961_sec2\"><jats:title>Method:<\/jats:title><jats:p>This paper describes a retrospective study of six patients with a recent history of an insect in the ear who presented with various complications following intervention received elsewhere.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000961_sec3\"><jats:title>Results:<\/jats:title><jats:p>An insect was retrieved from the external auditory canal in four cases and from the antrum in two cases. The patients presented with progressive otological complications: two patients who presented with orbital apex syndrome and cavernous sinus thrombosis succumbed to the disease; three patients suffered sensorineural hearing loss; and two patients had persistent facial palsy. One patient with sigmoid sinus thrombosis, who presented early, experienced complete recovery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000961_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Insects in the ear can lead to hazardous complications. Animate foreign bodies should preferably be managed by a trained otologist, even in an emergency setting. Patients with delayed presentation and complications have a guarded prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115000961","type":"journal-article","created":{"date-parts":[[2015,7,2]],"date-time":"2015-07-02T06:41:22Z","timestamp":1435819282000},"page":"540-543","source":"Crossref","is-referenced-by-count":7,"title":["Hazardous complications of animate foreign bodies in otology practice"],"prefix":"10.1017","volume":"129","author":[{"given":"K","family":"Sikka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Devraja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J V","family":"Lodha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Thakar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,6,15]]},"reference":[{"key":"S0022215115000961_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(99)70348-9"},{"key":"S0022215115000961_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/0091-6749(73)90044-4"},{"key":"S0022215115000961_ref7","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.iac.2007.03.008","article-title":"Insect sting anaphylaxis","volume":"27","author":"David","year":"2007","journal-title":"Immunol Allergy Clin North Am"},{"key":"S0022215115000961_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510014784X"},{"key":"S0022215115000961_ref4","first-page":"45","article-title":"Foreign-body in external auditory meatus: evaluation of 462 cases","volume":"14","author":"Fornazieri","year":"2010","journal-title":"Int Arch Otorhinolaryngol"},{"key":"S0022215115000961_ref5","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.126724"},{"key":"S0022215115000961_ref6","first-page":"277","article-title":"Otogenic tetanus: case series","volume":"31","author":"Ugwu","year":"2012","journal-title":"West Afr J Med"},{"key":"S0022215115000961_ref10","first-page":"20","article-title":"Removal of ear canal foreign bodies in children: what can go wrong and when to refer","volume":"51","author":"Dance","year":"2009","journal-title":"BCMJ"},{"key":"S0022215115000961_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541030401"},{"key":"S0022215115000961_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00010"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215115000961","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T20:23:01Z","timestamp":1555791781000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215115000961\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["S0022215115000961"],"URL":"https:\/\/doi.org\/10.1017\/s0022215115000961","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}