{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T09:38:26Z","timestamp":1772271506921,"version":"3.50.1"},"reference-count":7,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,11]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Foreign bodies are commonly seen by the Ear, Nose and Throat emergency team with cotton wool being the most common aural foreign body seen in the adult population. Most complications secondary to aural foreign bodies described in the literature are minor and rarely require any surgical intervention. Here, we present two cases with impacted cotton wool as aural foreign bodies which resulted in suppurative labyrinthitis and osteomyelitis causing profound sensorineural hearing. These cases highlight the importance of considering aural foreign bodies in the differential diagnosis in those presenting with unilateral symptoms as significant complications, although rare, can occur, particularly in those with delayed diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2019-229302","type":"journal-article","created":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T09:01:24Z","timestamp":1556528484000},"page":"e229302","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Not \u2019just' a foreign body in the ear canal"],"prefix":"10.1136","volume":"12","author":[{"given":"Niall","family":"Woodley","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Afiq","family":"Mohd Slim","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theofano","family":"Tikka","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard Robert","family":"Locke","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"2025082713170484000_12.4.e229302.1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1055\/s-0037-1603922","article-title":"ENT Foreign Bodies: An Experience","volume":"22","author":"Awad","year":"2018","journal-title":"Int Arch Otorhinolaryngol"},{"key":"2025082713170484000_12.4.e229302.2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S1808-8694(15)30744-8","article-title":"Complications of ent foreign bodies: a retrospective study","volume":"74","author":"Figueiredo","year":"2008","journal-title":"Braz J Otorhinolaryngol"},{"key":"2025082713170484000_12.4.e229302.3","first-page":"1185","article-title":"Foreign bodies in the ear, nose, and throat","volume":"76","author":"Heim","year":"2007","journal-title":"Am Fam Physician"},{"key":"2025082713170484000_12.4.e229302.4","first-page":"2","article-title":"An annual audit of the ear foreign bodies in hospital universiti sains malaysia","volume":"7","author":"Yaroko","year":"2012","journal-title":"Malays Fam Physician"},{"key":"2025082713170484000_12.4.e229302.5","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4103\/2141-9248.153613","article-title":"Actualities of management of aural, nasal, and throat foreign bodies","volume":"5","author":"Oreh","year":"2015","journal-title":"Ann Med Health Sci Res"},{"key":"2025082713170484000_12.4.e229302.6","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s12070-011-0149-2","article-title":"Study on clinical presentation of ear and nose foreign bodies","volume":"64","author":"Srinivas Moorthy","year":"2012","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082713170484000_12.4.e229302.7","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/146.4.487"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:17:13Z","timestamp":1756325833000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,4,29]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bcr-2019-229302"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229302","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}