{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T11:33:23Z","timestamp":1781523203735,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T00:00:00Z","timestamp":1667779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To characterize our experience with super-absorbent polymer beads placed in the external auditory canal to better understand the damage caused and subsequent management required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective chart review of pediatric patients at 2 separate tertiary referral centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven patients were identified as having placed super-absorbent polymer beads in the external auditory canal, 6 of whom required removal under general anesthesia. Three patients did not suffer otologic trauma or hearing loss (average foreign body duration &lt;72\u2009hours). Four patients experienced severe otologic complications (average foreign body duration &gt;1\u2009week), all of whom were treated with otologic drops prior to bead identification. Of this severe complication group, 3 patients had restored hearing after surgical intervention, while 1 patient suffered profound hearing loss secondary to labyrinthitis ossificans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early recognition of otologic foreign bodies is important, particularly if expansile water-bead is suspected. Depending on timeframe, water beads are highly destructive to the middle ear structures, and most patients will require surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894221133768","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T06:19:41Z","timestamp":1667801981000},"page":"1090-1095","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Managing the Destructive Foreign Body: Water Beads in the Ear (A Case Series) and Literature Review"],"prefix":"10.1177","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0777-977X","authenticated-orcid":false,"given":"Habib G.","family":"Zalzal","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7536-6133","authenticated-orcid":false,"given":"Matthew","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Children\u2019s National Medical Center, Washington, DC, USA"},{"name":"Department of Otolaryngology, Walter Reed National Military Medical Center, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Mudd","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,7]]},"reference":[{"key":"bibr1-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24935"},{"key":"bibr2-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.126724"},{"key":"bibr3-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.1870"},{"key":"bibr4-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1617\/s11527-017-1109-4"},{"key":"bibr5-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2016.05.015"},{"key":"bibr6-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000304"},{"key":"bibr7-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.04.005"},{"key":"bibr8-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3685"},{"key":"bibr9-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5910527"},{"key":"bibr10-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.02.016"},{"key":"bibr11-00034894221133768","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2018.03.030"},{"key":"bibr12-00034894221133768","unstructured":"Australian Competition and Consumer Commission. ACCC Warns of Dangers of Water Expanding Balls to Kids. Australian Competition and Consumer Commission. 2015. https:\/\/www.accc.gov.au\/media-release\/accc-warns-of-dangers-of-water-expanding-balls-to-kids. Accessed July 7, 2021."}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894221133768","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894221133768","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894221133768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:30:23Z","timestamp":1777375823000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00034894221133768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,7]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00034894221133768"],"URL":"https:\/\/doi.org\/10.1177\/00034894221133768","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,7]]}}}