From the Research
The management for a lodged hearing aid tip in the ear canal requires prompt medical attention from a healthcare professional, preferably an otolaryngologist (ENT specialist) or emergency physician. Do not attempt self-removal as this can push the tip deeper or damage the ear canal or eardrum. The removal procedure typically involves using specialized instruments such as alligator forceps, micro-suction, or ear hooks under direct visualization with proper lighting and magnification. Prior to removal, the ear may be examined with an otoscope to determine the exact location of the tip and assess for any complications. In some cases, irrigation might be used if the foreign body is not impacted against the eardrum. Local anesthesia may be necessary if the patient experiences discomfort during the procedure, as seen in the study on the effectiveness of topical 1% lidocaine with systemic oral analgesics for ear pain with acute otitis media 1. After removal, the ear canal should be examined for any trauma, and antibiotic ear drops might be prescribed if there is evidence of infection or abrasion. Prompt removal is important because a retained foreign body can cause infection, inflammation, hearing loss, or tympanic membrane perforation if left untreated. It is also important to note that the use of cotton-tipped swabs, ear candling, and olive oil drops or sprays should be avoided, as stated in the study on cerumen impaction diagnosis and management 2. In general, the procedure note for removing the tip of a hearing aid from the left ear canal should include the following steps:
- Examination of the ear canal with an otoscope to determine the location of the tip
- Use of specialized instruments for removal under direct visualization
- Possible use of irrigation or local anesthesia
- Examination of the ear canal for trauma after removal
- Prescription of antibiotic ear drops if necessary, as supported by the study on lidocaine in the middle ear 3.