ABSTRACT
Most ENT departments give prophylactic antibiotics while packing is in place. Having the nose packed is uncomfortable and can interfere with the patient’s breathing. A good light source, a cooperative or well-restrained patient and the correct equipment are all essential for the successful removal of foreign bodies in ENT practice. Any ear that is discharging purulent material will require aural toilet and treatment with combination antibiotic and steroid drops, with or without oral antibiotics. Removing a large amount of the debris from the ear canal will speed resolution and will also allow better entry of topical agents into the ear. Nasal tampons or balloons are the simplest way to pack the nose. If the patient localizes it to the thyroid cartilage, especially to one side, look carefully at the tongue base and tonsil. Perform lateral soft tissue X-rays of the neck and look for foreign bodies at the common sites.
