• Users Online: 63
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
CASE REPORT
Year : 2016  |  Volume : 32  |  Issue : 2  |  Page : 116-117

Removal of superglue from the external ear using acetone: A case report


Department of ENT, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India

Date of Submission08-Apr-2015
Date of Acceptance18-Jul-2015
Date of Web Publication25-Apr-2016

Correspondence Address:
Shweta Gogia
House No. 19, New Rohtak Road, Karol Bagh, New Delhi - 110 005
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1012-5574.181105

Rights and Permissions
  Abstract 

Foreign bodies in ear are a common occurrence and are commonly seen in the practice. But some foreign bodies require special attention. We here describe a unique situation of cynoacrylate glue or superglue in the external auditory canal which was removed using acetone solution. Acetone solution instilled in the ear canal enabled complete removal of the glue while preserving the anatomy of the ear canal and tympanic membrane.

Keywords: superglue, external ear, acetone


How to cite this article:
Gogia S, Agarwal A. Removal of superglue from the external ear using acetone: A case report. Egypt J Otolaryngol 2016;32:116-7

How to cite this URL:
Gogia S, Agarwal A. Removal of superglue from the external ear using acetone: A case report. Egypt J Otolaryngol [serial online] 2016 [cited 2019 Oct 18];32:116-7. Available from: http://www.ejo.eg.net/text.asp?2016/32/2/116/181105


  Introduction Top


Foreign body in the external auditory canal (EAC) is not of uncommon occurrence. Various types of foreign bodies are encountered in the ear canal, which can be removed by one of the well-known methods. We encountered a special situation wherein the EAC harbored an unusual foreign body, in the form of cyanoacrylate glue. This compound binds with the skin and can damage the underlying skin if removed without care. This case highlights one such situation, wherein superglue got accidentally instilled into the EAC and was removed successfully without any damage to the underlying skin and the tympanic membrane with the help of acetone instillation into the external ear under microscopic control.


  Case report Top


A 16-year-old male patient presented to the Department of Otorhinolaryngology at our institute with severe pain in the right ear and trismus. There was no history of discharge from the ear or trauma. There was a history of accidental instillation of superglue into the right ear, which had also spilled over his face about 5 days back.

Examination of the affected side revealed a hard substance filling the right EAC [Figure 1], and was also found over the pinna and the skin over the mandibular region. There was some inflammation of the skin over the mandibular region due to which the patient was having trismus, secondary to the spillage of the glue over the neck and the face. The tympanic membrane could not be visualized due to the glue filling the canal. He was subsequently taken up for the removal of the superglue under local anesthesia. Acetone was instilled into the EAC for about 1 min, and then, the superglue was peeled off the skin gently using Rosen's dissector and crocodile forceps. Eventually, the mold of glue was removed without injury to the skin of the EAC or the tympanic membrane [Figure 2]. The cyanoacrylate glue was also removed from the skin over the face after application of acetone over the affected area, which subsequently resulted in the resolution of the trismus. The patient was followed for 2 months and was without any sequelae.
Figure 1: Cynoacrylate glue in the external auditory canal

Click here to view
Figure 2: The mold of cynoacrylate removed from the external auditory canal and from over the tympanic membrane

Click here to view



  Discussion Top


Superglue is a cyanoacrylate monomer that is derived from formaldehyde and cyanoacetate. It undergoes rapid polymerization in the presence of basic substances to form a rigid structure. The widespread availability of superglue sometimes poses a hazardous situation, particularly when inserted accidentally into the EAC.

A literature search revealed a few reported cases of superglue as the foreign body in the ear. A case was reported by Wight and Bull [1] of superglue in the EAC, which needed an endaural incision under general anesthesia for removal.

Pollock reported the removal of superglue adherent to the tympanic membrane through the permeatal approach under general anesthesia. The most superficial layers of the tympanic membrane were removed, but without creating a perforation [2] . No acetone or any other solvent was used in the above cases, and the superglue was removed in fragments.

White and Broner [3] reported a case in which the organic solvent acetone was used successfully to dissolve polystyrene impacted in the EAC of a child. More recently, Abadir et al. [4] presented two patients in whom they were able to removal superglue from the ear canal with the help of pure acetone.

Persuad reported a case of accidental instillation of superglue into the ear, which was removed by the instillation of warm peroxide (3%). Peroxide results in debonding of the adhesive from the canal wall, and removal without any damage to the canal wall or the tympanic membrane [5] .

The use of other solvents such as toluene, xylene, nitromethane, and methylene chloride have been suggested to dissolve superglue. However, these substances are generally toxic and are irritant to the skin and the mucous membrane. Acetone has a low systemic toxicity. Dermal exposures are well tolerated in the short term, but prolonged exposure may lead to irritant dermatitis. Otoxicity, secondary to pure acetone on the delicate structures of inner ear, is yet unknown.

It is speculated that the incidence of accidental application of superglue in the ear is much higher than the number of cases reported in the literature, due to the fact that the product is easily available and also because it is contained in bottles that are very similar in size and shape to those containing ear drops.


  Conclusion Top


In the case reported, we found that pure acetone was a simple and effective way of loosening the superglue from the skin, which thereby resulted in easy removal without any damage to the delicate skin of the EAC and the tympanic membrane. The procedure should, however, be carried out under the microscope by a trained otolaryngologist to avoid any iatrogenic damage.

Conflicts of interest

None declared.

 
  References Top

1.
Wight RG, Bull PD. Superglue ear. J Laryngol Otol 1987; 101:706-707.  Back to cited text no. 1
[PUBMED]    
2.
Pollock HD. Glue ear - cyanoacrylic. Arch Otolaryngol Head Neck Surg 1988; 114:1188.  Back to cited text no. 2
[PUBMED]    
3.
White SJ, Broner S. The use of acetone to dissolve a Styrofoam impaction of the ear. Ann Emerg Med 1994; 23:580-582.  Back to cited text no. 3
    
4.
Abadir WF, Nakhla V, Chong P. Removal of superglue from the external ear using acetone: case report and literature review. J Laryngol Otol 1995; 109:1219-1221.  Back to cited text no. 4
    
5.
Persuad R. A novel approach to removal of super glue from the ear. J Laryngol Otol 2001; 115:901-902.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2]


This article has been cited by
1 Efficacy of common reagents for killing ticks in the ear canal
Nicklas C. Orobello,Carolyn O. Dirain,Phillip E. Kaufman,Patrick J. Antonelli
Laryngoscope Investigative Otolaryngology. 2018;
[Pubmed] | [DOI]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Introduction
Case report
Discussion
Conclusion
References
Article Figures

 Article Access Statistics
    Viewed1797    
    Printed5    
    Emailed0    
    PDF Downloaded137    
    Comments [Add]    
    Cited by others 1    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]