ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
http://dergi.kbb-bbc.org.tr
Kayıtlı İndeksler








CASE REPORTS

Dead End for Ticks: External Auditory Canal
Keneler İçin Çıkmaz Sokak: Dış Kulak Yolu
Received Date : 19 Feb 2021
Accepted Date : 26 Apr 2021
Available Online : 05 Nov 2021
Doi: 10.24179/kbbbbc.2021-82455 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(4):293-6
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Ticks can be rarely seen in the external auditory canal (EAC) or on the tympanic membrane. Ticks can cause many diseases. Crimean-Congo hemorrhagic fever (CCHF) is one of the most important diseases in our country caused by ticks due to the lack of effective treatment. Ticks in the eksternal auditory canal can turn into a life threatening situation due to CCHF. The way that is important in terms of disease risk. In this article, we presented cases of ticks extracted from the EAC of two patient and from the tympanic membrane of one patient. This article also describes the technique of removing ticks from the EAC. In addition, it was aimed to draw attention to CCHF disease caused by ticks. It is pointed out that spilling of solutions such as alcohol used in other living foreign bodies will increase the risk of disease.
ÖZET
Kene gibi canlı yabancı cisimler nadiren dış kulak yolunda veya timpanik membranda görülebilir. Keneler birçok hastalığa neden olabilir. Kırım-Kongo Kanamalı Ateşi (KKKA), etkili tedavisinin olmaması nedeniyle kenelerin neden olduğu ülkemizde görülen en önemli hastalıklardan biridir. Dış kulak yolundaki keneler KKKA nedeniyle hayatı tehdit eden bir duruma dönüşebilir. Kenelerin çıkarılma şekli hastalık riski açısından önemlidir. Bu yazıda, 2 hastanın dış kulak kanalından ve bir hastanın kulak zarından çıkarılan kene vakalarını sunduk. Bu makale aynı zamanda dış kulak yolundan keneleri çıkarma tekniğini de açıklamaktadır. Ayrıca kenelerin neden olduğu KKKA hastalığına dikkat çekilmesi amaçlanmıştır. Diğer canlı yabancı cisimlerde kullanılan alkol vb. solüsyonların dökülmesinin hastalık riskini artıracağına dikkat çekilmektedir.
KAYNAKLAR
  1. Lee MY, Jung JY. A case of contrast enhanced cystic mass of external ear canal diagnosed as engorged hard tick. J Audiol Otol. 2018; 22(3):167-9. [Crossref]  [PubMed]  [PMC] 
  2. Vincent MJ, Sanchez AJ, Erickson BR, Basak A, Chretien M, Seidah NG, et al. Crimean-Congo hemorrhagic fever virus glycoprotein proteolytic processing by subtilase SKI-1. J Virol. 2003;77(16):8640-9. [Crossref]  [PubMed]  [PMC] 
  3. de la Fuente J, Estrada-Pena A, Venzal JM, Kocan KM, Sonenshine DE. Overview: Ticks as vectors of pathogens that cause disease in humans and animals. Front Biosci. 2008; 13:6938-46. [Crossref]  [PubMed] 
  4. Centers for Disease Control and Prevention [Internet]. [Cited: 11.10.2020]. How ticks spread disease. Available from: [Link] 
  5. Anderson JF, Magnarelli LA. Biology of ticks. Infect Dis Clin North Am. 2008;22(2):195-215, v. [Crossref]  [PubMed] 
  6. Ergönül O. Crimean-Congo haemorrhagic fever. Lancet Infect Dis. 2006;6(4):203-14. [Crossref]  [PubMed]  [PMC] 
  7. General Directorate of Primary Health Services, Department of Zoonotic Diseases. Zoonotic Diseases In-Service Training Module. Ankara: Ministry of Health. 2011:53-80. [Link] 
  8. Ergönül O, Celikbaş A, Dokuzoguz B, Eren S, Baykam N, Esener H. Characteristics of patients with Crimean-Congo hemorrhagic fever in a recent outbreak in Turkey and impact of oral ribavirin therapy. Clin Infect Dis. 2004; 39(2):284-7. [Crossref]  [PubMed] 
  9. World Health Organization [Internet]. [Cited: 15.11.2020]. Crimean-Congo haemorrhagic fever Key facts. Available from: [Link] 
  10. Orobello NC, Dirain CO, Kaufman PE, Antonelli PJ. Efficacy of common reagents for killing ticks in the ear canal. Laryngoscope Investig Otolaryngol. 2018;3(6):492-5. [Crossref]  [PubMed]  [PMC] 
  11. Pitches DW. Removal of ticks: a review of the literature. Euro Surveill. 2006;11(8): E0608 17.4. Erratum in: Euro Surveill. 2006; 11(8): E060824.6. [Crossref]  [PubMed] 
  12. Centers for Disease Control and Prevention [Internet]. [Cited: 15.10.2020]. Tick removal and testing. Available from: [Link] 
  13. Kasle D, Waldman E. Tick attached to the tympanic membrane. N Engl J Med. 2019; 380(18):1761. [Crossref]  [PubMed] 
  14. Iwasaki S, Takebayashi S, Watanabe T. Tick bites in the external auditory canal. Auris Nasus Larynx. 2007;34(3):375-7. [Crossref]  [PubMed] 
  15. Singh GB, Sidhu TS, Sharma A, Dhawan R, Jha SK, Singh N. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol. 2007; 28(2): 87-90. [Crossref]  [PubMed]