scholarly journals Ear, Nose, and Throat Foreign Bodies in Children: A Retrospective Study

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 63
Author(s):  
Bin Kwon ◽  
Yeso Choi ◽  
Sung-Kyun Kim ◽  
Seok-Jin Hong ◽  
Yong-Bok Kim ◽  
...  
Keyword(s):  
Early Childhood ◽  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Age Groups ◽  
Common Location ◽  
Number Of Patients ◽  
Using Data ◽  
Nose And Throat

Background: This study analyzed the presentation, characteristics, and management of foreign bodies in different age groups of pediatric patients with ear, nose, and throat foreign bodies. Methods: A retrospective study was performed using data from October 2012 to September 2020. A total of 1285 patients with ear, nose, and throat foreign bodies who were less than 12 years of age and who presented to the emergency room were included in this study. Their biographical data, clinical presentations, foreign body types and locations, and management outcomes were obtained from medical records and analyzed as three age groups (infancy: <2 years old; early childhood: 2–5 years old; and late childhood: 6–12 years old). Results: The early childhood group had the highest number of patients (n = 672; 52.2%). Throat was the most common location (59.2%), and bone was the most common type of foreign body. Among the children who visited our hospital, foreign bodies were actually found in only 657 patients (51.1%) and removed by an otolaryngologist in 625 (95.1%) cases. Conclusion: Our study could provide guidance for the diagnosis and management of pediatric patients who present to emergency departments with foreign bodies.

scholarly journals Study on prevalence of foreign bodies in ENT

2020 ◽  
Vol 7 ◽  
Author(s):  
Shilpi Agrawal ◽  
Haritosh K. Velankar
Keyword(s):  
Foreign Body ◽  
Emergency Room ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Age Groups ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Location ◽  
Nose And Throat

Introduction- Foreign body is a substance that doesn’t belong to a location where it is found. Ear,nose and throat are common location for occurence of foreign bodies. It is a common problem encountered in both adults and children. Objective- 1) To analyse the different kinds of foreign bodies in ear ,nose and throat and their prevalence in different age groups. 2) To analyse the most prevalent site of foreign body among ear, nose and throat.Methods- A cross-sectional study was performed in our tertiary care hospital in Navi-mumbai. The study period was from august 2017 to august 2019. The study population were the patients who came to the out patient department and emergency room of this hospital.Result- A total of 100 patients as sample size with foreign bodies in ear, nose or throat were taken on first come basis. 62 were males and 38 were females. Of the 100 patients, 36 had foreign body in ear, 47 in nose and 17 in the throat. The foreign body was removed under local anaesthesia in 4% patients, with general anaesthesia in 30 % and with no anaesthesia at all in 66% patients. The most common age group affected was less than 10 years among both male and female patients.Conclusion- The most frequent site of foreign body occurrence was found to be nose. The most common site requiring general anaesthesia for foreign body removal was throat. Although most of the foreign bodies could be removed without any anaesthesia in the emergency room or outpatient department.

scholarly journals Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases

Medicina ◽  
2020 ◽  
Vol 56 (1) ◽  
pp. 39
Author(s):  
Jumpei Fujisawa ◽  
Tomokazu Mutoh ◽  
Kengo Kawamura ◽  
Ryuta Yonezawa ◽  
Maiko Hirai ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Age Groups ◽  
Pediatric Emergency ◽  
University Hospital ◽  
Test Results ◽  
Japanese University ◽  
Ingested Foreign Body ◽  
The Individual

Background and Objectives: When children accidentally ingest foreign bodies, they may be unable to communicate adequately; it is often difficult to identify the causative foreign body unless someone is watching over them. In such instances, to identify the causative foreign body during clinical practice, we aimed to determine if it varies according to age. Materials and Methods: From April 2013 to June 2018, 252 records of pediatric patients with a confirmed diagnosis of foreign-body ingestion were retrospectively examined in a Japanese university hospital. Comparisons among multiple age groups, according to type of ingested foreign body, were analyzed using Kruskal‒Wallis tests. The differences between the individual data were tested using the Steel‒Dwass test. Results: The median age of the patients was 15 months, and of the total patients, 140 were boys (55.5%). The types of foreign bodies ingested were as follows, in order of frequency: cigarettes (n = 44, 17%, median age: 12 months), plastics (n = 43, 17%, median age: 11 months), chemicals (n = 27, 11%, median age: 13 months), internal medicines (n = 26, 10%, median age: 33 months), and metals (n = 26, 10%, median age: 35 months). The median age was significantly different among the types of causative foreign bodies (p < 0.01). The patient age for the ingestion of cigarettes was significantly younger than that for ingesting metals or coins. The age for ingesting internal medicines was significantly older than that for ingesting plastics, cigarettes, paper, or chemicals (p < 0.01). Conclusions: The causative foreign body ingested differed according to age. This will be valuable information for physicians that encounter pediatric patients who may have ingested an unknown foreign body in Japanese pediatric emergency or general practice settings.

Management of foreign bodies in the ear, nose and throat in children: a review of 829 cases from Northern Anatolia

2020 ◽  
Vol 74 (6) ◽  
pp. 35-40
Author(s):  
Ceyhun Aksakal
Keyword(s):  
Emergency Department ◽  
State Hospital ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Age Groups ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
The Mean ◽  
Anatomic Locations ◽  
Nose And Throat

<b>Objective:</b> The aim of this study was to evaluate cases of of ear, nose and pharyngeal (ENT) foreign body (FB) in pediatric patients referred to the pediatric emergency department of the Department of Otorhinolaryngology in Tokat State Hospital (Turkey). <br><b>Methods:</b> The paper comprises a retrospective study of all ENT foreign bodies presented to the pediatric emergency Department of Otorhinolaryngology in Tokat State Hospital (Turkey) between January 1, 2012 and December 31, 2018. Subject to evaluation were also demographic and clinical characteristics of the patients, types and anatomic locations of FBs, locations of FB by age groups, the method used to remove FBs and the distribution of FB cases by months. <br><b>Results:</b> A total of 829 FB cases were evaluated in this study. The mean age of patients was 47.8 ± 31.4 months. Of all patients, 404 (48.5%) were male, and 425 (51.2%) were female. The nose (58.7%) and the ear (20.2%) were the most common anatomical locations followed by mouth/pharynx/tonsil (12.3%), esophagus (6.2%) and the laryngotracheobronchial tree (2.4%). The most common FBs in different locations were beads in the nose (30.8%), beads in the ear (32.1%), fishbones in the mouth/pharynx/tonsil (56.8%), nuts and peanuts in laryngotracheobronchial tree (70%) and a coin/disc battery in the esophagus (80.7%). <br><b>Conclusion:</b> FB in ENT is among the emergency conditions that require different diagnostic and treatment approaches based on anatomic localizations. Proper vision, adequate equipment and immobilization are important in the removal of ENT foreign bodies in children.

scholarly journals Benda Asing Faring Esofagus di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Desember 2016

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Illan P. Wallah ◽  
Steward K. Mengko ◽  
R. E.C. Tumbel
Keyword(s):  
Foreign Body ◽  
Head And Neck ◽  
Foreign Bodies ◽  
Treatment Success ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Esophageal Foreign Body ◽  
Common Location ◽  
Body Location ◽  
Nose And Throat

Abstract: Ingested foreign bodies are one of the most common emergencies in Ear, Nose and Throat (ENT)-Head and Neck Surgery that can be found in all ages throughout the world. Ingested foreign bodies can usually be lodged in oropharynx, hypopharynx, or esophagus. This study was aimed to describe the profile of pharyngeal and esophageal foreign body patients in the Department of ENT-Head and Neck Surgery Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014-December 2016. This was a descriptive retrospective study. Samples were patients recorded in the register book and the medical record database which from their history, physical examination and diagnostic investigation were firstly diagnosed as pharyngeal or esophageal foreign body. Variables in this study were gender, age, type of foreign body, location of foreign body, and treatment success rate. The results showed that there were 25% of pharyngeal foreign bodiy cases and 75% of esophageal foreign body cases. Most cases were males (57.3%), age ≥51 years (25.3%) and 0-10 years (24.0%). The most common types of foreign bodies found were bones and dentures, each of 25 cases. The most common location written was in general. Conclusion: In foreign body cases of ENT-Head and Neck Surgery, esophageal foreign body cases were more common compared to pharyngeal foreign body cases.Keywords: foreign bodies, pharynx, esophagus Abstrak: Benda asing yang tertelan merupakan salah satu kegawatdaruratan bidang THT-KL yang tersering dan dapat ditemukan pada semua usia di seluruh dunia. Benda asing yang tertelan biasanya dapat tersangkut pada orofaring, hipofaring atau esofagus. Penelitian ini bertujuan untuk menguraikan profil penderita benda asing faring esofagus di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode Januari 2014 – Desember 2016. Jenis penelitian ialah retrospektif deskriptif. Sampel ialah pasien yang tercatat pada buku register dan database rekam medis yang dari anamnesis, pemeriksaan fisik dan penunjang terdiagnosis sebagai benda asing faring esofagus pertama kali di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode pengamatan. Variabel penelitian ini ialah jenis kelamin, umur, jenis benda asing, lokasi benda asing, dan tingkat keberhasilan penanganan. Terdapat 25% kasus benda asing faring dan 75% kasus benda asing esofagus. Kasus benda asing lebih sering terjadi pada jenis kelamin laki-laki (57,3%), usia ≥51 tahun (25,3%) dan 0-10 tahun (24,0%). Jenis benda asing yang tersering ditemukan ialah tulang dan gigi palsu, masing-masing 25 kasus. Penulisan lokasi paling sering ialah secara umum. Simpulan: Pada kasus benda asing THT-KL dalam periode pengamatan tiga tahun ini, kasus benda asing esofagus lebih sering ditemukan dibanding kasus benda asing faring.Kata kunci: benda asing, faring, esofagus

scholarly journals Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weigang Gan ◽  
Ning Xiao ◽  
Yiyuan Feng ◽  
Danmei Zhou ◽  
Juanjuan Hu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Patients ◽  
Treatment Delay ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
External Factors ◽  
Factors Affecting ◽  
Intrinsic Factors ◽  
Common Location ◽  
Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

scholarly journals Eraser Rhinolith: A Case Report

2019 ◽  
Author(s):  
Hesam Jahandideh ◽  
Farideh Hosseinzadeh
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Left Nasal Cavity ◽  
Round Shape ◽  
Psychiatric Problems

Abstract- Nasal foreign bodies are usually received in otolaryngology practice. Although more frequently seen in pediatric patients, also they can affect adults, specifically those with mental retardation or any psychiatric problems. We presented an unusual case of the nasal foreign body, an eraser rhinolith in a 17-year-old boy with mild mental retardation presented with long-lasting nasal obstruction but no chronic infection or epistaxis. Computed tomography revealed a peripherally calcified sub-mucosal round mass in the left nasal cavity. After surgery, a round shape foreign body that looked like an eraser piece was removed from the nasal cavity. Rhinolith can present just with nasal obstruction. With properly diagnosed and appropriate surgery, all rhinoliths can be removed and complication of extraction can be minimized

scholarly journals Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

2020 ◽  
Author(s):  
Bo Liu ◽  
Fengxia Ding ◽  
Yong An ◽  
Yonggang Li ◽  
Zhengxia Pan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Medical Records ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Previous History ◽  
Rigid Bronchoscopy ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Male Patients ◽  
Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

scholarly journals Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics

2018 ◽  
Vol 100 (8) ◽  
pp. 632-634 ◽  
Author(s):  
S Morris ◽  
MS Osborne ◽  
AL McDermott
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hospital Episode Statistics ◽  
Hospital Data ◽  
Foreign Body Removal ◽  
Hospital Episode ◽  
Risk Of Injury ◽  
Adults And Children ◽  
Button Batteries ◽  
Nose And Throat

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Methods Hospital Episode Statistics for 2010–2016 were used to calculate the number of nasal and aural foreign bodies that have been removed in hospital. Data for adults and children have been compared. Results 8752 nasal and 17,325 aural foreign bodies have been removed from adults and children over the course of 6 years. Children were responsible for 95% of the 8353 nasal and 85% of the 14,875 aural foreign body presentations. Children aged 1–4 years are most at risk of injury. Conclusion Children are more likely to present to hospital than adults with a foreign body in the ear or nose. Aural bodies were more likely to need removal in hospital for both populations. Authors believe that these require identification and removal by an ear, nose and throat specialist to prevent morbidity. The overall number of procedures performed annually in children has not reduced over the study period; an average of 1218 nasal and 2479 aural foreign body removals are performed each year with an annual cost of £2,880,148 to NHS England.

scholarly journals Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Emergency Tracheostomy ◽  
Body Location ◽  
The Right ◽  
High Index Of Suspicion ◽  
Tamale Teaching Hospital ◽  
Nose And Throat

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

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