An unusual foreign body in the nose

Malhotra, Chintan; Arora, M. M. L.; Mehra, Y. N.

doi:10.1017/s0022215100072212

Cited by 15 publications

(7 citation statements)

References 1 publication

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“…7 A useful classification is animal, vegetable or mineral, 8 as removal techniques will vary according to the composition of the foreign body. Animals (for example, ants, moths, flies, etc) are the most common foreign bodies in the adult ear and often require immediate attention as they cause pain and agitation in the patient.…”

Section: Aetiology and Epidemiologymentioning

confidence: 99%

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Davies

2000

Emergency Medicine Journal

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Patients frequently present to the emergency department for removal of foreign bodies from the nose or ear. Early descriptions of foreign body removal from Roman times include "An insect must first be killed with vinegar and then removed with a probe; the patient should be encouraged to sneeze or better still he should be bound to a table with the aVected ear downwards and the table struck with a hammer so that the foreign body may be shaken out of the ear". 1Little scientific evidence regarding the best method of foreign body removal exists. The diverse nature of the problem has precluded randomised controlled trails and the medical literature consists mainly of anecdotal case reports. Unfortunately it sometimes seems as if the cavalier attitude to these problems has changed little from those 2000 years ago. The following review attempts to provide a logical, up to date approach to this common complaint. MethodsMedline 1966 to August 1998 was searched using the OVID interface and the search terms [{exp foreign bodies OR foreign body.mp} AND {exp nose OR nose.mp OR exp ear OR ear.mp}] LIMIT to human and English language. All appropriate articles were retrieved and further searched for relevant references, which were in turn followed up until a complete picture of all previous literature was assembled. These papers were supplemented by information from major ear, nose, and throat (ENT) and emergency medicine textbooks. Aetiology and epidemiologyPatients presenting with foreign bodies in the nose or ear are predominantly children in the 2 to 8 age group.2 Foreign bodies in the nose are less common than those in the ear and occur almost exclusively in children. The earliest presentation is likely to be around the age of 9 months when a child develops a pincer grip, allowing easy manipulation of small objects.

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Section: Aetiology and Epidemiologymentioning

confidence: 99%

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Davies

2000

Emergency Medicine Journal

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“…The most commonly identified inanimate foreign bodies include rubber erasers, paper wads, pebbles, beads, marbles, beans, safety pins, washers, nuts, sponges, and chalk 25 Other authors have reported plasticine, pieces of wood, a door handle,6 metal hooks and eyes, pieces of cloth, bullets, thimbles,7shrapnel, umbrella springs, iron bolts, corks, and coins 8…”

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confidence: 99%

Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures

Kalan¹

2000

Postgraduate Medical Journal

140

130

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Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. There are isolated reports describing the removal of unusual foreign bodies from the nose. But no comprehensive reviews of this important subject have been published for many years. This article includes a detailed discussion of the diVerent types of nasal foreign bodies, the various clinical presentations, management options, and complications associated with nasal foreign bodies. (Postgrad Med J 2000;76:484-487)

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“…Commonly identified inanimate foreign objects include rubber erasers, pebbles, beads, safety pins, sponges, and chalk. [ 7 8 9 ]…”

Section: Discussionmentioning

confidence: 99%

Actualities of management of aural, nasal, and throat foreign bodies

Oreh¹,

Folorunsho

Ibekwe

2015

Ann Med Health Sci Res

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Background:Foreign bodies (Fbs) in the ear, nose, and throat (ENT) are common presentations in healthcare settings worldwide.Aim:This study was carried out to review the modes of presentation, management, and outcome of inserted Fbs in our setting.Subjects and Methods:A 5-year retrospective study of cases of ENT Fbs managed at two referral hospitals in Abuja Nigeria. The analysis was done with Chi-square and Pearson correlation.Results:Five hundred and ninety-four patients aged 0–75 years, M:F = 1.1 (295 vs. 299) were reviewed. Prevalence was predominantly among the under 5 s; 286/594 (P = 0.001). ENT Fbs were 356/594 (59.9%), 167/594 (28.1%) and 71/59 (12.0%), respectively. Cotton wool 133/356 (37.4%) and beads 75/356 (21.1%) constituted most aural Fbs. Beads 45/167 (27.0%) and grains/seed 37/167 (22.1%) were the most common nasal Fbs while fish bones 38/71 (53.5%) and piece of metals 12/71 (16.9%) were dominant in the throat. Most cases of aural and nasal Fbs were asymptomatic. Ear syringing was the most common method for removal of aural Fbs 216/594 (60.7%) and instrumentation under direct vision for nasal Fbs 153/167 (91.6%). Furthermore, 52/71 (73.2%) of throat Fbs were removed under general anesthesia. ENT complications observed included bruises, lacerations, perforations, Epistaxis, and a case of respiratory failure. Delayed presentation (beyond 24 h) was seen in 489/594 (82.3%) of cases while failed previous attempts by untrained hands constituted 353/594 (59.4%). A strong correlation between complications and duration of Fbs insertion (R2 = 0.8759) was established.Conclusions:Fbs in ENT are common especially among children below 5 years. Majority presented beyond 24 h, and there was a strong correlation between duration of Fbs insertion and associated complications. Repeated failed attempts and delayed referrals to otorhinolaryngologists from peripheral centers were also contributing factors to increased morbidity and hence the need for awareness.

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An unusual foreign body in the nose

Cited by 15 publications

References 1 publication

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures

Actualities of management of aural, nasal, and throat foreign bodies

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