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

Abstract

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.

Ear, nose and throat foreign bodies in the pediatric age. An experience in a quaternary care hospital in Maputo, Mozambique

“…Like other studies [11,12], males were the most affected, probably due to the more adventurous and curious spirit of this gender.…”

Analysis of foreign bodies in the ear, nose, and throat in pediatric patients: Second level hospital experience in the Eastern Anatolia Region

“…Yaş ortalaması birçok çalışmada kulakta YC olanlarda burun ve boğazda YC olanlara kıyasla daha yüksek bulunmuş ayrıca YC olgularının erkek cinsiyette görülme sıklığının daha çok olduğu rapor edilmiştir. [1][2][3]5,6] Çalışmamıza dahil edilen hastaların literatüre benzer şekilde en sık üç yaş grubunda olduğu gözlendi. Yaş ortalamalarının kulakta YC görülenlerde, burunda YC görülenlere kıyasla anlamlı olarak daha yüksek olduğu ve YC'nin yerleşim yerine göre yaş ortalamalarının anlamlı olarak farklılık gösterdiği tespit edildi.…”

“…Awad ve ElTaher [6] boncuk, Kwon ve ark. [5] oyuncak, Mangussi-Gomes ve ark. [1] fasulyenin burunda en sık görülen YC olduğunu belirtmişlerdir.…”

“…[3] Geçmiş çalışmalarda kulaktaki YC'lerin %2.3-15.8'inde, burundakilerin %0.7-14'ünde, boğazdakilerin ise %0.9-9.8'inde genel anestezi tercih edildiği bildirilmiştir. [2,3,[5][6][7][8] Bazı çalışmalarda ise burundaki ve boğazdaki YC'lerin tümüne genel anestezi gerekmeden direkt müdahale edilebilmiştir. [2,3,[5][6][7][8] Çalışmamızda dış kulak yolunda boncuk bulunan ikisi iki, biri beş yaşında olan üç (%6.3) hastanın ve burunda birinde kağıt diğerinde pil bulunan ikisi de üç yaşında olan iki (%3.5) hastanın tedavisi genel anestezi altında yapıldı.…”

Management of Foreign Bodies in the Ear, Nose and Throat in Pediatric Patients: Real-Life Experience in a Large Tertiary Hospital

“…The challenge in FB management is therefore to be able to distinguish patients who require immediate intervention from those it can be deferred. Most of the ear and nose FBs can be successfully removed in the emergency department reserving the use of hospitalization for non-compliant patients and the management of FB in the airways [ 24 ]. Our experience is in line with these data as most of the FBs were removed in the emergency room.…”