How did that get there? A population‐based analysis of nasal foreign bodies

Abstract

A variety of consumer products carry inherent risks for becoming nasal foreign bodies, with nearly 200,000 ED visits over a 5-year period. Jewelry beads, paper products, and toys were the most common products noted. Speedy recognition and retrieval of these items and other objects noted is imperative for avoidance of deleterious sequelae. Demographic-specific trends noted and organized by age and gender may be an invaluable adjunct for patient history-taking and clinical examination.

Consumer product ingestion and aspiration in children: A 15‐year review

“…Additionally, the NEISS uses validated algorithms created by the CPSC, utilizing cluster variables and sample weighting to calculate estimates of national injury incidence totals for large‐scale data interpretation. Secondary to these strengths, the NEISS has been utilized in numerous analyses spanning a variety of medical specialties …”

Removal of ENT foreign bodies in children

“…Many different foreign bodies have been discovered in the aural and nasal cavities of children presenting to the ED. These include food (particularly peas and corn), beads, toys, cotton tips, paper, jewellery and insects . Live insects in the ear are particularly distressing, and should be initially killed by instillation of oil (mineral oil or olive oil) or lignocaine solution…”

“…These include food (particularly peas and corn), beads, toys, cotton tips, paper, jewellery and insects. [1][2][3][4][5][6] Live insects in the ear are particularly distressing, and should be initially killed by instillation of oil (mineral oil or olive oil) or lignocaine solution. 7 Button batteries also deserve specific mention, due to their potential to cause rapid tissue damage and significant complications.…”

Removal of intranasal hairpin at the bedside: Two adult cases

“…Complicated foreign body removal from the nose or nasopharynx is a common responsibility left to the otolaryngologist, often to prevent serious complications including airway compromise and injury to the skull base. National studies of emergency department visits report nearly 200,000 visits for nasal foreign bodies alone over a 5‐year period, with a median patient age of 3 years . Because of their predominance in children, intranasal foreign bodies are commonly small, hard objects that may be removed at bedside, such as beads, round batteries, coins, pills, eraser caps, and buttons—among other objects—although 5% to 10% may require the aid of an endoscope under general anesthesia …”

“…National studies of emergency department visits report nearly 200,000 visits for nasal foreign bodies alone over a 5-year period, with a median patient age of 3 years. 4 Because of their predominance in children, intranasal foreign bodies are commonly small, hard objects that may be removed at bedside, such as beads, round batteries, coins, pills, eraser caps, and buttons-among other objects-although 5% to 10% may require the aid of an endoscope under general anesthesia. [5][6][7] By contrast, intranasal foreign bodies in adults often have unusual presentations, commonly involving trauma, and have involved objects such as teeth, twigs, and small fish.…”