Nasal foreign bodies: description of types and complications in 420 cases

Figueiredo, Ricardo Rodrigues; Azevedo, Andréia Aparecida de; Kós, Arthur Octavio de Ávila; Tomita, Shiro

doi:10.1016/s1808-8694(15)30028-8

Cited by 34 publications

(35 citation statements)

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“…Genellikle 2-5 yaş arası çocuklarda görülür. [1][2][3] Burunda en sık görülen yabancı cisimler plastik boncuk, sünger, oyuncak parçaları ve pilleri, küçük yiyecek parçaları (fındık, ceviz, mısır, çekir-dek vb.) ve kağıt parçalarıdır.…”

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“…ve kağıt parçalarıdır. [1][2][3] Yetişkinlerde çok nadir görülmekle birlikte zihinsel engelli ve psikosomatik bozukluğu olanlarda görülebilmektedir. [2] En sık görülen semptomlar burunda ağrı ve rahatsızlık hissidir.…”

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“…[1][2][3] Yetişkinlerde çok nadir görülmekle birlikte zihinsel engelli ve psikosomatik bozukluğu olanlarda görülebilmektedir. [2] En sık görülen semptomlar burunda ağrı ve rahatsızlık hissidir. Tedavi genellikle yabancı cismin poliklinik şartlarında çıkartılması şeklindedir, ancak yerleşim yerine ve hasta uyumsuzluğuna bağlı olarak nadiren ameliyathane şartlarında anestezi altında da yapılmaktadır.…”

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“…Tedavi genellikle yabancı cismin poliklinik şartlarında çıkartılması şeklindedir, ancak yerleşim yerine ve hasta uyumsuzluğuna bağlı olarak nadiren ameliyathane şartlarında anestezi altında da yapılmaktadır. [1][2][3] Bu çalışmada kulak burun boğaz polikliniğine başvuran burunda yabancı cisim olgularında, yabancı cismin türü, hangi tarafta olduğu, klinik semptomları, inceleme ve tedavileri tartışıldı. Bu hastalarda yabancı cisim zemininde gelişmiş rinolit saptandı.…”

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Nasal foreign bodies: an analysis of 130 patients

Memis

Ilhan²,

Ulucanli³

et al. 2015

Kulak Burun Bogaz Ihtis Derg

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ÖZAmaç: Bu çalışmada burunda yabancı cisim tanısı konulan hastaların klinik belirtileri ve tedavi protokolleri araştırıldı. Hastalar ve Yöntemler:Kasım 2008 -Temmuz 2013 tarihleri arasında burunda yabancı cisim tanısı konulan ve tedavisi yapılan 130 hasta (72 erkek, 58 kadın; ort. yaş 3.65±2.31 yıl; dağılım 15 ay-72 yıl) geriye dönük olarak değerlendirildi. Hastaların yaş ve cinsiyeti, yabancı cismin türü, hangi tarafta olduğu, belirti ve semptomları, tedavi uygulamaları ve sonuçları kaydedildi. Bulgular:Hastaların büyük bir çoğunluğu 2-5 yaş arasındaki çocuklardı (n=113, %86.9). En fazla görülen yabancı cisimler; küçük plastik oyuncak parçaları (%43.8) fındık, ceviz, mısır ve fasulye gibi tohum taneleri (%29.2) idi. Hastaların 74'ünde (%56.9) sağ, 54'ünde (%41.6) sol nazal pasajda ve ikisinde (%1.5) ise her iki burun deliğinde yabancı cisim izlendi. Hastaların %92.3'ü ilk 24 saat içerisinde kliniğimize başvurdu.Sonuç: Buruna yabancı cisim kaçması kulak burun boğaz hastalıkları acilinde sık karşılaşılan bir durumdur. Genellikle hayati bir risk oluşturmayan bu durum uzun dönemde çeşitli komplikasyonlara yol açabileceğinden acil müdahale gerektirir. Çocuk bakımından sorumlu ebeveyn ve bakıcılar buruna kaçabilecek cisimlerin çocukların ulaşabileceği yerlerde bulundurmamaları ve buruna yabancı cisim kaçması durumlarında hekime başvurmaları konusunda bilinçlendirilmelidir.Anahtar Sözcükler: Yabancı cisim; burun boşluğu; rinolit. ABSTRACT Objectives:This study aims to investigate clinical manifestations and treatment protocols in patients with a diagnosis of nasal foreign bodies. Patients and Methods:We retrospectively evaluated 130 patients (72 males, 58 females; mean age 3.65±2.31 years; range 15 month to 72 years) who were diagnosed with nasal foreign bodies and received treatment between November 2008 and July 2013. Age and sex of the patients, type of foreign body, side of presentation, signs and symptoms, management practices, and outcomes were recorded. Results:Most of the patients were children between the ages of 2 and 5 (n=113, 86.9%). The most common foreign bodies were small plastic toys (43.8%), nut, walnut, corn, bean and the other seed grains (29.2%). Foreign bodies were detected in the right nasal passage in 74 patients (56.9%), left nasal passage in 54 patients (41.6%) and both nostrils in two patients (1.5%). Of the patients, 92.3% were admitted to our clinic within 24 hours. Conclusion:Nasal foreign bodies are frequent encountered in the emergency setting of ear, nose, and throat diseases. Although they are not life-threatening conditions, they require urgent intervention, as they may lead to several complications in the long-term. Parents and caregivers of children should keep objects which can be put into the nose away and be instructed that they should consult a physician in case of nasal foreign bodies.

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Nasal foreign bodies: an analysis of 130 patients

Memis

Ilhan²,

Ulucanli³

et al. 2015

Kulak Burun Bogaz Ihtis Derg

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“…While diagnosis of a foreign body in the nose can be made with anterior rhinoscopy and endoscopic examination inside the nose for patients who present with discomfort or parental suspicion, patients who have not been noticed in the early stages generally present with complaints of foul -smelling nasal discharge and nasal obstruction (14)(15)(16)). In the current study, the most common reason for presentation after referral from another centre was suspicion of the parents.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body in the Nose in Children: The Relationship with the Dominant Hand, Parental Behaviour and Level of Education

Sarıca

Kırık

2018

Iran J Pediatr

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Background: The aim of this study was to examine the relationship between a foreign body in the nose of a child and the dominant hand, the educational level of the parents and the habits of the mother in cleaning the nose with tissues or tweezers etc. Objectives: There is a lack of evidence about the foreign body in the nose in children and association among dominant hand, parental behaviour and education level. Methods: A retrospective examination was made of the records of 136 patients (78 male, 58 female) diagnosed with a foreign body in the nose in the period January 2014 -January 2017. A record was made of age, gender, the type of foreign body, treatment and complications, etc. Patients with a psychosomatic disorder were excluded from the study. Results: The vast majority of the patients were children aged 2-5 years (N = 124, 91.17%). The most common foreign bodies were a bead, a part of a plastic toy, a button, a safety pin, paper and paper tissues. The foreign body was removed from the same side as the dominant hand in 116 (85.29%) cases. The incidence of nasal foreign body was found to be statistically significantly higher in those with a parental level of education of primary school (P < 0.026). Conclusions:There was a statistically significant relationship between the localisation of a nasal foreign body and the dominant hand, so the patient's relatives must be asked about the side of the dominant hand. Taking into consideration that complications are greatly reduced with clinical experience, it is recommended that intervention for a nasal foreign body is made by an ear, nose and throat specialist.

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Characteristics of Nasal Foreign Bodies and Equipment on Complications During Removal Procedures

et al. 2023

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ObjectiveThe treatment of nasal foreign bodies involves safe and reliable removal. Few reports have investigated the relationship between equipment and the incidence of complications.MethodsThis retrospective study included 300 patients with nasal foreign bodies (average: 3.28 years, interquartile range: 2–4 years). Patients' background, characteristics of nasal foreign body, equipment to remove the nasal foreign body, and complications were obtained from medical records. Statistical analysis was performed using Pearson's chi‐square test for associated factors and the incidence of epistaxis among the complications.ResultsNasal foreign bodies were found and removed in 256 patients. Forceps, hooks, suction, modified paper clips, and cotton swabs were mainly used to remove the nasal foreign bodies. Epistaxis due to the removal procedure was observed in 26 patients. The occurrence of epistaxis differed depending on the equipment (p = 0.077) and was less frequent in suction and paper clips than in forceps (p < 0.05 and p = 0.077). Epistaxis was not observed when a cotton swab was used. Aspiration and septal perforation were not observed. A statistical relationship was not detected between the hardness of foreign bodies and the occurrence of epistaxis (p = 0.251). The incidence of epistaxis was higher in cases nasal foreign bodies remained for 1 day and over than in cases foreign bodies were removed within 1 day (p < 0.05).ConclusionsThis study revealed that suction, modified paper clips, and cotton swabs could be beneficial options for minimizing complications in the removal of nasal foreign bodies.Level of Evidence4 Laryngoscope, 133:2553–2557, 2023

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Nasal foreign bodies: description of types and complications in 420 cases

Abstract: Nasal foreign bodies are especially found between the ages of 0 and 4 years. In our study, foam fragments and small plastic objects were the most frequent foreign bodies found. Complications were found in 9.05% of the cases, headed by epistaxis and nasal vestibulitis.

Cited by 34 publications

References 6 publications

Nasal foreign bodies: an analysis of 130 patients

Nasal foreign bodies: an analysis of 130 patients

Foreign Body in the Nose in Children: The Relationship with the Dominant Hand, Parental Behaviour and Level of Education

Characteristics of Nasal Foreign Bodies and Equipment on Complications During Removal Procedures

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