Nasal foreign bodies in children: considerations for the anesthesiologist

Yasny, Jeffrey S.

doi:10.1111/j.1460-9592.2011.03578.x

Cited by 9 publications

(5 citation statements)

References 16 publications

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“…Although the characteristics of foreign bodies are not very important, children may nudge every foreign body, mainly pieces of bread, cotton, paper, erasers, corns, plant beads, plastic substances, and living bodies into their nose [4][5][6][7][8] .Most nasal foreign body cases are seen in children aged between 1 and 3 years. Although various information has been reported about the dominant sex, it is more frequently reported among male children [7][8][9][10] . Çetinkaya et al [11] performed a study with 1875 cases and indicated that 52.9% of the cases who inserted foreign bodies through their nostrils were male.…”

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Evaluation of patients with nasal foreign body

Çelık¹

2018

Haydarpasa Numune Med J

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Introduction: To evaluate the demographic data and treatment methods for patients with nasal foreign bodies and properties of foreign bodies. Methods: In total, 243 patients (138 female; 105 male; mean age, 2.78±1.33 years; range, 1-8 years) who were diagnosed with nasal foreign bodies were included in the study. All patient records were evaluated in terms of age, sex, type and color of foreign bodies, side of presentation, and treatment protocols. Results: Foreign bodies were detected in the left nasal cavity in 86 patients (35.4%), right nasal cavity in 155 (63.8%), and bilaterally in 2 (0.8%). The most common nasal foreign bodies were beads in 78 patients (32.1%), plant species in 67 (27.6%), and paper-sponge particles in 34 (14%). The most common colors of the foreign bodies were blue and brown in males and red and white in females. Fourteen (5.8%) patients required general anesthesia for the extraction of the foreign body in an operating room. Discussion and Conclusion: Nasal foreign bodies are a common emergency in the field of otorhinolaryngology. It is not known whether the properties of foreign bodies affect children's ability to nudge foreign objects. Further studies with greater number of patients are needed on this topic.

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Evaluation of patients with nasal foreign body

Çelık¹

2018

Haydarpasa Numune Med J

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“…Injuries and complications due to the insertion of FB in the nasal fossa are more common than in the ear because the FB might grow asymptomatically for several months or years and affect surrounding tissues. Moreover, the nasal FB is likely to move posteriorly up to the upper airways with consequent severe circumstances [ 32 ]. The development of complications is statistically related to the time elapsed between the FB insertion and the diagnosis, the age of the patient and the experience of the operator [ 15 ].…”

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

Loperfido¹,

Mammarella²,

GIORGIONE³

et al. 2022

Cureus

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Background: Foreign body (FB) injuries occur frequently in children. The aim of this paper is to provide an update on the experience of the Department of Otolaryngology, San Camillo Forlanini Hospital in Rome concerning the management of FB injuries in children.Methodology: This study was carried out by collecting data from the medical reports of our Pediatric Emergency Room stored between 2007 and 2021. Inclusion criteria were diagnosis of FB in pediatric patients based on the ENT evaluation. Pediatric patients included children and preteens ranging from six months to 15 years.Results: Between 2007 and 2021, 1,623 cases of FBs in young patients (840 males, 783 females, mean age: 5.5 years) were observed at the Pediatric Emergency Room and treated by the ENT Department. The ear was the most frequently involved site (700 patients), followed by the nose (517 cases), pharynx (319 cases), mouth (76 patients) and airways (11 cases). The most common management strategy was FBs' removal in the emergency room and home discharge (1,409 patients), 99 cases required outpatient discharge, 64 patients moved away from the Emergency Care refusing treatment, 35 patients were hospitalized, 10 patients refused hospitalization, five were transferred to the pediatric hospital and one died in the emergency room.Conclusions: A quick diagnosis of FB followed by an effective removal is crucial to avoid injuries and complications. Surveillance registries have a key role in the prevention and management of FB injuries. Moreover, it is necessary to train medical and nursing staff of emergency, pediatric and otolaryngologist departments to best recognize and manage FB injuries.

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“…It occurs in individuals who swim in streams or drink the infested water (1). Possible attachment areas are the nasal cavity, the oropharynx and hypopharynx, the larynx, the trachea, and the esophagus (3,4).…”

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“…Signs of blood loss and obstruction can be seen, such as epi-staxis, hemoptysis, melena, severe anemia, dysphorea, and dyspnea depending on the site of attachment. Symptoms can progress over time, because the leech will increase its size with the time period of its feeding (2)(3)(4). A living leech in the respiratory tract is a rare but an emergency situation.…”

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Pica: unusual intra‐oral foreign body discovered after induction in a child

Kituu¹

2012

Pediatric Anesthesia

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diaphragmatic contraction before actual gas flow can be detected. More notably, and the point of this communication, airway pressure changes predictably occur before patient respiratory efforts result in enough gas flow to change end-tidal CO 2 and cause the 'curare cleft'. This is even more pronounced in young patients with small tidal volumes. In older anesthesia machines, a brief deflection of the pressure gauge could be noted. On newer anesthesia machine monitors, a negative deflection of the expiratory pressure trace or brief loss of PEEP is clearly and easily visible on the pressure-time trace (Figure 1) even before the 'curare cleft' is appreciated on the capnogram. Even though it is so obvious, few anesthesia residents seem to be familiar with this observation and when questioned have not been made aware of it. We therefore encourage attention to subtle notching of the expiratory pressure trace as earliest sign of respiratory efforts by the anesthetized, intubated, and ventilated patient, rather than waiting for the 'curare cleft' to appear.

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Nasal foreign bodies in children: considerations for the anesthesiologist

Cited by 9 publications

References 16 publications

Evaluation of patients with nasal foreign body

Evaluation of patients with nasal foreign body

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

Pica: unusual intra‐oral foreign body discovered after induction in a child

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