Nasal foreign bodies in children in a pediatric hospital in Senegal: A three-year assessment

Regonne, P. E. J.; Ndiaye, Moustapha; Sy, Abdou; Diandy, Yves; Diop, Abdoulaye Dione; Diallo, Boubacar

doi:10.1016/j.anorl.2017.02.013

Cited by 14 publications

(15 citation statements)

References 12 publications

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“…Children cannot report their medical history and their parents are often unaware of the precipitating incident; therefore, misdiagnosis and missed diagnosis are common [ 4 ]. When foreign bodies remain in the nasal cavity for a prolonged period, they can cause chronic diseases such as rhinitis and upper airway cough syndrome (UACS) [ 5 , 6 ]. Nasal foreign bodies becoming tracheal foreign bodies is very rare, but they may be accidently sucked into the trachea, posing a severe threat to the life of the patient [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Superabsorbent polymer balls as foreign bodies in the nasal cavities of children: our clinical experience

et al. 2021

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Objective To summarize the clinical diagnosis and treatment of superabsorbent polymer balls as nasal foreign bodies in children. Methods We retrospectively analysed the clinical data concerning 12 cases of superabsorbent polymer balls as nasal foreign bodies in children and summarized the corresponding clinical features, methods of diagnoses and treatment, and prognoses. Results Twelve children with superabsorbent polymer balls as foreign bodies in their nasal cavities presented with relatively severe symptoms, such as congestion, runny nose, and nasal swelling. When such foreign bodies stay in the nasal cavity for a prolonged period, patients may suffer from general discomfort, such as agitation, poor appetite and high fever. Most of the children had to undergo nasal endoscopy under general anaesthesia to have the foreign bodies completely removed. An intraoperative examination revealed significant mucosal injury within the nasal cavity. With regular follow-up visits and adequate interventions, all the patients recovered. Conclusion The longer superabsorbent polymer balls remain in the nasal cavity, the more damaged the nasal mucosa will be. It is challenging to remove such foreign bodies in the outpatient setting. Transnasal endoscopy under general anaesthesia appears to be safer and more effective in such cases. Since the nasal mucosa is injured to varying degrees, postoperative follow-up and treatment are equally important for preventing the occurrence of complications.

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Section: Discussionmentioning

confidence: 99%

Superabsorbent polymer balls as foreign bodies in the nasal cavities of children: our clinical experience

et al. 2021

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“…Yaş olarak en büyük hastamız 13.5 yaşında ve burnuna yabancı cisim soktuğunu ebeveynlerinden tepki alacağı için söyleyemeyen bir hastaydı. Birçok çalışmada erkek cinsiyet üstünlüğü bulunmaktadır (1,2,4). Bizim çalışmamızda 76 olgu ile (%57.5) kız cinsiyet üstünlüğü bulunmaktadır.…”

Section: Discussionunclassified

“…Ağırlıklı olarak burunda yabancı cisimler sağ nazal kavitede saptanmıştır (2,6). Bazı yazarlar bu durumun sağ el kullanım dominantlığına bağlı olduğunu düşünmüştür.…”

Section: Discussionunclassified

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Nasal Foreign Bodies in Children: Assessment of 132 Cases

Tunç¹

2018

Turkish J Pediatr

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Amaç: Burun boşluğuna yabancı cisim sokulması, çocuklarda çok yaygın bir olaydır. Bazen burun boşluğundaki yabancı cismi tespit etmek güç olabilir. Yabancı cisimlerin tipleri çok değişkenlik gösterir ve çıkarmak bazen zor olabilir. Yabancı cisimler burun boşluğunda kaldığı süre içerisinde ciddi komplikasyonlara neden olabilir. Gereç ve Yöntemler: Nisan 2017-Kasım 2017 tarihleri arasında Kulak Burun Boğaz kliniğinde burunda yabancı cisim saptanan 132 hasta retrospektif olarak yaş, cinsiyet, başvuru şikayeti, klinik bulgular, yabancı cisim çeşitleri ve komplikasyon açısından değerlendirildi. Bulgular: Olguların %57.5'i kız, %42.5'i erkek ve ortalama yaş 45.9 aydı (SD:25.7). Olguların 86 tanesinde (%65.1) sağ nazal kavitede yabancı cisim saptandı. Hastaların başvuru şikayeti %53.1'inde tek taraflı pürülan burun akıntısı, %24.1'inde burun kanaması, %22.8'inde kötü kokuydu. İnorganik maddeler burunda yabancı cisimlerin başlıca türüydü (%83.4). Boncuk 26 olgu ile en sık görülen inorganik maddeydi (%23.6). Sonuç: Burunda yabancı cisim özellikle çocuklarda sıklıkla görülür ve burun tıkanıklığı, tek taraflı pürülan burun akıntısı, burun kanaması, kötü koku oluşturarak klinik olarak kendini gösterebilir. Burunda yabancı cisimler geç tespit edilirse sinüzit, otitis media, rinolit, periorbital selülit, menenjit gibi komplikasyonlara neden olabilir. Bu nedenle KBB ve pediatri kliniklerine burun tıkanıklığı, tek taraflı pürülan burun akıntısı, burun kanaması ve burunda kötü koku şikayeti ile başvuran hastalarda burunda yabancı cisim varlığı her zaman düşünülmelidir.

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“…F oreign body in the nose is a relatively common complaint in the paediatric age group. Most cases occur in children between 2 to 5 years old or at the mean age of 3 years (1)(2)(3) . This can be explained by the children's inquisitive nature and tendency to explore their body cavities, especially the nose and ears, at this age.…”

Section: Introductionmentioning

confidence: 99%

Unexpected nasal foreign body

Ehdam¹,

Hamid²

2020

Pediatr Med Rodz

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Foreign body in the nose is a common complaint in the paediatric age group and the most prevalent site of foreign body insertion compared to the ear and throat. Typical presentation involves foul-smelling unilateral nasal discharge. However, some cases are asymptomatic with no witnesses, and only discovered by medical practitioners during routine examinations. The diagnosis in this scenario becomes more challenging when another nasal pathology is present. We describe the case of a 6-year-old girl with underlying extensive infantile haemangioma of the face, tongue, neck and chest, who came for a routine follow-up, without any nasal complaints. However, the examination revealed right nasal crusting with bluish discoloration and hypertrophy of the right inferior turbinate, which was initially thought of as extension of the patient’s haemangioma. A foreign body in the right nasal cavity was noted by the girl’s parent on the next day after nasal douching, and was successfully removed in the clinical setting.

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Nasal foreign bodies in children in a pediatric hospital in Senegal: A three-year assessment

Abstract: NFBs constitute a common domestic accident in under-5 year-olds. The rural Senegalese context shows delay in consultation.

Cited by 14 publications

References 12 publications

Superabsorbent polymer balls as foreign bodies in the nasal cavities of children: our clinical experience

Superabsorbent polymer balls as foreign bodies in the nasal cavities of children: our clinical experience

Nasal Foreign Bodies in Children: Assessment of 132 Cases

Unexpected nasal foreign body

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