Removal of <scp>ENT</scp> foreign bodies in children

Craig, Simon; Cheek, John A; Seith, Robert; West, Adam

doi:10.1111/1742-6723.12387

Cited by 14 publications

(12 citation statements)

References 12 publications

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“…Physicians can have difficulty removing FBs in the EAC, especially with narrow EACs and limited cooperation on the part of children and adolescents. 5,6 Otolaryngologists can remove EAC FBs using many kinds of instruments, either with the naked eye or under a microscope, and sedatives or general anesthesia are needed in some cases to immobilize children. 5,7 Indeed, struggling during attempted removal can lead to complications such as perforation of the tympanic membrane and abrasion of EAC skin.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

et al. 2019

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Objectives: Foreign bodies (FBs) in external auditory canal (EAC) can occur at any age but are especially common in children and adolescents. The aims of the study were to evaluate the clinical characteristics of EAC FBs in children and adolescents and to discuss their proper management. Methods: A retrospective medical chart review was performed on patients who were treated for EAC FBs in a tertiary referral center from January 2007 to December 2017. We investigated the parameters of age, sex, type of FB, sedation method, complications, and removal strategy. Results: Of 284 patients, 176 (62.0%) were male. Peak incidences were noted at the ages of 3 to 6 years and 17 to 18 years. The frequently observed FBs were insects, followed by air-gun pellets, cotton balls, marbles, and earrings. Forty-one (14.4%) EAC FBs were removed with the naked eye, while 243 (85.6%) were removed under microscope in the otolaryngology department. Of these patients, 23 (9.5%) were administered sedatives and 1 (4.1%) needed general anesthesia. During or after the removal procedure, 4 (15.5%) patients had complications of EAC abrasion or laceration (42, 14.8%), and tympanic membrane perforation (2, 0.7%). Conclusions: External auditory canal FB showed a distinct characteristic of incidence regarding age, related to removal strategies. Characteristics of FB must be considered for safe removal.

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Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

et al. 2019

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“…Most children have a tendency to nudge every foreign body they find and insert it into their mouth, nose, and ears after they achieve hand coordination. 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] .…”

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confidence: 99%

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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“…Direct mechanical extraction is possible with alligator forceps, hooks, or balloon-tipped catheters. 7 Each of these comes with its own set of complications. 3 To our knowledge this is the first reported case of such a technique being used for nasal foreign body extrication.…”

Section: Discussionmentioning

confidence: 99%

Continuous negative airway pressure “CNAP”: Novel nasal foreign body removal

Teng

Sullivan

2017

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract"><span lang="EN-IN">We report on a novel and innovative method used to extricate nasal foreign bodies in infants and young children– a common presentation in pediatric emergency care that can at times have potentially serious consequences. In the case of a three-year-old girl, ‘continuous negative airway pressure (CNAP)’ using a continuous positive airway pressure (CPAP) mask and a domestic vacuum cleaner, a nasal foreign body was removed quickly and effectively in a simple and painless procedure. While more cases are needed to confirm safety and efficacy, the principles underlying this technique could have great potential for future clinical use due to its simplicity and accessibility, particularly when compared to other techniques currently used in the home and in the emergency department.</span></p>

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Removal of ENT foreign bodies in children

Cited by 14 publications

References 12 publications

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents

Evaluation of patients with nasal foreign body

Continuous negative airway pressure “CNAP”: Novel nasal foreign body removal

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