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Objective: The aim of this study is the evaluation of ENT FB cases in the paediatric patients referred to the pediatric emergency department of the our hospital Methods: This was a retrospective study of all the ENT foreign bodies presented to pediatric emergency department of Tokat State Hospital from between January 1, 2012 and December 31, 2018. The demographic and clinical characteristics of the patients, types of FB, anatomic location of FBs, locations of FB according to age groups, the method that was applied to remove FBs and distribution of FB cases by months were evaluated in this study as well. Results: A total of 808 FB cases were included and evaluated in this study. The mean age was 47.9±31.5 months. A total of 394 (48.57%) of the patients were male, and 414 (51.2%) were female. Nose (57.6%) and ear (20.7%) are the most concerned anatomical locations, followed by Mouth/Pharynx/Tonsil (12.6%), laryngotracheobronchial tree LTB (2.4%), oesophagus (6.4%). The most common FBs according to locations are beads (30.4%) in nose, beads (32.1%) in ear, fishbones (63%) in Mouth/Pharynx/Tonsil, nuts and peanuts (70%) in LTB and coin/disc battery (80.7%) in oesophagus. Conclusion: FB in ENT is among the emergency conditions that require different diagnoses and treatment approaches according to anatomic localizations. Although nasal and ear FBs are seen especially under the age of four in children, the rate of esophageal foreign bodies increases over four years of age. Proper vision and adequate equipment and immobilization are important in the removal of ENT foreign bodies in children.

Our results indicated the possibility that the supplementation of melatonin and selenium, two antioxidant agents for the treatments in the rhinosinusitis rat model, might be reduced or prevent anosmia.

Sixty-five-year old male patient applied to our clinic with nonspecific complaints such as tinnitus, otalgia, headache, halitosis, and persistent globus pharyngeus which had been continued for 5 years. His complaints persisted despite different extensive treatments. In nasoendoscopy, a yellow-colored mass with purulent discharge around was observed in eustachian tube opening in left fossa of Rosenmüller. Computed tomography scan showed a mass of 6 × 6 mm size in left fossa of Rosenmüller. After excision of the mass under local anesthesia, significant reductions were observed in patient's symptoms. Histopathology of the mass was reported as rhinolith. Although fossa of Rosenmüller is a quite rare localization for rhinoliths, it needs to be considered in differential diagnosis of patients with nonspecific symptoms such as halitosis, globus pharyngeus, and otalgia. This report represents a patient with rhinolith localized in fossa of Rosenmüller as the 2nd report in the literature.

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