Analysis of nasal foreign bodies in 341 children

Zc, Lou

doi:10.1017/s0022215119001944

Cited by 17 publications

(17 citation statements)

References 10 publications

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“…However, nosebleed was severe in cases of button battery impaction, and ulceration in the nasal mucosa might occur. Septal perforation due to button cell impaction was reported widely, [ 4 , 15 , 20 , 21 , 24 , 25 ] but no such complication occurred in our study. Only 5 of 20 children with button battery retraction went in for follow-ups.…”

Section: Discussioncontrasting

confidence: 43%

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Presentation and management of nasal foreign bodies in a Chinese metro area

Yan

Zeng²,

Chen

et al. 2021

Medicine

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Nasal foreign bodies in children are common complaints encountered by pediatric otolaryngologists. We investigated clinical features, diagnosis, and treatment of nasal foreign bodies in children in a Chinese metro area. Six hundred sixty eight children with nasal foreign bodies presented to Shenzhen Children's Hospital, diagnosed and treated by the authors were enrolled from January 2016 to October 2019, causes for medical consultation, age, sex, duration, types, locations, removal, and complications were recorded and analyzed. Nasal foreign bodies were common in children between 1 and 5 years of ages (96.8%). The right nasal cavity (61.4%) was the most common site for foreign body insertion (61.4%). Most of the children (89.4%) presented for a complaint of nasal discomfort or foreign body insertion themselves, or for foreign body impaction discovered by the caregivers. Most of the foreign bodies (85.0%) were discovered within 1 day. The most nasal foreign bodies were the whole toys and toy parts (34.1%). The majority of nasal foreign bodies (99.1%) located in the antero-inferior portion of the nasal cavities and could be removed with simple instruments. The occurrence of complications in nasal foreign bodies (10.2%) was not common. The present study objectively exhibited clinical features, diagnosis, and treatment of nasal foreign bodies in a Chinese metro area.

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Section: Discussioncontrasting

confidence: 43%

“…the local toxic effect due to the absorption of substances: this can be the case in mercuric oxide batteries. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Presentation and management of nasal foreign bodies in a Chinese metro area

Yan

Zeng²,

Chen

et al. 2021

Medicine

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“…Nasal BB impaction occurs more frequently than esophageal and can cause septal necrosis and perforation, synechia, and long-term sequelae, such as saddle nose deformity. [1][2][3][4][5][6][7][8][9][10][11][12] Lou reported that septal perforation developed in seven of nine BB cases. They speculated that in the two other cases that did not develop septal perforation, weak acidic seawater spray had been used, and this neutralized the alkaline effect of the BBs.…”

Section: Discussionmentioning

confidence: 99%

“…They speculated that in the two other cases that did not develop septal perforation, weak acidic seawater spray had been used, and this neutralized the alkaline effect of the BBs. 10 Bakshi et al found that septal perforation developed in 11 cases with a mean follow-up of 11.6 months after removal that occurred after an average of 2 days. Diffuse bilateral changes were observed in two cases, unilateral adhesion in three, chronic maxillary sinusitis in three, atrophic changes in two, and saddle nose in one case.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 BBs impacted in the nasal cavity can cause complications, such as septal perforation, synechia, atrophy, necrosis, and saddle nose. [5][6][7][8][9][10][11][12] BBs also may cause periorbital cellulitis. 13 When the narrower negative poles of the BBs come into contact with the mucosa, they increase the pH by forming hydroxide ions in the tissue due to the electrical discharge.…”

Section: Introductionmentioning

confidence: 99%

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Injury Mechanism of Button Batteries in the Nasal Cavity and Possible Mitigation Strategies During Impaction

2020

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Objective/Hypothesis Button batteries (BBs) impacted in the nasal cavity can cause several complications. Understanding the injury mechanism and developing possible mitigation strategies can reduce these complications. Study design Cadaveric sheep nasal septum model. Methods Lithium, alkaline, silver oxide, and zinc‐air BBs were placed on segments of the nasal septum of cadaveric sheep. The BB voltage, tissue temperatures, and pH were measured every 30 minutes for 6 hours. Subsequently, 5 drops of lemon juice, apple cider vinegar, tea, Coke (Coca‐Cola Co., Atlanta, GA), tap water, and normal saline were applied separately to the other segments with the lithium BBs every 10 minutes for 3 hours. The visible injuries and the necrosis depths were assessed through the tissue temperatures, pH, and the voltage changes. Results Both nonlithium and lithium BBs increased tissue pH without significant temperature changes. The 3V lithium BBs led to the greatest depth of necrosis, with a voltage loss of approximately 50% within the first 2 hours. Lemon juice and apple cider vinegar were the most effective liquids for reducing visible injury, pH, and necrosis without increasing the temperature during pre‐removal time period. Conclusion Nonlithium and lithium BBs caused alkaline tissue injury in a nasal septal model. Given the hazard severity, expedited BB removal is critical. For situations when removal cannot be immediately performed, further in vivo study is needed prior to considering human use of any pre‐removal mitigation strategies in the nasal cavity. Level of Evidence NA Laryngoscope, 130:2487–2493, 2020

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Pediatric otorhinolaryngology surgeries for foreign bodies: A retrospective observational study in Tamale Teaching Hospital

Alhassan,

Iddrisu,

Abdul‐Karim

et al. 2023

World j. otorhinolaryngol.-head neck surg.

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ObjectiveThis present study investigated the prevalence, characteristics, and management of ear, nose, and throat (ENT) foreign body (FB) in the pediatric population of Tamale.Study DesignRetrospective observational study for otorhinolaryngology surgeries from 2019 to 2022 for children aged 17 years and below at Tamale Teaching Hospital.MethodsA checklist created was used to collect data from the Otorhinolaryngology Surgeries records from 2019 to 2022. Chi‐square and binary logistics regression analysis were done for associations. The level of statistical significance was set at 0.05.ResultsTwo hundred and sixty‐three cases were included in this study, and the mean age of the study participants was (4.3 ± 3.8) years with a minimum age of 1 month and a maximum age of 17 years. Most (65.4%) of the study participants were under‐5 years. The prevalence of FB in this study was 47.9%. The majority (54.8%) of the ENT FB incidence was through ingestion. Almost half (50.8%) of the ENT FB was removed through esophagoscopy. Among the foreign bodies, the coin was the most common (44.5%). Those less than 1 year were more likely to encounter FB than those 12 years and above (adust odds ratio [AOR] = 27.7, 95% confidence interval [CI] = 4.7–164.6). Again, those of 5 to less than 12 years were more likely to encounter ENT FB than those 12 years and above (AOR = 5.7, 95% CI = 1.2–26.3).ConclusionsForeign bodies are a common occurrence in pediatric otorhinolaryngology surgeries in Tamale Teaching Hospital. Younger children are more likely to report for otorhinolaryngology surgeries for FB in Tamale Teaching Hospital.

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Analysis of nasal foreign bodies in 341 children

Cited by 17 publications

References 10 publications

Presentation and management of nasal foreign bodies in a Chinese metro area

Presentation and management of nasal foreign bodies in a Chinese metro area

Injury Mechanism of Button Batteries in the Nasal Cavity and Possible Mitigation Strategies During Impaction

Pediatric otorhinolaryngology surgeries for foreign bodies: A retrospective observational study in Tamale Teaching Hospital

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