Corpo estranho de orelha, nariz e orofaringe: experiência de um hospital terciário

Abstract

The ocurrence of foreign bodies in otorhinolaryngology is reason of constant searches for emergency services. Objective: To value the incidence of patients with foreign body, to analyze the clinical situation and the treatment in these cases. Method: The prospective study was realized in 81 patients with diagnosis of foreign body of nose, ear or oropharynx in the otorhinolaryngology service of the Hospital do Servidor Público Municipal de São Paulo between april/2003 and march/2005. Results: 57 cases of foreign body of ear, 13 cases of nose and 11 of oropharynx. These patients, 51.85% were men and 48.15% were women. The age average was 23 years old. The average of the evolution time was 18.36 days, being that 38.27% these cases were taken care in less 24 hours of evolution. Inside the total of patients, 83.95% received initial attendance in the otorhinolaryngology clinic, and 16.05% came of another service after some previous removal attempt. The most common symptom of the foreign bodies cases of oropharynx it was odinofagia present in 90.91% of the cases; in the foreign bodies of nose, the unilateral rhinorrhea and cacosmia were present in 46.15 of the cases; in the foreign bodies of ear, 38.60% evolved without symptoms and 28.07 with hipoacusia. The most frequent foreign body of oropharynx it was the fish spine (54.55%); in the nose it was the paper (30.77%); and in the ear it was the cotton (31.58%). The complications resulting of the presence of foreign body or about the manipulation of these had been found in 13 cases (16.05%). Conclusion: Most cases of foreign body conditions, in which a non-specialist professional or a non-professional person previously handles its removal, have a bad evolution with emerging complications. Such outcomes strengthen the fact that an otorhinolaryngologist using the proper equipment must treat patients with foreign body.

Prevalence of Foreign Body in the Otolaryngology Service in Ado Ekiti

“…In this study, common associated complications of otorhinolaryngology foreign body removal by age group were 23 (9.9%) nasal in young children (0-3) years, 31 (13.3%) nasal in children (4-10) years, 5 (2.1%) ear in young adults (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) In the management of the foreign body impaction in this study, 186 (79.8%) objects were visualised in nose and throat, whereas 47 (20.2%) objects were not visualised, therefore, had radiological imaging, 22 (9.4%) of which were radio-opaque objects. All the patients had the foreign body removed.…”

“…In this study, patients age group were young children (0-3), children (4-10), young adults (11)(12)(13)(14)(15)(16)(17)(18)(19)(20), older adult (21-60) and elderly (> 60). The significant prevalence of the otorhinolaryngology foreign body impactions was 107 (45.9%) in the older adult age group (21-60) years.…”

“…The nasal foreign body was predominant in children and most common in young children (0-3 years) who were involved in 34 (14.6%), followed by 9 (16.7%) children (4-10) years. Ear foreign body was in 32 (13.7%) among young adults (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) years, 91 (39.1%) in older adult (21-60) years and 1 (0.4%) throat in the elderly (> 60) years. Detail distribution of the foreign body by site and age group is shown in Table 3 and the categorisation of the foreign body by site and time of presentation is illustrated in Table 4.…”

“…The otological foreign body may present with hearing impairment, otorrhea, otalgia, vertigo, and tinnitus. Moreover, throat foreign body may lead to sudden difficulty in breathing, hoarseness, and odynophagia [14]. The first contact of patients with otorhinolaryngology foreign body impaction are the parents, caregivers, neighbours, family friends followed by the family physician, casualty officer, pediatrician and lastly to otorhinolaryngologist.…”

Acesso aos procedimentos cirúrgicos em uma unidade de saúde da família: uma iniciativa para melhorar o cuidado e o acesso a unidades básicas de saúde

“…In this way, steps would be spared and the referencing system becomes less costly for cases that can not really be solved in PC. For example, the consequences of cerumen in the external auditory canal vary from mild pruritus, otalgia or even temporary hearing loss, or hearing loss 7 . To prevent such consequences is to offer the best assistance and quality of life to SUS users.…”