Ear, nose, throat foreign bodies: experience in the tribal population

Abstract

<p class="abstract"><strong>Background:</strong> Foreign bodies (FB) in the ears, nose or throat are a common occurrence in otorhinolaryngology (ENT) emergency services. The management calls for prompt & precise intervention which in turn decreases the overall morbidity and mortality. The aim of the study was to study the age & gender distribution, modes of presentation, management & complications of various foreign bodies in patients attending emergency & ENT OPD.</p><p class="abstract"><strong>Methods:</strong> It is a prospective, interventional clinical study conducted in a tertiary Care Hospital – Shri Vasantrao Naik government medical college situated in tribal region of Yavatmal, Maharashtra. About 200 patients from the tribal population with foreign body in ear, nose & throat region from November 2012 to October 2014 were included in the study. </p><p class="abstract"><strong>Results:</strong> Out of 200 patients, the commonest location of FB was in ear with 103 patients (51.5%) followed by nose with 72 patients (36%) and throat 25 patients (12.5%). 203 FB were removed from 200 patients. Throat cases include digestive tract (21 cases) and tracheobronchial (4 cases) FB. Amongst the FB in throat the commonest was fish bone and the commonest site being cricopharynx. Seeds were the commonest FB in ear & nose. A greater proportion of cases - 109 (54.5%) were below 10 years of age.</p><strong>Conclusions:</strong> A great degree of suspicion, prompt diagnosis and timely intervention can reduce the overall mortality and morbidity associated with ear, nose and throat foreign bodies.

Ear, nose and throat emergencies: an experience in rural area

“…In this study, foreign bodies in ear had the highest incidence (54%) followed by nose (35.4%) and throat (10.6%) which is consistent with studies done by Jondhale et al and Gawarle et al most common foreign bodies removed were kidney beans, maize, insects, buttons, pebbles, bone chip, fish bone, needles, cotton balls, stick, pea and peanut. 7,8 Maximum number of cases (202) were seen in 0-10 years age group and least number of cases (4) were seen in >40 years age group. Children are common victims due to their tendency to put things in their natural orifices like ear, nose and mouth, inability to masticate well and inadequate control of deglutination as well as the tendency to cry, shout, play during eating.…”

“…Children are common victims due to their tendency to put things in their natural orifices like ear, nose and mouth, inability to masticate well and inadequate control of deglutination as well as the tendency to cry, shout, play during eating. 8 The foreign bodies were managed by simple removal techniques using hook, forceps, syringing. Hypopharyngoscopy and oesophageal foreign body were removed using direct laryngoscopy and hypopharyngoscopy.…”

Incidence of Foreign Body in Otolaryngology Section in Hasan Sadikin General Hospital, During Pandemic Era

“…In contrast to the research conducted by Gawarle in 2016 which stated that the most common types of organic foreign bodies found were nuts. 13 This is because most patients with foreign bodies in the ears, nose, throat, head and neck are children who often play with plastic toys and lack parental supervision.…”

Prevalence of Foreign Body in Ear, Nose, and Throat inImam Khomeini hospital, Iran

“…In the nose, extraction of foreign objects is done using a hook, special forceps (8,9) . General anesthesia is used forthe removal of foreign bodies in the throat and to do this forceps and in the larynx and esophagus is often used (8,10) . Although the removal of the foreign body is often done simply, it is necessary to consult an ENT specialist because of the potential complications that may occur in the process (11) .…”