Foreign bodies of the nose and ears in children

Mackle, Tara; Conlon, Brendan J.

doi:10.1016/j.ijporl.2005.07.007

Cited by 43 publications

(16 citation statements)

References 10 publications

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“…Primary care for patients with foreign bodies located in the ear, nose or throat is not always directly provided by an ENT doctor, as there are many general accident and emergency departments (A&E) or hospitals without ENT departments. Children with suspected foreign bodies are therefore often only seen by an otolaryngologist if several unsuccessful attempts at extraction have already been carried out (1,6,19).…”

Section: Discussionmentioning

confidence: 99%

“…In the literature such objects almost always take the top spot on the list of foreign bodies found in the ENT field in children (6,10). In general, the extraction of foreign bodies from the nasal cavity is possible without anesthesia; only 5% of the children studied had a general anesthetic for the removal.…”

Section: Discussionmentioning

confidence: 99%

“…These objects were the most likely to require anesthesia for removal (24%). In the literature the use of anesthetics for removal of ear foreign bodies is also described, especially when unsuccessful attempts had already been made in other departments (6,9,11,14,22,23).…”

Section: Discussionmentioning

confidence: 99%

“…This is facilitated by a detailed history followed by a clinical examination to determine the precise location of the foreign body. In older children, a direct history may be possible, while with younger children information provided by the parents must suffice, although both the children and parents are often unable to recount the incident (1)(2)(3)(4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

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Management of Foreign Bodies in the Mouth, Nose and Ears in Children in the Emergency Room

2017

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Background: In daily ENT practice foreign bodies in children are a frequent occurrence. In most instances, removal of the foreign body is easily accomplished. In some cases removal is only possible under brief general anesthesia. Objectives: The present work is intended to provide an overview of the first aid management of foreign bodies in the ENT field. Methods: The study was conducted at the Charite University Hospital Berlin, campus Virchow Klinikum (Germany). All children referred to the otolaryngologist on duty in the emergency room between 2009 -2013 with a suspected foreign body were included in the retrospective study. Results: 517 children were included in our study. We removed foreign bodies from the following sites: ear 161, nasal cavity 237, nasopharynx 8, and oropharynx 29. Furthermore, 15 foreign bodies were found at other sites in the aerodigestive tract. 51 foreign bodies were removed under general anesthesia. Conclusions:The management of foreign bodies in ENT in children should be adapted to the location, the nature of the foreign body and the child's age in order to ensure a safe and gentle removal. Interdisciplinary collaboration is required in particular to avoid complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of Foreign Bodies in the Mouth, Nose and Ears in Children in the Emergency Room

2017

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“…Although nasal foreign bodies are frequently seen as ENT emergencies, usually in children below the age of 5 years when they start to play alone, they are generally not life -threatening situations (10). In 63% of cases, a nasal foreign body is asymptomatic, but children are brought to ED by worried parents (11).…”

Section: Discussionmentioning

confidence: 99%

Foreign Body in the Nose in Children: The Relationship with the Dominant Hand, Parental Behaviour and Level of Education

Sarıca

Kırık

2018

Iran J Pediatr

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Background: The aim of this study was to examine the relationship between a foreign body in the nose of a child and the dominant hand, the educational level of the parents and the habits of the mother in cleaning the nose with tissues or tweezers etc. Objectives: There is a lack of evidence about the foreign body in the nose in children and association among dominant hand, parental behaviour and education level. Methods: A retrospective examination was made of the records of 136 patients (78 male, 58 female) diagnosed with a foreign body in the nose in the period January 2014 -January 2017. A record was made of age, gender, the type of foreign body, treatment and complications, etc. Patients with a psychosomatic disorder were excluded from the study. Results: The vast majority of the patients were children aged 2-5 years (N = 124, 91.17%). The most common foreign bodies were a bead, a part of a plastic toy, a button, a safety pin, paper and paper tissues. The foreign body was removed from the same side as the dominant hand in 116 (85.29%) cases. The incidence of nasal foreign body was found to be statistically significantly higher in those with a parental level of education of primary school (P < 0.026). Conclusions:There was a statistically significant relationship between the localisation of a nasal foreign body and the dominant hand, so the patient's relatives must be asked about the side of the dominant hand. Taking into consideration that complications are greatly reduced with clinical experience, it is recommended that intervention for a nasal foreign body is made by an ear, nose and throat specialist.

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