Nasal foreign bodies: Results of a study of 260 cases

Abou-Elfadl, M.; Horra, A.; Abada, R.; Mahtar, Mohamed; Roubal, M.; Kadiri, F.

doi:10.1016/j.anorl.2015.08.006

Cited by 35 publications

(63 citation statements)

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“…1 The most commonly encountered inanimate foreign bodies include beads, pieces of paper, rubbers, legumes, and small parts of toys. 2 In the pediatric population, an upper airway foreign body may be life threatening if it moves to the trachea or bronchi or obstructs the rima glottis. An unusual foreign body, a living organism like a leech, may sometimes be difficult to diagnose in otolaryngology practice.…”

Section: Introductionmentioning

confidence: 99%

Management of Upper Airway Leech Infestations

Kucuk

2019

Ear Nose Throat J

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Purpose: Upper airway foreign body is one of the most encountered clinical situations in otolaryngology practice. In rare conditions, a living organism may be a foreign body in the upper airway. In this study, we demonstrate 19 patients with leech infestations in nose, nasopharynx, and larynx. Methods: This study was enrolled with 19 patients between 2012 and 2016 in a regional state hospital. All of the patients were admitted to clinic with these complaints: epistaxis, hemoptysis, coughing, foreign body sensation, and bloody stool. Results: There were 12 male and 7 female patients. The leech was in the nose in 12 patients, in nasopharynx in 6 patients, and in the larynx in only 1 patient. All leeches are removed under local anesthesia (except laryngeal presentation). No bleeding and complication were seen after extraction of leech. Conclusion: Leech can be easily diagnosed and managed in the upper aero-digestive tract without any complication and leech-associated disease.

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Section: Introductionmentioning

confidence: 99%

Management of Upper Airway Leech Infestations

Kucuk

2019

Ear Nose Throat J

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“…Yaroko et al [12] performed a study on 43 pediatric cases and reported that most children who inserted foreign bodies into their noses were male (60.5%). Similarly, Abou-Elfadl et al [13] performed a study with 260 pediatric cases and reported that more than half of the children (58.8%) who inserted foreign bodies into their noses were male.…”

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confidence: 97%

Evaluation of patients with nasal foreign body

Çelık¹

2018

Haydarpasa Numune Med J

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Introduction: To evaluate the demographic data and treatment methods for patients with nasal foreign bodies and properties of foreign bodies. Methods: In total, 243 patients (138 female; 105 male; mean age, 2.78±1.33 years; range, 1-8 years) who were diagnosed with nasal foreign bodies were included in the study. All patient records were evaluated in terms of age, sex, type and color of foreign bodies, side of presentation, and treatment protocols. Results: Foreign bodies were detected in the left nasal cavity in 86 patients (35.4%), right nasal cavity in 155 (63.8%), and bilaterally in 2 (0.8%). The most common nasal foreign bodies were beads in 78 patients (32.1%), plant species in 67 (27.6%), and paper-sponge particles in 34 (14%). The most common colors of the foreign bodies were blue and brown in males and red and white in females. Fourteen (5.8%) patients required general anesthesia for the extraction of the foreign body in an operating room. Discussion and Conclusion: Nasal foreign bodies are a common emergency in the field of otorhinolaryngology. It is not known whether the properties of foreign bodies affect children's ability to nudge foreign objects. Further studies with greater number of patients are needed on this topic.

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“…8,9,12 In children, however, a number of bedside techniques have been successful for object removal. Small, graspable objects may be extracted with an alligator clamp, 6,7,10 whereas round, nongraspable objects may be removed with a Foley catheter or suction catheter, or with the use of nasal positive-pressure. 11,13,14 Novel devices have also been developed for object removal, such as the snare-loop technique to dissect adherent soft tissue away from smooth-surfaced foreign bodies for ease of removal 15 ; the use of a hand-held magnet for extraction of a small, smooth metallic object 16 ; or hand-held positive pressure devices that may easily extract smooth-surfaced objects from the nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…National studies of emergency department visits report nearly 200,000 visits for nasal foreign bodies alone over a 5‐year period, with a median patient age of 3 years . Because of their predominance in children, intranasal foreign bodies are commonly small, hard objects that may be removed at bedside, such as beads, round batteries, coins, pills, eraser caps, and buttons—among other objects—although 5% to 10% may require the aid of an endoscope under general anesthesia …”

Section: Introductionmentioning

confidence: 99%

“…4 Because of their predominance in children, intranasal foreign bodies are commonly small, hard objects that may be removed at bedside, such as beads, round batteries, coins, pills, eraser caps, and buttons-among other objects-although 5% to 10% may require the aid of an endoscope under general anesthesia. [5][6][7] By contrast, intranasal foreign bodies in adults often have unusual presentations, commonly involving trauma, and have involved objects such as teeth, twigs, and small fish. [8][9][10] Because of their atypical presentation, foreign bodies in adults have often been managed endoscopically under general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

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