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

Abstract

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.

Analysis of Nasal Foreign Bodies in South Korea: Over 10-Year Experience

“…When we divided the nasal FBs into organic and inorganic materials, the most common nasal FBs were inorganic compounds, accounting for 73.3% of the extracted objects. This finding was consistent with those of previous reports [ 5 , 7 , 9 ]. The most common shape of nasal FBs was round-shaped objects (58.5%), such as beads, beans, fruit seeds, and nuts.…”

“…This study demonstrated a higher frequency (63.7%) of a nasal FB in patients aged 2–4 years, which was in line with previous studies [ 4 , 5 , 9 , 11 ]. The incidence of nasal FBs decreased dramatically after the age of 6 years.…”

“…Although many studies on nasal FBs have focused on children [ 4 , 5 , 6 , 7 ], it is important to evaluate the frequency and clinical characteristics of nasal FBs in other age groups. To the best of our knowledge, only a few studies have reported the frequency, type, and location of nasal FBs, not just in children, according to age.…”

An Unusual Case of Unilateral Epistaxis: The Hidden Bloodsucker

“…Nasal foreign bodies have been widely reported in the otorhinolaryngology (ORL) literature with unilateral nasal discharge in children aged 1-5 years being the most common presentation [ 1 ]. However, leech infestation in the nose causing unilateral epistaxis is rare and scarcely reported.…”

Impacted Foreign Body in the Anterior Nasal Cavity Presenting With Tooth Pain

“…Foreign bodies offer a diagnostic challenge to clinicians, and nasal foreign bodies have the potential to lead to significant morbidity, such as dislocation, airway obstruction septal perforation, infection, and deep mucosal laceration [1,2]. It has been reported that nasal foreign bodies are more common in children than in adults, the right nasal cavity is the most common site, and common symptoms are nasal discomfort and nasal discharge [3]. The most common foreign bodies are various seeds, and plastic beads or buttons, batteries, stones, toy pieces, and food particles have also been reported to be common types [4].…”