foreign bodies ear nose
211546821
Foreign Bodies in Ear, Nose and Throat: An Experience from a Tertiary Care Hospital in Central Nepal
Foreign bodies are frequently encountered otorhinolaryngology emergency. The objective of this research paper is to analyze different foreign bodies in terms of type, site, age, and gender distribution and methods of removal. A retrospective study was performed from March, 2018 to March, 2019 in a tertiary care hospital in the central part of Nepal. The information was obtained from hospital record books. A total of 315 patients visited the hospital with a foreign body in either of their ear, nose or throat. It comprised of approximately 12% of all the ENT emergencies in the hospital in the last one year of study. Foreign bodies in ear, nose and throat region were found in all age groups, although it was more prevalent among children of age group less than 10 years. Department of Otorhinolaryngology and Head and Neck Surgery, College of Medical Sciences, Chitwan, Nepal
Apar Pokharel
202619412
Foreign Bodies in Ear Nose and Throat A Retrospective Study
Ear, nose and throat (ENT) foreign bodies (FBs) are common occurrences, particularly among children. The proper recognition, study, and management of FBs are required to prevent complications. Their consequences are greatly variable, from mild disturbances that may not require hospitalization up to life threatening complications. In this study, we share our experience in dealing with hundred cases of various types of ENT foreign bodies in the age groups of 1 60 years. We also analyse the clinical profile of these hundred cases of ENT FBs and share our experience of removal of these foreign bodies.
Dr Ellora Das Dr Shaidul Islam Bora
212850238
Evaluation of Ear, Nose and Throat Foreign Bodies in the Department of ENT Head and Neck Surgery in a Teaching Hospital
A foreign body (FB) is any object or substance that is not derived from the individual's own body part and can cause harm by its mere presence if prompt medical care is not provided [1,2] They may be found in Ear, Nose and Throat. They are very common in otorhinolaryngological clinical practice. It can be introduced spontaneously or accidentally by both children and adults. However, children are common victims as they have habit of inserting nearby objects in their nose, ear or mouth, imitation and also other contributing factors are like boredom, playing, mental retardation, insanity, and attention deficit hyperactivity disorder, along with availability of the objects and absence of watchful caregivers. Consequently, it may cause minor irritation to life threatening problem. A proper technique, good light, appropriate instrument, a co operative or fully restrained patient and a gentle approach by the related doctor or health worker are required for the removal of FB. One should have a clear diagnosis before making attempts to remove the FB so as to lessen the morbidity [3,4] FB may be classified as animate (living) and inanimate (nonliving) The inanimate FB can again be classified as vegetative (organic) and non vegetative (inorganic) FB, and hygroscopic (hydrophilic) and non hygroscopic (hydrophobic) [1,2] The objective of this study was to evaluate the nature, common sites, modes of presentation, modes of management of FB, age and gender distribution. Abstract
Scholarly Journal of Otolaryngology
Bishow Tulachan
167220277
Ear, nose, and throat foreign bodies in adults: A population based study in Taiwan.
BACKGROUND/PURPOSE This study performed a population based analysis in the managements of adult ear, nose, and throat FBs in Taiwan. METHODS The Taiwan Longitudinal Health Insurance Database 2000 were used, which comprises 1,000,000 beneficiaries randomly sampled in 2000 with a follow up period from 2000 to 2013. Patients aged >18 years with ear, nose, or throat FB were identified according to the International Codes of Diseases. RESULTS In total, 94,312 adults with ear (n 21,786) nose (n 1007) throat (n 62,986) airway (n 419) or esophageal (n 8114) FB were identified. Emergency department visits were most common among patients with esophageal or airway FB (33.3% and 25.1% respectively) X rays were most commonly performed for patients with esophageal FB (44.8% and computed tomography (CT) was most commonly used for those with airway FB (4.3% Hospitalization rate was the highest among patients with airway FB (7.4% followed by those with esophageal (3.0% and nose (0.7% FB. Patients with airway FBs corresponded with the highest rate of intensive care unit stay (58.1% longest hospital stay (10.5 days) and highest in hospital mortality rate (25.8% A multiple logistic regression model indicated that old age, medical comorbidities, undergoing CT, and airway or esophageal FB were associated with hospitalization among adults with FB. CONCLUSIONS Disparities were identified in the treatment of ear, nose, and throat FB in adults. This study provides population based data that may serve as a reference for otolaryngologists in clinical FB management.
Journal of the Formosan Medical Association Taiwan yi zhi
Chia-Hsuan Lee Tien-Hsing Chen J y Ko Te-Huei Yeh Wei-Chung Hsu Kun-Tai Kang
149824273
Removal of ear, nose and throat foreign bodies: A review
BACKGROUND Patients with foreign bodies in their ear, nose or throat typically present to general practitioners. The safe and timely removal of foreign bodies ensures good patient outcomes and limits complications. OBJECTIVES The aim of this paper is to outline common foreign objects and review the associated anatomy that may make removal difficult. A description of instruments and indications for use is provided, along with circumstances where specialist referral is warranted. DISCUSSION The use of appropriate techniques for removal of foreign bodies reduces the complications of removal and associated distress, and limits the number of cases that require surgical input.
Australian journal of general practice
Sarah Grigg Cameron Grigg
202805134
Foreign Bodies in the Ear, Nose and Throat
Adam J Donne Katharine Davies
13248419
Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study.
INTRODUCTION For Otorhinolaryngologist, removal of Foreign Bodies (FB) from the ear, nose and throat is one of the common emergency procedures done. Most of the cases especially of the ear and nose can be managed without General Anaesthesia (GA) But in some cases GA may be needed. There are very few studies that address the scenario of ear, nose and throat foreign body that required GA for its removal and the complications associated with it. AIM This study was conducted with the aim to study the patient's profile, types and distribution of FB removed under GA, and the associated complications. MATERIALS AND METHODS The present study is a hospital based retrospective, cross sectional study conducted in the Department of Otorhinolaryngology in association with Department of Anaesthesiology and Critical Care in North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India from year 2009 to 2014. Information was collected from indoor patient file and operation record book. Those patients where foreign body was not found after examination under GA were excluded. RESULTS A total of 112 cases of foreign body in ear, nose and throat removed under GA were selected. There was variation of age from youngest case being 11 months to 74 years with a slight male predominance. Two third of the patients belonged to paediatric age group. Most of the FB were inanimate with high number of inorganic type found in majority. Foreign body in food passage was found in most cases. Coin and meat bone were the common FB in children and adults respectively. We found no complications related to removal of foreign body from the food passage and nose. But some complications were seen in foreign body of ear and tracheo bronchial tree. CONCLUSION Ear, nose and throat FB that required GA were seen in all age groups. FB of food passage constitute the majority. Type of foreign body varies between children and adults. In children most common types were related to toys and their part and food materials. In adults, food materials were most common.
Journal of clinical and diagnostic research JCDR
Neizekhotuo Brian Shunyu Hanif Akhtar Habib Md Reazaul Karim Nari Mary Lyngdoh Md Yunus Md Jamil
21591816
Clinical spectrum of ear, nose and throat foreign bodies in North Western Nigeria.
BACKGROUND Ear, nose and throat foreign bodies (FBs) are common occurrences particularly among children. This study reviewed the clinical spectrum of ENT FBs, their treatment and outcomes as seen in a tertiary health center in North Western Nigeria. METHOD The study was a retrospective chart review of patients that were managed for FB impaction in a tertiary health institution in North Western Nigeria over a four year period. RESULT There were 239 patients; M: F: 1.2:1. Majority of FB impaction (46.4% occurred in children. Majority (68.7% were otic and FBs. 18.0% of the patients had had failed attempted removal by non ENT specialists. About 25% of these patients developed complications. Majority (62.0% of these complications occurred in the hand of non ENT medical personnel. CONCLUSION Ear, nose and throat foreign bodies are common in North Western Nigeria with the highest incidence in children. Removal attempts by untrained health professionals and lack of experience in FB management predisposes to complications. Parental education on close monitoring of their children to avoid such incidences and the need to immediately seek an Otorhinolaryngologist to prevent complications are emphasized.
African health sciences
Taiwo Olugbemiga Adedeji Olusola Ayodele Sogebi Sahabi A Bande
55811283
Ear, nose, throat foreign bodies: experience in the tribal population
Background: 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. Methods: 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. Results: 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. Conclusions: 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.
Surendra Hirasingh Gawarle Manoj Jondhale Prashant Narayanrao Keche
204952793
Foreign bodies in ear nose and throat patients review of causes and management in Kirkuk city
Background :Ear, nose and throat (ENT) foreign body (FB) injuries represent an emerging problem of population because of their human and social costs. Foreign body in ear nose and throat are commonly encountered by otolaryngologists, pediatricians and primary care physicians. They account to about 11% of cases of emergencies in Otorhinolaryngology. Foreign bodies were most common in younger children less than five years of age. Certain factors are responsible leading to foreign body insertion in ear, nose and throat like curiosity or desire to explore orifices especially by children in addition to accidental causes. Patients and methods:This is a prospective study carried out in Azadi Teaching Hospital involving the patients and it ran from 1st of October 2014until 6th March 2015. Information from 110 patients were collected, and each one of them was interviewed using a questionnaire. The questionnaire sought information regarding age, sex, site and location, type of management of foreign bodies, number of trial to remove the foreign bodies, presence of complication or not and types of foreign bodies seen. Results :Concerning the site and location of foreign bodies 40.9% were found in ear while 39.1% in nose and the remaining 20% were in throat. The study showed higher percentage of foreign bodies among children less than 5 years old and male patient .Also it was noted that most of the foreign bodies were removed from fist trial and that only 31,8% of the patients had experienced complications Conclusions: From this study we conclude that foreign bodies are common in adult and pediatric ear, nose and throat. They can potentially be associated with significant complications if not taken care of immediately. Several trials may be needed to remove the foreign body.
Dr Saman F Jamal Dr Ali K Ali