Abstract
ObjectiveTo summarize the clinical diagnosis and treatment of superabsorbent polymer balls as nasal foreign bodies in children.MethodsWe retrospectively analysed the clinical data concerning 12 cases of superabsorbent polymer balls as nasal foreign bodies in children and summarized the corresponding clinical features, methods of diagnoses and treatment, and prognoses.ResultsTwelve children with superabsorbent polymer balls as foreign bodies in their nasal cavities presented with relatively severe symptoms, such as congestion, runny nose, and nasal swelling. When such foreign bodies stay in the nasal cavity for a prolonged period, patients may suffer from general discomfort, such as agitation, poor appetite and high fever. Most of the children had to undergo nasal endoscopy under general anaesthesia to have the foreign bodies completely removed. An intraoperative examination revealed significant mucosal injury within the nasal cavity. With regular follow-up visits and adequate interventions, all the patients recovered.ConclusionThe longer superabsorbent polymer balls remain in the nasal cavity, the more damaged the nasal mucosa will be. It is challenging to remove such foreign bodies in the outpatient setting. Transnasal endoscopy under general anaesthesia appears to be safer and more effective in such cases. Since the nasal mucosa is injured to varying degrees, postoperative follow-up and treatment are equally important for preventing the occurrence of complications.
Highlights
Nasal foreign bodies are a common emergency in the paediatric otolaryngology department
Most foreign bodies in paediatric patients are discovered promptly due to symptoms such as nasal congestion and runny noses, and they are largely treatable in the outpatient setting [1]
The clinical manifestations were as follows: the 4 patients who had the foreign bodies lodged in their nasal cavities for less than 1 day had a definite history of nasal foreign bodies, and went to visit the doctor in a timely manner with the symptoms of nasal congestion and a runny nose; the 3 patients who retained the foreign bodies for 1–3 d had severe nasal congestion, snorting, nasal pain, agitation, and refusal to eat; and the 5 patients who retained the foreign bodies for longer than 3 d, had common symptoms like nasal congestion, runny nose, agitation and refusal to eat and nasal swelling and bleeding (2 patients) and a high fever (4 patients)
Summary
We retrospectively analysed the clinical data concerning 12 cases of superabsorbent polymer balls as nasal foreign bodies in children and summarized the corresponding clinical features, methods of diagnoses and treatment, and prognoses. General data Clinical data concerning 12 cases of superabsorbent polymer balls as nasal foreign bodies in patients admitted to the Department of Otolaryngology Head and Neck Surgery, Shenzhen Children’s Hospital, within the 5 years from January 2015 to December 2019 were retrospectively collected. The nasal foreign bodies were removed under local anaesthesia in the outpatient setting, if possible; otherwise, the patients were hospitalized and underwent foreign body removal through transnasal endoscopy under general anaesthesia. This paper analyses the clinical symptoms, methods of diagnoses and treatment and postoperative nasal cavity recovery of the involved patients
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