Nasal Foreign Body Research Articles

Clinical, imaging and rhinoscopy findings of dogs and cats with nasal foreign bodies presenting to a UK referral hospital: 71 cases (2010-2022).

Description of clinical presentation and diagnostic findings in dogs and cats with confirmed nasal foreign bodies. This was a retrospective descriptive study. Clinical presentation, imaging and rhinoscopy findings of dogs and cats, between January 2010 and December 2022, were reviewed. A total of 63 dogs and eight cats met the criteria. Median length of clinical signs was 7 and 45 days in dogs and cats, respectively. Most common clinical signs in both groups were sneezing (46/71, 64.8%) and nasal discharge (44/71, 62%). The discharge was unilateral in the majority of cases (38/44, 86.4%). Computed tomography was the predominant form of imaging modality used in 40 cases (40/71, 56.3%). Visualisation of a foreign body using computed tomography was possible in only 14 cases (14/40, 35%). The vast majority of cases had unilateral changes (33/40, 82.5%), including fluid accumulation (33/40, 82.5%) and mucosal thickening (29/40, 72.5%). More severe changes such as turbinate destruction were evident in 26 cases (26/40, 65%). Foreign body removal was achieved through rhinoscopy or nasal flushing in 66 and four cases, respectively. Based on the findings of this study, although unilateral discharge was more common, nasal foreign bodies should remain a differential diagnosis in bilateral cases. In comparison to dogs, cats had a more chronic presentation. Computed tomography was the most common imaging modality, but visualisation of a foreign body remains difficult and was not improved with contrast study; inability to identify a foreign body does not exclude it.

Otolaryngology Simulation Curriculum Development and Evaluation for Medical Education in Rwanda.

This study aimed to assess the feasibility and acceptability of a new low-cost otolaryngology simulation training curriculum for medical students in Rwanda. Given the limited access to hands-on training and equipment in low-middle-income countries, building confidence in performing basic otolaryngology skills is vital for all medical students, especially where all graduates initially serve in primary care before specializing. Preintervention and postintervention assessments of simulation training. Conducted at the University of Global Health Equity in Rwanda. The simulation program comprised 3 primary components: (1) a low-cost, moderate-fidelity model for cricothyrotomy and tracheostomy practice, (2) a low-cost, low-fidelity ear model for foreign body and cerumen removal, and a high-fidelity manikin for practicing, (3) epistaxis management, and (4) nasal foreign body removal. Students underwent pretest and posttest assessments measuring their knowledge, experience, perceived skill, and confidence in performing these procedures. A survey collected feedback on the program. A total of 29 medical students participated in the simulation program, integrated into a 1-week otolaryngology "boot camp" preceding a 3-week clerkship rotation. All models were created using basic, locally available materials, at a total cost of $1.02 for cricothyrotomy and $0.20 for foreign body models. Knowledge and perceived confidence increased for all 3 simulations. All students found the simulations useful, enjoyable, and anticipated using these skills in future training. The study's results demonstrated that the low-cost otolaryngology simulation was well-received and enhanced knowledge, interest, and confidence in performing basic otolaryngology skills across all simulations.

Foreign Bodies in Pediatric Otorhinolaryngology: A Review.

Foreign bodies (FBs) in pediatric otorhinolaryngology represent up to 10% of cases in emergency departments (ED) and are primarily present in children under five years old. They are probably the result of children's curiosity and tendency to explore the environment. Aural and nasal FBs are the most common and accessible, and the removal methods differ depending on the exact location and type of FB, which can be organic or inorganic. A fish bone stuck in one of the palatine tonsils is the most common pharyngeal FB. Laryngopharyngeal FBs can obstruct the upper respiratory tract and thus become acutely life-threatening, requiring an urgent response. Aspiration of FBs is common in children between 1 and 4 years old. A history of coughing and choking is an indication of diagnostic and therapeutic methods to rule out or confirm a tracheobronchial FB. Regardless of the availability of radiological diagnostics, rigid bronchoscopy is the diagnostic and therapeutic method of choice in symptomatic cases. Radiological diagnostics are more significant in treating esophageal FBs since most are radiopaque. Flexible or rigid esophagoscopy is a successful method of removal. A delayed diagnosis, as with tracheobronchial FBs, can lead to fatal consequences.

Coin-cidence? Have cashless payments reduced the incidence of upper aerodigestive foreign body insertion? A study of UK Hospital Episode Statistics.

Insertions of nasal and oral foreign bodies (FB) are common presentations in the emergency department, with coins frequently implicated among paediatric populations. Contactless payments were first introduced in the UK in 2007, and cash payments significantly declined from 2012. This study aims to explore the potential implications of increasing contactless payments on FB ingestion. UK Hospital Episode Statistics (HES) were reviewed between 2000 and 2022. All FB retrieval procedures involving the alimentary tract, respiratory tract and nasal cavity were included. Regression analysis was performed to assess trends in the incidence of FB ingestion before and following the transition to cashless payments in 2012. Following the decline in cash payments in 2012, the frequency of alimentary tract FB removal procedures decreased significantly by 27.78 procedures per year (p < 0.001). Similarly, respiratory FB removal procedure decreased by 4.83 per year (p = 0.009) and nasal cavity FB removal procedures decreased by 52.82 per year (p < 0.001). This study suggests a statistically significant decline in the number of procedures for removal of FB performed in the UK from 2012. Although this relationship is multifactorial, our data suggest an association between the introduction of contactless payments and a reduction in the number of FB retrieval procedures from the of upper aerodigestive tract.

Nasal foreign body presenting as pansinusitis with superior orbital fissure syndrome

No abstract available

An unusual foreign body nose: a case report

Nasal foreign bodies constitute an emergency and are more common in children with insertion generally via anterior nares. Case presentation: We present a case of 57-year-old-man with unusual entry site foreign body nose after external trauma to face, confirmed by 3D computed tomography and extracted through nasal route without any complication. Thus, nasal foreign bodies, a frequent accident in medical practice, usually harmless, but if neglected may cause complications hence prompt extraction is important.

Nasal Foreign Bodies: An Observational Study

Nasal Foreign Bodies: An Observational Study

Characteristics and treatment of pediatric nasal foreign bodies with button batteries-A retrospective analysis of 176 cases.

Button battery nasal impactions pose serious risks due to complications and the need for prompt removal, yet research on interventions remains limited due to its rare occurrence. To delineate the clinical manifestations of nasal foreign bodies associated with button batteries and to explore treatment approaches focused on minimizing the reliance on general anesthesia and surgical interventions. This study focuses on 176 cases of children who received treatment for nasal cavity button battery impactions. It encompasses various factors including age, gender, battery location, impaction duration, methods of extraction, and associated complications. The incidence of nasal button battery cases among nasal foreign body instances was 1.16%, with a majority being males (60.23%) aged 1-5 years (98.29%). Utilizing a specially designed nasal foreign body hook and following established treatment protocols enabled the successful outpatient management of the majority of cases. Only 12 cases (6.82%) necessitated removal under general anesthesia due to management challenges in an outpatient setting. Furthermore, our findings indicated no linear correlation between the duration of battery retention and the risk of nasal septal perforation, which was observed in 31 cases (17.61%). Nasal foreign bodies caused by button batteries in children demand urgent attention due to their potentially grave outcomes. Our research is directed towards enhancing diagnostic and therapeutic strategies to bolster the success rates of outpatient removal, curtail the duration of foreign body retention, and diminish the reliance on general anesthesia.

Foreign Body in the Nostril: A Nigerian Case Report

Background: Nasal foreign body (NFB) refers to an object which lodges into nasal cavity. A case of 11 years old boy who presented at our clinic with a three year history of nasal bromihidrosis and discharge from the nostrils was reported by the parents, and added that it was persistent since one year ago. Methods: A dark object was visualized at the turbinate of the right nostril. The visible object was sounded with a forceps extractor to confirm the nature of the object. The nose was swabbed; debris cleaned and with the forceps extractor a gentle traction was carried out as the forceps grabbed the object. There was little or no resistance but two attempts to grab the object failed. On the third attempt, the forceps was able grip the object firmly and on pulling, the object was gently extracted from the area of impaction behind the right turbinate. Conclusion: The NFB was observed to be a stone embedded with purulent nasal discharge. This case emphasizes the need for parents and caregivers to be aware of the complications associated with presence of NFBs and need to seek prompt medical attention.

Un corpo estraneo nel naso

Nasal foreign bodies are common in children. Through the experience of a clinical case, it is possible to describe the clinical signs of suspect nasal foreign bodies to intervene promptly and avoid short and long-term complications.

An unusual case of nasal foreign body presenting as recurrent otitis media

Otitis media (OM) is a common problem involving children. In the majority, the cause is related to dysfunction of the Eustachian tube due to bacterial or viral rhinitis and less commonly due to nasopharyngeal tumors. We present a case of recurrent OM which was evaluated and incidentally found a nasal foreign body for which the patient was asymptomatic. This nasal body was the cause of recurrent OM which is very unusual.

Characteristics of Nasal Foreign Body Cases in Dr. Hasan Sadikin General Hospital Bandung

Background: Nasal foreign bodies are caused by the insertion of an extraneous substance into the nasal cavity. These cases frequently occur in children. Nasal foreign bodies are easily diagnosed, yet the treatment may be burdensome with possible complications and costly management. The study aimed to evaluate the characteristics of nasal foreign body cases.Methods: The study was descriptive and cross-sectional, using secondary data taken from all medical records of the Emergency Room in Dr. Hasan Sadikin General Hospital, Bandung, from 2018 to 2021. Data were presented in tables.Results: Of the 57 cases, most of the patients (64.9%) were aged 3-5 years, with boys as the most prevalent cases (59.7%) and the most common complaint was pain (31.7%). Inorganic foreign bodies (61.4%) were more commonly found, and being frequently found in the right nasal cavity (49.1%). The duration of the foreign body in the nasal cavity and the treatment conducted on the patients were mostly not written in the medical records, however, no complications were found.Conclusions: A higher incidence of nasal foreign bodies can be found in boys aged 3-5 years. Inorganic objects and pain are the most common manifestations, although the condition of all patients has been improved. Raising awareness about foreign body cases to the community, especially the parents, is the key to preventing these cases from occurring.

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

Foreign bodies pose a diagnostic challenge to clinicians, and nasal foreign bodies have the potential to lead to significant morbidity. Although foreign bodies in the nasal cavity are a commonly encountered problem in pediatric patients, a foreign body in the nasal cavity not associated with a trauma history is rare in adults. We recently experienced a 35-year-old man who presented with a foreign body in his right nasal cavity and anterior tooth pain. He was not sure what the material was, and we were not able to confirm the material type preoperatively. However, we found that a very large and thick material was impacted and totally obstructed the right anterior nasal cavity. We surgically removed it as a bone block and confirmed postoperatively that the material was glass. This case provided several lessons, and we would like to share our experience.

Foreign bodies in the ear, nose and throat: an experience in a tertiary care hospital

Background: The aim of this study was to analyze foreign bodies in terms of type, site, age and method of removal. Methods: A prospective study was performed in the department of ENT, head and neck surgery in the tertiary care hospital of Muzaffarnagar medical college, Muzaffarnagar, UP. The study population includes the number of patients with ENT FB lodgment who presented in the outpatient department or in the Casualty room during the 1-year study period (June 2021 to May 2022). Results: A total of 83 patients had FBs in the ear, nose, or throat during the study period. Of the 83 patients, 38 (45.7%) had FB in the ear, 31 (37.34%) in the nose, and 14 (16.8%) in the throat. The FB was animate (living) in 11 (28.9%) patients with FB in the ear and 02 (6.45%) patients with FB in the nose. The FB was inanimate (non-living) in 14 (100%) patients with FB in the throat, in 27 (71.05%) patients with FB of the ear, and in 29 (93.54%) patients with FB of the nose. The FB was removed with or without local anesthesia in 66 (79.51%) patients, only 17 (20.48%) patients required general anesthesia. The most common age group affected was &lt;10 years. Conclusions: The ear was the most common site for foreign bodies in young children followed by the nasal foreign bodies and throat (esophageal&gt;inhaled) foreign bodies.

Common Pediatric Otolaryngology Procedures: Ergonomic Considerations.

Background Otolaryngologists in high-volume children's hospitals developed their operating room workflow practices based on the factors of safety, efficiency, and surgeon preference. Recent data show important benefits and potential reduced risks of proper ergonomic positioning for surgeons to prevent injury. These data suggest that the current operating room workflow practices, in addition to prior training, should be monitored and hopefully improved for surgeons' health. Surprisingly, recent studies have suggested the benefits of standing versus sitting on cognitive function. Objective This study reports the workflow norms for seven operating procedures in pediatric otolaryngology. We seek to identify 1) surgeon preferences, 2) when practices become norms, and 3) whether procedure positions are associated with surgeon discomfort or injury. Methods The Otolaryngology Section of the American Academy of Pediatrics was queried employing a 23-question survey. We included demographic information, reasons for preferences, and surgeon-reported pain. We focused on three workflow issues: 1) length of procedures, 2) site selection (operating room bed vs. transport stretcher), and 3) position of the surgeon (sitting vs. standing). Results Sixty-nine American Academy of Pediatrics members completed the survey. The length of the procedure had minimal effect, with 90% sitting for short procedures such as bilateral myringotomy with tubes, myringoplasty, tonsillectomy, and adenoidectomy. All sit for direct laryngoscopy and bronchoscopy. Most stand for the removal of nasal foreign bodies, drainage of neck abscess procedures, and thyroglossal duct cyst excision. Residency training (75%) and personal comfort (81%) were the more frequently cited reasons for preference. Fewer than one in five (16%) reported preexisting neck or back pain, but this doubled (35%) throughouttheir otolaryngology practice. Conditional distributions of pain showed reports of pain were greater for individuals in practice for over 20 years. Conclusions Pediatric otolaryngologists develop their operating room preferences early during residency training. High rates of neck and back pain (35%) may develop during a surgeon's career. We suggest improved understanding of ergonomics in concert with operating room workflow should be considered during otolaryngology residency training since recent data suggest potential benefits of standing on cognitive function.

Characteristics of Nasal Foreign Bodies and Equipment on Complications During Removal Procedures.

The treatment of nasal foreign bodies involves safe and reliable removal. Few reports have investigated the relationship between equipment and the incidence of complications. This retrospective study included 300 patients with nasal foreign bodies (average: 3.28 years, interquartile range: 2-4 years). Patients' background, characteristics of nasal foreign body, equipment to remove the nasal foreign body, and complications were obtained from medical records. Statistical analysis was performed using Pearson's chi-square test for associated factors and the incidence of epistaxis among the complications. Nasal foreign bodies were found and removed in 256 patients. Forceps, hooks, suction, modified paper clips, and cotton swabs were mainly used to remove the nasal foreign bodies. Epistaxis due to the removal procedure was observed in 26 patients. The occurrence of epistaxis differed depending on the equipment (p=0.077) and was less frequent in suction and paper clips than in forceps (p < 0.05 and p=0.077). Epistaxis was not observed when a cotton swab was used. Aspiration and septal perforation were not observed. A statistical relationship was not detected between the hardness of foreign bodies and the occurrence of epistaxis (p=0.251). The incidence of epistaxis was higher in cases nasal foreign bodies remained for 1 day and over than in cases foreign bodies were removed within 1 day (p < 0.05). This study revealed that suction, modified paper clips, and cotton swabs could be beneficial options for minimizing complications in the removal of nasal foreign bodies. 4 Laryngoscope, 133:2553-2557, 2023.

What’s in a Nose? A Case Report on Chronic Unilateral Rhinorrhea

Introduction and Importance: Nasal foreign bodies often present acutely following insertion but may be missed by both family and health care providers, remaining in place for weeks, months, or even years after the initial event. Case Presentation: We present the case of a 16-year-old female who presented in-office complaining of intermittent unilateral foul-smelling rhinorrhea. The diagnosis was confirmed by intranasal examination with a speculum, as well as a computed tomography scan. She underwent surgery, removing an eraser top for a pencil with subsequent resolution of symptoms. Discussion: The diagnosis is based on the clinical history, physical examination and is supported by CT and exploratory surgery, this last one being also therapeutic. Conclusion: This case of chronic unilateral rhinorrhea due to a foreign body reinforces the importance of clinical examination as well as full evaluation of the differential diagnosis of both acute and chronic rhinorrhea particularly in small and older children.

Rhinosinusitis among children and adolescents in Southwestern Nigeria

Worldwide, rhinosinusitis is a common sinus and nasal condition. The purpose of this study was to determine the prevalence and clinical characteristics of rhinosinusitis among children and adolescents in Ekiti, in the southwest of Nigeria. This two-year retrospective hospital study included 161 children and adolescents who had rhinosinusitis at the Ekiti State University Teaching Hospital in Ado Ekiti, southwest Nigeria. SPSS version 18 was used to analyze the data. There were 161 participants, ages 2 to 17, mean ± SD = 6.8 ± 4.5. 101 (62.7%) of them were males, making the male to female ratio 1.5:1. 9.2% of the participants in this study had rhinosinusitis. Recurrent rhinosinusitis (41) and chronic rhinosinusitis (61) were the two most prevalent types of rhinosinusitis. According to the etiology, 81 (50.3%) cases of infective rhinosinusitis were the main clinical pattern, followed by 67 (41.6%) cases of allergic rhinosinusitis and 13 (8.1%) cases of vasomotor rhinitis. There were 127 cases of nasal stuffiness (78.9%), 108 cases of rhinorrhea (67.1%), 92 cases of snoring (57.1%), and 86 cases of coughing (53.4%). Adeno-tonsillar hypertrophy, nasal foreign body impaction, and asthma were the three main comorbid conditions with rhinosinusitis in children, with 96 (59.6%), 46 (28.6%), and 12 (7.5%) cases each. In this study, the most common complications of rhinosinusitis were tonsillitis (26.7%), otitis media (33.5%), orbital complications (36.6%), and pneumonia (8.1%). In Ado Ekiti, southwest Nigeria, rhinosinusitis was a common sino-nasal condition affecting children and adolescents. Due to the delayed presentation, chronic rhinosinusitis was the most frequent type.

Characteristics of patients with nasal foreign bodies

Characteristics of patients with nasal foreign bodies

Foreign body in ear, nose and throat: Three year experience in a teaching hospital in Central India

Foreign body presentations in otolaryngology clinic are common and 11% of these were in emergency room of ENT hospitals. Paediatric populations were more commonly suffered from the ENT foreign bodies although adults were also suffered. Earlier studies have been done to found the prevalence, diagnosis, treatment and complication related to ENT foreign bodies, however in recent past none of the studies were conducted in our hospital. Hence this study will plan to find out the prevalence among childrens and adults. To evaluate the prevalence of ENT foreign bodies in paediatric and adult population along with its types, lodgment in different sites and clinical findings.The present study was conducted in ENT department, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh. Total number of patients attending ENT OPD and casuality were 354 between May 2018 to May 2021 included in present study. In collected data, demographic evaluation, different types of foreign bodies, their lodgment site and clinical features were evaluated. In our study maximum incidence were noted for foreign bodies of Nose 48.3% followed by 40.3% and 11.3% of Ear and Throat respectively and more common in 0-10 years of age in children with higher percentage of Nasal foreign bodies 34.7%. The types of foreign bodies which were common in both the children and adults were related to foodstuffs. Presence of ENT foreign bodies are more common in children and type and site of lodgment of foreign bodies varied in different age band.