Nasal Foreign Body Research Articles

Complicações de corpos estranhos em otorrinolaringologia: um estudo retrospectivo

Corpos estranhos constituem uma das mais freqüentes urgências em Otorrinolaringologia. Embora raras, complicações graves podem ocorrer, como perfuração timpânica e broncoaspiração. OBJETIVOS: Analisar, através de um estudo retrospectivo, 1356 casos de corpos estranhos e estabelecer causas para as complicações, objetivando medidas preventivas. MATERIAL E MÉTODO: 1356 pacientes com corpos estranhos de orelha, nariz, faringe e laringe atendidos no Serviço de Otorrinolaringologia do Hospital Souza Aguiar, Rio de Janeiro, RJ, no período de 1992 a 2000, foram analisados de forma retrospectiva quanto aos parâmetros sexo, idade, tipo de corpo estranho, localização do corpo estranho, tempo entre colocação e retirada do corpo estranho e complicações. RESULTADOS: O corpo estranho mais freqüente foi o grão de feijão e a faixa etária mais freqüente a de 1 a 4 anos. Corpos estranhos de orelha foram os mais freqüentes, seguidos pelos de nariz. Complicações foram estatisticamente relacionadas ao tempo, faixa etária infantil e experiência do médico. CONCLUSÃO: A maioria das situações que levam a acidentes com corpos estranhos são evitáveis. Melhorias na estruturação da rede pública de atendimento e na formação dos otorrinolaringologistas são fundamentais para evitarmos as complicações mais sérias.

Unilateral Inferior Turbinate Hypoplasia caused by a Longstanding (approximately 35 yr) Nasal Foreign Body

We report the unusual case of a 44-year-old man who presented with a plastic foreign body that had been lodged in his right nasal cavity for approximately 35 years. Initial attempts to remove the object were unsuccessful; only after it was broken into several parts was removal achieved. Rigid nasal endoscopy and computed tomography revealed hypoplasia of the ipsilateral inferior turbinate.

Complications of ent foreign bodies: a retrospective study

SummaryForeign bodies are one of the most common ENT (Ear, Nose and Throat) urgencies. Serious complications may occur, like tympanic perforations and bronchoaspiration, but they are uncommon.AimTo analyze a 1356 foreign body series and establish causes for the complications, looking at prevention.Materials and methods1356 patients with ear, nose and throat foreign bodies from the ENT Department of Souza Aguiar Hospital, in Rio de Janeiro, between 1992 and 2000, were analyzed in a retrospective study for parameters like age, gender, type and localization of the foreign body, time span between introduction and removal of the foreign body and complications.ResultsThe most common foreign bodies were beans and the most frequent age was between 1 and 4 years old. Ear foreign bodies were the most common, followed by nasal foreign bodies. Complications were statistically related to time, child's age and practical experience of the physician.ConclusionMost of the situations related to ENT foreign bodies are avoidable. Improvements in Public Health Assistance and otolaryngologists' training are essential to avoid serious complications.

Surgical Treatment Using an Allograft Dermal Matrix for Nasal Septal Perforation

PurposeNumerous methods have been utilized to repair nasal septal perforation with varying degrees of success; however, no consensus has been reached on nasoseptal perforation repair. Here, the authors describe a surgical method based on human dermal allograft (Surederm™, Hans Biomed Corp. Korea) for the repair of nasal septal perforations.Materials and MethodsEleven patients with a nasal septal perforation were included in this study. The causes of these septal perforations included previous nasal surgery, trauma, foreign body (button battery), and idiopathy. There were several sites of perforation: 9 in the central area, 1 in the posterior-central area, and 1 in the anterior area. An interpositional graft incorporating Surederm™ was positioned between bilateral mucoperichondrial flaps using an intranasal approach. A silastic sheet was then left in the nasal septum bilaterally until complete healing had occurred through new nasal mucosa, which took a mean duration of 6 weeks.ResultsOutcomes in ten of the eleven patients were successful, with complete septal perforation closure. The remaining perforation, which was caused by a button battery, closed incompletely; however, its initial size of 2 cm was reduced to 5 mm.ConclusionThe described technique has a high success rate and can be performed under local anesthesia without external scarring. In the absence of donor site morbidity, this technique can also be utilized to repair posterior or multiple septal perforations without difficulty.

鼻中隔穿孔をきたした小児のボタン型アルカリ電池異物例

Otolaryngologists frequently encounter nasal foreign bodies, particularly among children. Button alkaline batteries are dangerous because they cause rapid tissue destruction on contact with moist tissue. We encountered a case in which a button alkaline battery was accidentally trapped in the nasal cavity, causing perforation of the nasal septum.

Overlooked nasal foreign body with a 48-year latent period

Foreign bodies of the nose are relatively frequent in pediatric population, while in the adults, they are usually seen in disturbed persons. Overlooked nasal foreign bodies may be singled out as a special entity. They become rhinolites over time with latent period of several decades. Our paper illustrates an overlooked foreign body in the nose--i.e. encrusted plastic bead which, after the asymptomatic period of 48 years, induced the unilateral mucopurulent and ichorous secretion from the nose. Rhinolite should be suspected if radiological diagnostics detected calcified mass in the nose together with unilateral nasal symptomatology. Surgical removal of rhinolite results in complete management of such problem. This case indicates the significance of medical history data and examination of nasal cavity in any adult patient with unilateral nasal symptomatology which is refractory to conservative treatment. Computerized tomography of paranasal sinuses is an important adjunct diagnostic tool in indefinite cases. Nevertheless, it often happens that only the extraction of rhinolite indicates the diagnosis that is not usually suspected in adult persons.

Use of high pressure oxygen to remove nasal foreign body

Use of high pressure oxygen to remove nasal foreign body

Silent sinus syndrome associated with nasal foreign body

Silent sinus syndrome is characterized by enophtalmus and hypoglobus caused by the maxillary atelectasis. Approximately 160 cases have been published in the literature but none of them due to a nasal foreign body. A case with silent sinus syndrome related to a foreign body has been presented in this article. Utmost attention should be paid management of the nasal foreign body because it may be the reason for silent sinus syndrome.

Positive pressure technique for removal of nasal foreign bodies

Nasal foreign bodies represent a common ENT problem in children. Ninety percent of these can be removed without otorhinolaryngologic intervention. Numerous documented techniques exist, employing instruments, which pose problems in children. Positive pressure technique avoids the need for instrumentation, therefore bypassing the disadvantages met by other techniques. Positive pressure technique is both safe and effective, highlighted by a success rate of 62.5% in 8 patients presenting acutely. Promising result of this small study warrantees further study in larger number of paediatric population. In contrast to previous documentation, children nursed prone tolerated the procedure better. Hollow objects were resilient to this technique and require other methods of removal. Positive pressure technique should be considered to remove foreign bodies from the paediatric nose especially in emergency department setting.

Pediatric lobular capillary hemangioma accompanied with a foreign body in the nasal cavity

Lobular capillary hemangioma (LCH) is a hyperplastic lesion that frequently occurs due to trauma or hormonal factors either on skin or mucosal membranes. Mucosal lesions occur frequently in the oral cavity in the head and neck. Although LCH can occur in all ages, very few are reported in infants and children. Intranasal localization is very rare in this age group. We present a 12-year-old child with an intranasal mucosal LCH accompanied with a nasal foreign body. To our knowledge, our case is the first case that an intranasal LCH accompanied a foreign body in the nasal cavity.

New technique for removing nasal foreign bodies in children

Clinical OtolaryngologyVolume 32, Issue 4 p. 321-322 New technique for removing nasal foreign bodies in children M. Sithamaparanathan, M. Sithamaparanathan Department of ENT Surgery, East Surrey Hospital, Redhill, Surrey RM1 5RH, UKE-mail: [email protected]Search for more papers by this author M. Sithamaparanathan, M. Sithamaparanathan Department of ENT Surgery, East Surrey Hospital, Redhill, Surrey RM1 5RH, UKE-mail: [email protected]Search for more papers by this author First published: 20 July 2007 https://doi.org/10.1111/j.1365-2273.2007.01467.xCitations: 4Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume32, Issue4August 2007Pages 321-322 RelatedInformation

The modified ‘Parent's Kiss’ for the removal of paediatric nasal foreign bodies

Paediatric nasal foreign bodies is a common clinical problem effecting children mainly 2-8 years of age. Often treated in A & E Departments, with little or no specialised ENT experience or equipment. We present a simple, parent administered technique for removal of paediatric nasal foreign bodies. The technique is safe and effective and is easy to perform on nervous and frightened children.

Foreign bodies in the nose

Nasal foreign bodies occur most frequently in children and most times first present to the emergency physicians. It poses a challenge to the Otorhinolaryngologist when tampered with. The objective of this paper is to determine the pattern of foreign bodies lodged in the nasal passages in Port Harcourt with a view to documenting the types and highlighting the results of management. A retrospective study was done using 134 patients who presented with foreign bodies in the nose to the Ear, Nose and Throat clinic of the University of Port Harcourt Teaching Hospital (UPTH) and Benok Consultants Clinic both in Port Harcourt over an eight-year period from January 1993 to December 2000. One hundred and thirty four patients were seen with a male female ratio of approximately 1:1. Age range was 1-21 years with a mean of 3.23 years +/- 2.48 [SD] and mode of 2-years. The children within the age group 2-4 years had the highest incidence. The right side of the nose was more involved than the left with only one bilateral case noted. The foam was the commonest foreign body found. Most patients presented within the 1st day with only 15 presenting late. Most were removed in the clinic under good illumination, only 6 had to undergo examination under anaesthesia (EUA) in the theatre and these were the uncooperative patients. Foreign body in the nose is an emergency only as far as it concerns anxiety to the relations. It presents no problems in management to the Otorhinolaryngologist

Unusual Foreign Body in the Nasal Cavity

Foreign objects frequently have been reported in the nasal structures, often these foreign bodies are occasionally inhaled by children or they are often inserted in nasal cavities after various accidents. Frequently, the presence of foreign bodies in the nose represents an emergency, particularly for pediatric patients where the incidence is high. The report in this article described an unusual nasal foreign body in an adult discovered incidentally during a cranial radiography. This report is an unusual case of facial asymmetry caused by a foreign nasal body in adult, which is destitute of complications, connected to long-term presence of the intranasal button. The finding was accidental; moreover the patient was an adult and did not present a clear symptomatology. Through careful clinical and fibroscopy exam, valuating also the site of the foreign body, it is necessary an intranasal surgery treatment. The results of the treatment is connected to a combined use of different branches of learning with the aim of obtaining positive results from both a clinical and legal point of view.

Foreign body mimicking a nasal bone fracture

Nasal foreign bodies are common in young children and are typically the result of intranasal placement by the child. The authors report a case of an extranasal foreign body in an adult, which presented as a nasal fracture following trauma to the nose. This uncommon presentation, previously unreported in the literature, highlights the importance of careful history taking in cases of nasal trauma and of thorough wound exploration if any penetrative injury is found.

Ear, nose and throat foreign bodies in Melanesian children: An analysis of 1037 cases

Occurrence of foreign bodies (FBs) in ear, nose and throat (ENT) in children are not uncommon in clinical practice. We described our experience with ENT foreign bodies in Melanesian children. The study was carried out at the tertiary referral center which is also a University teaching hospital. The 15-year period from 1990 to 2004, 1037 cases of ENT foreign bodies were managed. The clinical, operative and follow up data of these patients were collected from available clinic cards and admission charts. A retrospective analysis was made with these data. Foreign bodies in the external auditory canal constituted 711 (68.6%) cases. It was followed by nose in 258 (24.9%), pharynx in 26 (2.5%), esophagus in 21 (2.0%) and laryngotracheobronchial (LTB) tree in 21 (2.0%) cases. Innumerable varieties of foreign bodies were removed from the ear. The common ones were stones in 277 (39.0%), seeds in 142 (20.0%), plastic ornament beads in 70 (9.8%) and cotton in 48 (6.8%) cases. Six hundred and thirteen (86.2%) of them were removed under microscope at the clinic without any complications. The difficult ones in uncooperative children were removed in the operation theatre. They numbered 98 (13.8%). The nasal foreign bodies were exclusively limited up to the age of 12 years. Common nasal foreign bodies were foam in 54 (20.9%), seeds in 51 (19.8%), stone in 28 (10.9%) and ornament beads in 24 (9.3%) cases. Two hundred and forty-six (95.3%) of them were removed in the clinic. Only 12 (4.7%) were removed in the operation theatre. Fishbone was the commonest (23, 90.2%) foreign body encountered in the pharynx of the children. Coins were the exclusive esophageal foreign bodies in children and all were removed in the operation theatre under general anesthesia. In the LTB tree the FBs were mostly localized to the right main bronchus which occurred in 11 (52.4%) cases. This was followed by the trachea in four (19.1%) cases. The different types of FBs encountered were coffee beans in eight (38.0%), peanuts in five (23.8%), plant seeds in three (14.2%) cases. We encountered two mortalities in these LTB FB patients. Otolaryngological foreign bodies in children are common. For early diagnosis a high index of suspicion has to be maintained by pediatric otolaryngologist.

Basics in Canine and Feline Rhinoscopy

Patients suffering from upper respiratory disease such as chronic nasal congestion, sneezing, nasal discharge, and epistaxis invite complete evaluation of their paired nasal cavities. Thorough assessment of these cavities employs sundry diagnostic procedures that enable the investigating clinician to characterize the internal structures of the nasal cavities. After the conscious patient undergoes a complete physical examination, a gross assessment of its external nasal structures is established and areas of physical asymmetry are noted. A working anatomic knowledge of these asymmetric foci helps to guide the next diagnostic steps. The patient is then placed under general anesthesia, during which, in list order, imaging studies, rhinoscopy, and nasal biopsy or foreign body retrieval, are performed.

Rhinolithiasis: An uncommon entity of the nasal cavity

Rhinoliths are uncommon foreign bodies of the nose formed by in situ calcification of intranasal endogenous or exogenous foreign material. They are often an asymptomatic condition diagnosed accidentally during a routine examination. Although nasal foreign bodies are more frequently seen in children, and appear to be more common in women, they have been reported in patients of all ages. This article describes a case of rhinolith involving a 38-year-old male. The etiology, thin-sectioned microscopic findings, differential diagnoses, and treatment are also discussed.

Nasal foreign bodies: description of types and complications in 420 cases

SummaryNasal cavities foreign bodies are common accidents in children, sometimes leading, in accordance with the literature, to complications such as epistaxis and bronchoaspiration. Diagnosis is often made with anterior rhinoscopy, but sometimes nasal fibroendoscopy and imaging may be useful.AimTo evaluate 420 cases of nasal foreign bodies removed in ENT Service of Souza Aguiar Hospital, Rio de Janeiro, as related to sex, age, type of foreign body and complications.Materials and method420 cases of nasal foreign bodies removed in the ENT service of Souza Aguiar Hospital between December 1992 and December 1998 were evaluated according to the parameters related above.ResultsWe found higher incidence between 0 and 4 years of age, and the most frequently found foreign bodies were foam fragments, plastic pieces of little toys, beans and paper fragments. Complications occurred in 9.05% of the cases, epistaxis and vestibulitis being the commonest.ConclusionNasal foreign bodies are especially found between the ages of 0 and 4 years. In our study, foam fragments and small plastic objects were the most frequent foreign bodies found. Complications were found in 9.05% of the cases, headed by epistaxis and nasal vestibulitis.

<p>Predictors of hearing loss in school entrants in a developing country</p>

Background: Hearing loss is a prevalent and significant disability that impairs functional development and educational attainment of school children in developing countries. Lack of a simple and practical screening protocol often deters routine and systematic hearing screening at school entry.
 Aim: To identify predictors of hearing loss for a practical screening model in school-aged children.
 Settings and Design: Community-based, retrospective case-control study of school entrants in an inner city.
 Methods: Results from the audiologic and non-audiologic examination of 50 hearing impaired children in randomly selected mainstream schools were compared with those of a control group of 150 normal hearing children, matched for age and sex from the same population. The non-audiologic evaluation consisted of medical history, general physical examination, anthropometry, motor skills, intelligence and visual acuity while the audiologic assessment consisted of otoscopy, audiometry and tympanometry.
 Statistical Analysis: Multiple logistic regression analysis of significant variables derived from univariate analysis incorporating student t-test and chisquare.
 Results: Besides parental literacy (OR:0.3; 95% CI:0.16-0.68), non-audiologic variables showed no association with hearing loss. In contrast, most audiologic indicators, enlarged nasal turbinate (OR:3.3; 95% CI:0.98-11.31), debris or foreign bodies in the ear canal (OR:5.4; 95% CI:1.0-36.03), impacted cerumen (OR:6.2; 95% CI:2.12-14.33), dull tympanic membrane (OR:2.2; 95% CI:1.10- 4.46), perforated ear drum (OR:24.3; 95% CI:2.93-1100.17) and otitis media with effusion OME (OR:14.2; 95% CI:6.22- 33.09), were associated with hearing loss. However, only parental literacy (OR:0.3; 95% CI:0.16-0.69), impacted cerumen (OR:4.0; 95% CI:1.66-9.43) and OME (OR:11.0; 95% CI:4.74-25.62) emerged as predictors.
 Conclusion: Selective screening based on the identification of impacted cerumen and OME will facilitate the detection of a significant proportion of hearing impaired school entrants.
 Published courtesy of:J Postgrad Med. 2004; 50(3): 173-178