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Analysis of nasal foreign bodies in 341 children

Published online by Cambridge University Press:  16 September 2019

Z-C Lou
Z-C Lou*
Affiliation:
Department of Otorhinolaryngology, Yiwu Central Hospital, Yiwu City, China
*
Author for correspondence: Dr Zheng-Cai Lou, Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu City 322000, Zhejiang Province, China E-mail: [email protected]
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Abstract

Objective

This study aimed to analyse the common presentations and treatment outcomes in cases involving nasal foreign bodies.

Methods

A retrospective study was carried out over three years, from January 2014 to December 2017. Patient biodata, clinical presentation, nasal foreign body type and management outcome data were obtained from the medical records and analysed.

Results

A total of 341 cases were analysed. The average patient age was 3.7 ± 1.2 years (range, 1–19 years).Of the nine cases involving button batteries, septal perforation was initially seen in four cases and three cases had subsequent septal perforation.

Conclusion

Only button battery nasal foreign bodies were associated with increased septal perforation. Use of physiological seawater nasal spray was found to reduce the likelihood of septal perforation. Most nasal foreign bodies could be removed under local anaesthesia.

Keywords

Foreign BodiesSmellDiagnostic ErrorsNasal Septal Perforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 908 - 912
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr Z-C Lou takes responsibility for the integrity of the content of the paper

References

1Abou-Elfadl, M, Horra, A, Abada, RL, Mahtar, M, Roubal, M, Kadiri, F. Nasal foreign bodies: results of a study of 260 cases. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:343–6Google Scholar
2Yaroko, AA, Baharudin, A. Patterns of nasal foreign body in northeast Malaysia: a five-year experience. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:257–9Google Scholar
3Claudet, I, Salanne, S, Debuisson, C, Maréchal, C, Rekhroukh, H, Grouteau, E. Nasal foreign body in infants [in French]. Arch Pediatr 2009;16:1245–51Google Scholar
4Derosas, F, Marioni, G, Brescia, G, Florio, A, Staffieri, C, Staffieri, A. Unilateral inferior turbinate hypoplasia caused by a longstanding (approximately 35 yr) nasal foreign body. Ear Nose Throat J 2008;87:28–9,33Google Scholar
5Dudvarski, Z, Pendjer, I, Janosević, LJ, Djukić, V, Dimitrijević, M, Arsović, N et al. Overlooked nasal foreign body with a 48-year latent period. Acta Chir Iugosl 2008;55:113–16Google Scholar
6Pitsinis, V, Patel, A. Foreign body impaction: fifty years inside the nose. Ear Nose Throat J 2004;83:564,566Google Scholar
7Thabet, MH, Basha, WM, Askar, S. Button battery foreign bodies in children: hazards, management, and recommendations. Biomed Res Int 2013;2013:846091Google Scholar
8Loh, WS, Leong, JL, Tan, HKK. Hazardous foreign bodies: complications and management of button batteries in nose. Ann Otol Rhinol Laryngol 2003;112:379–83Google Scholar
9Guidera, AK, Stegehuis, HR. Button batteries: the worst case scenario in nasal foreign bodies. N Z Med J 2010;123:68–73Google Scholar
10Mackle, T, Conlon, B. Foreign bodies of the nose and ears in children. Should these be managed in the accident and emergency setting? Int J Pediatr Otorhinolaryngol 2006;70:425–8Google Scholar
11Oh, H, Min, HJ, Yang, HS, Kim, KS. Is radiologic evaluation necessary to find out foreign bodies in nasal cavity? J Craniofac Surg 2016;27:e62–4Google Scholar