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Characteristics and outcomes of emergency department patients with a foreign body that entered through the ear, nose or mouth: a 10-year retrospective analysis

Published online by Cambridge University Press:  22 October 2021

J H Lee  and
S J Kim
J H Lee
Affiliation:
Department of Emergency Medicine, Seoul, Republic of Korea
S J Kim*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
*
Author for correspondence: Dr S J Kim, Department of Otorhinolaryngology – Head and Neck Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul07985, South Korea E-mail: [email protected]
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Abstract

Background

Foreign bodies in the ear, nose and throat commonly necessitate emergency department visits.

Method

This retrospective study was conducted on emergency department visits from January 2010 to December 2019 to determine characteristics and clinical prognoses of ENT patients. Patients were divided into three groups according to foreign-body entry route; patient characteristics and clinical findings were compared between groups.

Results

Of 676 142 emergency department visits, 10 454 were because of ENT-related foreign bodies. The mean (± standard deviation) age of subjects was 24.0 (± 23.4) years, and 5176 patients were male (49.5 per cent). The most common entry route was the mouth (74.5 per cent). Most patients (97.1 per cent) were discharged after emergency treatment. Intensive care and in-hospital mortality occurred only in the mouth group.

Conclusion

Clinical findings differ depending on foreign-body entry route. After emergency treatment, most patients were discharged; some cases presented serious complications.

Keywords

Foreign BodiesEmergenciesOtolaryngology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1081 - 1087
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr S J Kim takes responsibility for the integrity of the content of the paper

References

Center NEM. Annual report of emergency medical service statistics. Korean Centers for Disease Control & Prevention. In: https://www.e-gen.or.kr/nemc/statistics_annual_report.do [16 September 2020]Google Scholar
Park, ST, Lee, KS. Clinical analysis of emergency patients with otolaryngological diseases. Clin Otolaryngol 1999;10:71–5Google Scholar
Figueiredo, RR, de Azevedo, AA, de Ávila Kós, AO, Tomita, S. Complications of ENT foreign bodies: a retrospective study. Braz J Otorhinolaryngol 2008;74:7–15CrossRefGoogle ScholarPubMed
Mangussi-Gomes, J, Andrade, JS, Matos, RC, Kosugi, EM, de Oliveira Penido, N. ENT foreign bodies: profile of the cases seen at a tertiary hospital emergency care unit. Braz J Otorhinolaryngol 2013;79:699–703CrossRefGoogle Scholar
Figueiredo, RR, Azevedo, AA, de Ávila Kós, AO, Tomita, S. Nasal foreign bodies: description of types and complications in 420 cases. Braz J Otorhinolaryngol 2006;72:18–23CrossRefGoogle ScholarPubMed
Gregori, D, Salerni, L, Scarinzi, C, Morra, B, Berchialla, P, Snidero, S et al. Foreign bodies in the nose causing complications and requiring hospitalization in children 0–14 age: results from the European survey of foreign bodies injuries study. Rhinology 2008;46:28Google ScholarPubMed
Mukherjee, A, Haldar, D, Dutta, S, Dutta, M, Saha, J, Sinha, R. Ear, nose and throat foreign bodies in children: a search for socio-demographic correlates. Int J Pediatr Otorhinolaryngol 2011;75:510–2CrossRefGoogle ScholarPubMed
Ngo, A, Ng, K, Sim, T. Otorhinolaryngeal foreign bodies in children presenting to the emergency. Singapore Med J 2005;46:172–8Google ScholarPubMed
Brown, L, Denmark, TK, Wittlake, WA, Vargas, EJ, Watson, T, Crabb, JW. Procedural sedation use in the ED: management of pediatric ear and nose foreign bodies. Am J Emerg Med 2004;22:310–24CrossRefGoogle ScholarPubMed
Karakoç, F, Karadağ, B, Akbenlioğlu, C, Ersu, R, Yıldızeli, B, Yüksel, M et al. Foreign body aspiration: what is the outcome? Pediatr Pulmonol 2002;34:30–6CrossRefGoogle ScholarPubMed
Bendet, E, Horowitz, Z, Heyman, Z, Faibel, M, Kronenberg, J. Migration of fishbone following penetration of the cervical esophagus presenting as a thyroid mass. Auris Nasus Larynx 1992;19:193–7CrossRefGoogle ScholarPubMed
Crockett, SD, Sperry, SL, Miller, CB, Shaheen, NJ, Dellon, ES. Emergency care of esophageal foreign body impactions: timing, treatment modalities, and resource utilization. Dis Esophagus 2013;26:105–12CrossRefGoogle ScholarPubMed
Statistics Korea. 7th Korean standard disease and death classification. In: http://kostat.go.kr/portal/eng/index.action [16 September 2020]Google Scholar
Park, JW, Jung, JH, Kwak, YH, Jung, JY. Epidemiology of pediatric visits to the emergency department due to foreign body injuries in South Korea: nationwide cross-sectional study. Medicine (Baltimore) 2019;98:e15838CrossRefGoogle ScholarPubMed
Qureshi, AA, Lowe, DA, McKiernan, DC. The origin of bronchial foreign bodies: a retrospective study and literature review. Eur Arch Otorhinolaryngol 2009;266:1645–8CrossRefGoogle ScholarPubMed
Mishra, P, Bhakta, P, Kumar, S, Al Abri, R, Burad, J. Sudden near-fatal tracheal aspiration of an undiagnosed nasal foreign body in a small child. Emerg Med Australas 2011;23:776–8CrossRefGoogle Scholar
Kalan, A, Tariq, M. Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgrad Med J 2000;76:484–7CrossRefGoogle ScholarPubMed
Chee, LWJ, Sethi, DS. Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol 1999;108:177–80CrossRefGoogle ScholarPubMed
Ma, DH, Lee, YS, Lee, MJ, Yim, JS, Kim, BC. A clinical study of foreign bodies in the food and air passages. Korean J Otolaryngol 1989;32:923–38Google Scholar
Saquib Mallick, M, Rauf Khan, A, Al-Bassam, A. Late presentation of tracheobronchial foreign body aspiration in children. J Trop Pediatr 2005;51:145–8CrossRefGoogle ScholarPubMed
Bittencourt, PF, Camargos, PA, Scheinmann, P, de Blic, J. Foreign body aspiration: clinical, radiological findings and factors associated with its late removal. Int J Pediatr Otorhinolaryngol 2006;70:879–84CrossRefGoogle ScholarPubMed
Midulla, F, Guidi, R, Barbato, A, Capocaccia, P, Forenza, N, Marseglia, G et al. Foreign body aspiration in children. Int J Pediatr 2005;47:663–8CrossRefGoogle ScholarPubMed
Tokar, B, Ozkan, R, Ilhan, H. Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clin Radiol 2004;59:609–15CrossRefGoogle ScholarPubMed