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Nasal foreign bodies: Results of a study of 260 cases

M Abou-Elfadl1, A Horra1, R-L Abada1

  • 1Service d'ORL et de chirurgie cervico-faciale, hôpital 20-Août, CHU Ibn Rochd, 6, rue Lahssen Elaarjoun, Casablanca, Morocco.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|September 15, 2015
PubMed

Insights

Nasal foreign bodies are common in children, with beads and vegetable matter being frequent types. While most extractions are straightforward, prompt removal is crucial to prevent complications like infection or septal perforation.

Area of Science:

  • Otorhinolaryngology
  • Pediatric Emergency Medicine
  • Foreign Body Ingestion/Inhalation

Background:

  • Nasal foreign bodies are a frequent pediatric emergency.
  • Varied types of foreign bodies present diagnostic and extraction challenges.
  • Complications can arise from delayed or difficult removal.

Purpose of the Study:

  • To report on nasal foreign bodies encountered in an ENT emergency department.
  • To analyze the characteristics, extraction methods, and outcomes of pediatric nasal foreign bodies.
  • To provide an updated review of current knowledge on the subject.

Main Methods:

  • Prospective study conducted over four months (May-August 2011).
  • Inclusion of all patients presenting to the ENT emergency unit with nasal foreign bodies.
  • Data collection included demographics, circumstances, symptoms, foreign body type, extraction technique, and complications.

Main Results:

  • 260 cases of nasal foreign bodies were analyzed, constituting 4.3% of unit consultations.
  • The mean age of affected children was 3 years, with a male predominance.
  • Common foreign bodies included synthetic beads (18.8%) and vegetable matter (17.7%); 91.53% were removed easily.
  • Complications observed were infection (48 cases), epistaxis (18 cases), and nasal septum perforation (1 case).

Conclusions:

  • Nasal foreign bodies represent a common pediatric emergency requiring timely intervention.
  • While generally benign, complications such as infection and perforation necessitate prompt extraction.
  • Prevention remains the most effective strategy for managing nasal foreign bodies in children.
Abstract

Keywords:
Button cellChildNasal foreign bodyNasal obstructionPerforationPurulent rhinorrheaVegetable

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