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ENT Foreign Bodies: An Experience
Al Hussein Awad1, Mostafa ElTaher1
1Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Sohag, Egypt.
Insights
Ear, nose, and throat foreign bodies are common emergencies, especially in children. Proper management is crucial to prevent serious complications from these incidents.
Area of Science:
- Otorhinolaryngology
- Pediatric Emergency Medicine
Background:
- Foreign bodies (FBs) in the ear, nose, and throat (ENT) are frequent occurrences, particularly in pediatric populations.
- The spectrum of complications associated with ENT FBs ranges from minor issues to life-threatening conditions, necessitating prompt recognition and management.
Purpose of the Study:
- To investigate the clinical characteristics, removal techniques, outcomes, and complications of ENT foreign bodies.
- To analyze data from a tertiary referral hospital to understand the epidemiology and management of ENT FBs.
Main Methods:
- A hospital-based, cross-sectional, retrospective study was conducted from July 2014 to June 2016.
- Data were collected from 1,013 patients (mean age 12.5 years) presenting with ENT foreign bodies.
Main Results:
- Foreign bodies constituted 30% of ENT emergencies, with children under 6 years old being the most affected group.
- Swallowed foreign bodies were most common (53.6%), followed by aural (24.68%), nasal (19%), and inhaled (2.6%).
- General anesthesia was required for the removal of 54.69% of ENT foreign bodies.
Conclusions:
- Foreign bodies in the ear, nose, and throat are a significant cause of emergency visits in otorhinolaryngology.
- Children are the primary demographic affected by ENT foreign bodies, with the throat being the most common site of impaction.
- Effective management of ENT foreign bodies is essential to mitigate potential complications.
Abstract:
Introduction Ear, nose and throat (ENT) foreign bodies (FBs) are common occurrences, particularly among children. The proper recognition, study, and management of FBs are required to prevent complications. Their consequences are greatly variable, from mild disturbances that may not require hospitalization up to life-threatening complications. Objective To analyze the clinical spectrum of ENT FBs, the methods of removal, the outcomes and complications as seen in a tertiary referral hospital. Methods This hospital-based cross-sectional retrospective study was performed from July 2014 to June 2016. Patients with any type of ENT FBs, regardless of age, were included in the study; data was collected from 1,013 patients (572 males and 440 females) with a mean age of 12.5 years. Results Foreign bodies represented a large category among ENT emergencies (30%). Children were affected more frequently, particularly ≤ 6 years old. Swallowed FBs were the most common (53.6%), followed by aural FBs (24.68%), nasal FBs (19%), and inhaled FBs (2.6%). A total of 54.69% of ENT s were removed under general anesthesia (GA). Conclusion Foreign bodies (FB) in the ears, nose or throat are a common occurrence in otorhinolaryngology (ENT) emergency services. Children are the most affected age group. The commonest site of FB lodgment is in the throat. Ear, nose and throat FBs need to be properly managed to avoid complications.
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