Ear, Nose, and Throat Foreign Bodies in the Paediatric Population: Did the COVID-19 Lockdown Change Anything?

Joshua Garg1, Francis De Castro1, Paramesh Puttasidiah1

  • 1Otolaryngology, Morriston Hospital, Swansea, GBR.

Cureus
|September 16, 2022
PubMed

Insights

During COVID-19 lockdowns, fewer children presented with ear, nose, and throat (ENT) foreign bodies. However, the need for general anesthesia and upper aerodigestive tract foreign body cases remained similar.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Public Health

Background:

  • Ear, nose, and throat (ENT) foreign bodies are common pediatric emergencies.
  • The COVID-19 pandemic significantly strained healthcare systems and public well-being.
  • Children continued to present with ENT foreign bodies, some requiring general anesthesia.

Purpose of the Study:

  • To determine the impact of COVID-19 lockdown measures on pediatric ENT foreign body incidence.
  • To evaluate the management of these cases by emergency and ENT departments.
  • To compare incidence rates before and during lockdown periods.

Main Methods:

  • Retrospective analysis of pediatric ENT foreign body cases.
  • Comparison of data from March-August 2020 (lockdown) with March-August 2019.
  • Evaluation of presentation rates and management strategies.

Main Results:

  • Overall decrease in pediatric ENT foreign body presentations in 2020 (n=90) vs. 2019 (n=106).
  • The number of cases requiring general anesthesia remained constant.
  • A higher proportion of upper aerodigestive tract foreign bodies were observed in 2020.

Conclusions:

  • Pediatric ENT foreign bodies remained a concern during COVID-19 lockdowns.
  • While overall incidence decreased, the severity (need for anesthesia, upper aerodigestive tract involvement) did not significantly lessen.
  • Further research is needed to understand long-term impacts and prevention strategies.

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