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Nasal foreign bodies in children
M C Tong1, S Y Ying, C A van Hasselt
1Division of Otorhinolaryngology, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
Insights
Pediatric nasal foreign bodies, often toys, require careful removal to prevent complications like epistaxis. Button batteries pose a significant risk, but proper management ensures successful outcomes for most children.
Area of Science:
- Otolaryngology
- Pediatric Emergency Medicine
- Public Health
Background:
- Nasal foreign bodies are common in children.
- Accurate data on impaction patterns and management is crucial.
Purpose of the Study:
- To investigate the characteristics of pediatric nasal foreign body impaction.
- To analyze the management strategies and outcomes in a metropolitan setting.
Main Methods:
- Retrospective analysis of 147 pediatric cases presenting to an Accident and Emergency Department over 4 years.
- Categorization of foreign bodies and documentation of removal attempts and complications.
Main Results:
- Toys and household products were the most frequent foreign bodies.
- Complications, including epistaxis, often stemmed from removal attempts.
- Button battery impaction led to 14 local complications.
Conclusions:
- Most pediatric nasal foreign bodies can be managed successfully with appropriate techniques.
- Careful removal is essential to minimize complications.
- Button batteries require specific attention due to their potential for severe local damage.
Abstract:
This study investigates the pattern of pediatric nasal foreign body impaction and its management in a metropolitan area. Data was obtained from 147 children presenting to the Accident and Emergency Department over a 4-year period. The majority of foreign bodies were toys and household products. Complications which occurred, such as ingestion of the foreign body or epistaxis were usually related to attempts at removal. Fourteen cases of local complications resulted from button battery impaction. Most of these patients can successfully be managed without complication if correct procedures are adopted.