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Nasal foreign bodies in children
M François1, R Hamrioui, P Narcy
1Department of Otolaryngology, Robert Debré Hospital, Paris, France.
Insights
This study analyzed 72 nasal foreign bodies in children, finding plastic objects and beads were most common. Most cases were resolved in clinic using simple instruments.
Area of Science:
- Otolaryngology
- Pediatric Emergency Medicine
Background:
- Nasal foreign bodies are common in children.
- Prompt diagnosis and removal are crucial to prevent complications.
Purpose of the Study:
- To analyze the characteristics of nasal foreign bodies in children.
- To evaluate the management and outcomes of nasal foreign body removal.
Main Methods:
- Retrospective review of 72 cases of nasal foreign bodies in children aged 1-12.5 years.
- Data collected included patient demographics, foreign body type, location, and removal method.
- All procedures performed in an outpatient setting using hook or nasal forceps.
Main Results:
- 72 nasal foreign bodies were removed from 68 children between 1994-1997.
- Plastic objects, beads, paper, cotton, and foam were the most frequent items.
- The right nostril was affected in 67.6% of unilateral cases.
- Most foreign bodies were removed successfully in the consultation room.
Conclusions:
- Nasal foreign bodies in children are frequently encountered and typically consist of small household items.
- Outpatient management with simple instruments is effective for most cases.
- Early recognition and intervention can prevent complications such as persistent rhinorrhea.
Abstract:
Between 1994 and 1997, a total of 72 nasal foreign bodies were removed from 68 children (28 girls and 40 boys, including 2 repeats) in the ENT Department at Robert Debré Hospital, Paris. Ages ranged from 1 to 12.5 years (median, 3 years). Two children had bilateral foreign bodies. The unilateral foreign bodies were on the right side in 67.6% of cases. The most frequent objects were plastic objects, beads, paper, cotton and foam. Insertion was witnessed by an adult or reported by the child himself in the majority of cases. The other cases were diagnosed when complications occurred (as seen by persistent rhinorrhea and a foul body odor). All foreign bodies were removed in the consultation room using a hook or nasal forceps.