Actualities of management of aural, nasal, and throat foreign bodies

作者：TS Ibekwe, D.F. Folorunsho, AC Oreh · 发表于：Annals of Medical and Health Sciences Research · 年份：2015 · DOI：10.4103/2141-9248.153613 · 被引用次数：18 · 研究领域：Foreign Body Medical Cases、Traumatic Ocular and Foreign Body Injuries、Hemostasis and retained surgical items

BACKGROUND: Foreign bodies (Fbs) in the ear, nose, and throat (ENT) are common presentations in healthcare settings worldwide. AIM: This study was carried out to review the modes of presentation, management, and outcome of inserted Fbs in our setting. SUBJECTS AND METHODS: A 5-year retrospective study of cases of ENT Fbs managed at two referral hospitals in Abuja Nigeria. The analysis was done with Chi-square and Pearson correlation. RESULTS: Five hundred and ninety-four patients aged 0-75 years, M:F = 1.1 (295 vs. 299) were reviewed. Prevalence was predominantly among the under 5 s; 286/594 (P = 0.001). ENT Fbs were 356/594 (59.9%), 167/594 (28.1%) and 71/59 (12.0%), respectively. Cotton wool 133/356 (37.4%) and beads 75/356 (21.1%) constituted most aural Fbs. Beads 45/167 (27.0%) and grains/seed 37/167 (22.1%) were the most common nasal Fbs while fish bones 38/71 (53.5%) and piece of metals 12/71 (16.9%) were dominant in the throat. Most cases of aural and nasal Fbs were asymptomatic. Ear syringing was the most common method for removal of aural Fbs 216/594 (60.7%) and instrumentation under direct vision for nasal Fbs 153/167 (91.6%). Furthermore, 52/71 (73.2%) of throat Fbs were removed under general anesthesia. ENT complications observed included bruises, lacerations, perforations, Epistaxis, and a case of respiratory failure. Delayed presentation (beyond 24 h) was seen in 489/594 (82.3%) of cases while failed previous attempts by untrained hands constituted 353/594 (59.4...