PATTERN OF PRESENTATION OF NASAL FOREIGN BODIES, AN EXPERIENCE WITH 155 PATIENTS
AbstractBackground: Children commonly present to outpatient department with foreign bodies in the nose. Sometimes the history is straightforward but not infrequently presentation is with a foul-smelling unilateral discharge and obstruction. Most of the foreign bodies are inert and do not cause any local tissue reaction but some of these can cause serious complications. The frequency of the different types of foreign bodies is not known in our setup. Our study aims to determine the types and frequencies of different foreign bodies in our catchment area so as to make the attending surgeon aware of the different possibilities he may have to encounter. Also, we aimed to make the general public aware of the hazards which the foreign bodies can create. Methods: This descriptive cross-sectional study was carried out at Department of ENT of Ayub Teaching Hospital Abbottabad, from 1st June to 30th November 2017. During the period of study, patients presenting in outpatient department with nasal foreign bodies were included in the study. We recorded patients’ age and gender. Types of foreign bodies recovered from the nose were documented and their frequency was calculated. Results: A total of 155 patients were included in the study. 60% of the foreign objects were inserted in the nasal passage by male children. Children below the age of 4 years comprised more than 55% of the cases. Mean age 4.5±2.36 years. Right nostril was predominantly involved (58%). Various seeds were commonly retrieved (40%). Plastic beads were the second most common foreign bodies (21.2%). Other foreign bodies found were buttons (9%), dry batteries (1.2%), stones (9%), toy pieces (4.5%), and food particles (10%). Conclusion: The commonest nasal foreign objects in children were organic seeds followed by plastic beads.Keywords: Nasal cavity; Foreign body; Airway, Airway Obstruction
Okoye BC, Onotai LO. Foreign bodies in the nose. Niger J Med 2006;15(3):301–4.
Burduk PK, Garstecka A, Betlejewski S. Nasal foreign body in an adult. Eur Arch Otorhinolaryngol 2005;262(6):517–8.
Tariq M, Akram A, Khan AM, Elahi F, Akbar F. Bilateral intranasal button batteries. Ann King Edward Med Univ 2007;13(1):1–2.
Tay AB. Long-standing intranasal foreign body: an incidental finding on dental radiograph: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(4):546–9.
Figueiredo RR, Azevedo AA, Kos AO, Tomita S. Nasal foreign bodies: description of types and complications in 420 cases. Braz J Otorhinolaryngol 2006;72(1):18–23.
Ogunleye AO, Sogebi OA. Nasal foreign bodies in the African children. Afr J Med Med Sci 2004;33(3):225–8.
Kiger JR, Brenkert TE, Losek JD. Nasal foreign body removal in children. Pediatr Emerg Care 2008;24(11):785–92.
Kalan A, Tariq M. Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgrad Med J 2000;76(898):484–7.
Oh TH, Gaudet T. Acute epiglottis associated with nasal foreign body: occurrence in a 30-month-old girl. Clin Pediatr (Phila) 1977;16(11):1067–8.
Sarnaik AP, Venkat G. Cephalic tetanus as a complication of nasal foreign body. Am J Dis Child 1981;135(6):571–2.
Cheng PT, Pritzker KP, Richards J, Holmyard D. Fictitious calculi and human calculi with foreign nuclei. Scanning Microsc 1987;1(4):2025–32.
Fischer JI, Tarabar A. Foreign Bobies, Nose: eMedicine Emergency Medicine 2008. [Internet]. [cited 2018 Jan]. Available from: URL: http://emedicine.medscape.com/article/763767-overview.
Glynn F, Amin M, Kinsella J. Nasal foreign bodies in children: should they have a plain radiograph in the accident and emergency? Pediatr Emerg Care 2008;24(4):217–8.
Memiş M, İlhan E, Ulucanlı S, Yaman H, Güçlü E. Nasal foreign bodies: an analysis of 130 patients. Kulak Burun Bogaz Ihtis Derg 2015;25(2):109–12.
Cetinkaya EA, Arslan İB, Cukurova İ. Nasal foreign bodies in children: Types, locations, complications and removal. Int J Pediatr Otorhinolaryngol 2015;79(11):1881–5.
Abou-Elfadl M, Horra A, Abada RL, Mahtar M, Roubal M, Kadiri F. Nasal foreign bodies: Results of a study of 260 cases. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132(6):343–6.
Yaroko AA, Baharudin A. Patterns of nasal foreign body in northeast Malaysia: A five-year experience. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132(5):257–9.
Wang Y, Su H, Wu Y, Zhao Y. Clinical analysis of 249 cases of children with foreign bodies in the nasal cavity and paranasal sinus. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016;30(3):233–4.
Oreh AC, Folorunsho D, Ibekwe TS. Actualities of management of aural, nasal, and throat foreign bodies. Ann Med Health Sci Res 2015;5(2):108–14.
Svider PF, Sheyn A, Folbe E, Sekhsaria V, Zuliani G, Eloy JA, Folbe AJ. How did that get there? A population-based analysis of nasal foreign bodies. Int Forum Allergy Rhinol 2014;4(11):944–9.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.