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Analysis of nasal foreign bodies in 341 children

  • Z-C Lou (a1)

Abstract

Objective

This study aimed to analyse the common presentations and treatment outcomes in cases involving nasal foreign bodies.

Methods

A retrospective study was carried out over three years, from January 2014 to December 2017. Patient biodata, clinical presentation, nasal foreign body type and management outcome data were obtained from the medical records and analysed.

Results

A total of 341 cases were analysed. The average patient age was 3.7 ± 1.2 years (range, 1–19 years).Of the nine cases involving button batteries, septal perforation was initially seen in four cases and three cases had subsequent septal perforation.

Conclusion

Only button battery nasal foreign bodies were associated with increased septal perforation. Use of physiological seawater nasal spray was found to reduce the likelihood of septal perforation. Most nasal foreign bodies could be removed under local anaesthesia.

Copyright

Corresponding author

Author for correspondence: Dr Zheng-Cai Lou, Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu City 322000, Zhejiang Province, China E-mail: louzhengcai@163.com

Footnotes

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Dr Z-C Lou takes responsibility for the integrity of the content of the paper

Footnotes

References

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5Dudvarski, Z, Pendjer, I, Janosević, LJ, Djukić, V, Dimitrijević, M, Arsović, N et al. Overlooked nasal foreign body with a 48-year latent period. Acta Chir Iugosl 2008;55:113–16
6Pitsinis, V, Patel, A. Foreign body impaction: fifty years inside the nose. Ear Nose Throat J 2004;83:564,566
7Thabet, MH, Basha, WM, Askar, S. Button battery foreign bodies in children: hazards, management, and recommendations. Biomed Res Int 2013;2013:846091
8Loh, WS, Leong, JL, Tan, HKK. Hazardous foreign bodies: complications and management of button batteries in nose. Ann Otol Rhinol Laryngol 2003;112:379–83
9Guidera, AK, Stegehuis, HR. Button batteries: the worst case scenario in nasal foreign bodies. N Z Med J 2010;123:6873
10Mackle, T, Conlon, B. Foreign bodies of the nose and ears in children. Should these be managed in the accident and emergency setting? Int J Pediatr Otorhinolaryngol 2006;70:425–8
11Oh, H, Min, HJ, Yang, HS, Kim, KS. Is radiologic evaluation necessary to find out foreign bodies in nasal cavity? J Craniofac Surg 2016;27:e62–4

Keywords

Analysis of nasal foreign bodies in 341 children

  • Z-C Lou (a1)

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