Foreign Bodies in ORL Area in Children
Authors:
A. Fryčková; K. Sobotková; K. Kolejková; P. Marková; G. Forstová
Authors place of work:
Klinika dětské ORL LF MU a FN, Brno
přednosta prof. MUDr. I. Šlapák, CSc.
Published in the journal:
Otorinolaryngol Foniatr, 58, 2009, No. 2, pp. 71-78.
Category:
Original Article
Summary
Foreign bodies (FB) in ORL are usually encountered in children only. Under general anesthesia (GA) FB should be removed in non-collaborating children or in cases of wedged FB in external auditory duct or nasal cavity as well as all foreign bodies from lower respiratory pathways or esophagus.
Foreign bodies get into the ear mostly accidentally, mainly during ear sanitation. Our retrospective study of the period of 2000 to 2006 has paid attention to 308 patients examined for suspected foreign body in the ear. These were 107 girls and 201 boys on the mean age of 7.5 year. A foreign body was found in 279 cases. Inorganic foreign bodies were most frequent. In 12 cases the foreign body had to be removed under GA.
Nasal foreign bodies occur also in younger children, most often at the preschool age. In the period of observation, 674 patients have been examined on the whole and a foreign body was found and subsequently extracted in 528 patients. These were 246 boys and 282 girls at the mean age of 3 years. The FB extraction was performed in outpatients in most cases, only in 14 cases hospitalization proved to be necessary and the extraction was performed under general anesthesia. Again, inorganic foreign bodies are the most frequent ones.
The aspiration of a foreign body represents a life-threatening condition requiring immediate surgical intervention. In the period of observation 158 patients have been treated for suspected foreign body, bronchoscopy in general anesthesia was made in 129 cases and foreign body was found and subsequently extracted in 60 patients From this total there were 68 girls and 88 boys at the mean age of 3.3 year.
Foreign bodies in the swallowing pathways are those which are lodged or wedged in oral cavity, pharynx, esophagus or stomach. Foreign bodies in the swallowing pathway cause the feeling of pressure, pain in the GIT region, irritation to vomiting, impossible swallowing, excessive salivation, rasping, and short-windedness and in cases of possible madiastinitis also subcutaneous emphysema. It the period of observation we have examined a total of 546 patients with suspected FB in the swallowing pathways. In the out-patient department 341 patients suspected for FB in the area of oral cavity, pharynx and hypopharynx have been examined. A FB was removed in 193 patients. The suspected swallowed FB was subject to examination in 205 patients – 95 boys and 110 girls – 55 of which were admitted to hospital for subsequent esophagoscopy in GA. FB was found and subsequently removed from esophagus in 32 patients.
Key words:
foreign body, ear, nasal cavity, respiratory pathways, swallowing pathways.
Zdroje
1. Ansley, F. J., Cunningham, M. J.: Treatment of aural foreign bodies in children. Pediatrics, 101, 1998, s. 638-641.
2. Ansari, M. M., Halsem, S., Shakoor, A.: Foreign bodies in airway: Probléme and management. Asian Crit. Care Med., 48, 1998, s. 41-45.
3. Balbani, A. P., Sanchez, T. G., Butugan, O., Kii, M. A., Angelico, F. V., D‘ Antonio, W. E.: Ear and nose foreign body removal in children. Int. J. Pediatr. Otorhinolaryngol, 46, 1998, 1-2, s. 37-42.
4. Brett, C. M., Zwas, M. S., France, N. K.: Eyes, ears, nose, throat and dental surgery. Pediatric Anesthesia, Churchill Livingstone, 1994, s. 657-697.
5. Capo, J. M., Pucejte, F. E.: Alkaline battery foreign bodies of the ear and nose. Arch. Otolaryngol. Head Neck Surg., 112, 1986, s. 562-563.
6. Davies, P. H., Berger, J. R.: Foreign bodies in nose and ear: a review of techniques for removal in the emergency department. J. Accid. Emerg. Med., 17, 2000, s. 91-94.
7. Dib, G. C., Tangerina, R. P., Areu, C. E. C., Gregório, L. C.: Rhinolithiasis as cause of oronasal fistula. Rev. Bras. Otorhinolaryngol., 71, 2005, 1.
8. Francoise, M., Hamrioul, R., Narcy, P.: Nasal foreign bodies in children. Eur. Arch. Otorhinolaryngol, 255, 1998, 3, s. 132-134.
9. Hahn, A. a kol.: Otorinolaryngologie a foniatrie v současné praxi, 2007, s. 197-201.
10. Janeček, D., Bartoňková, K., Vogazianos, E., Šlapák, I.: Diferenciální diagnostika expanzivních procesů dětského věku v ORL oblasti. Otorinolaryngologie a foniatrie, 57, /2008, 2, s. 59-64.
11. Kalan, A., Tarif, M.: Foreign bodies in the nasal cavities-a comprehensive review of the etiology, diagnostic pointers, and therapeutic measures. Postgradual Med. J., 76, 2000, s. 484-487.
12. Karkos, P. D., Karavana, Y. G., Manivasagam, A., Reda El Badawey, M.: Magnetic nasal foreign bodies- a result of fashion mania. I. J. of Pediatric Otorhinolaryngology, 67, 2003, s. 1343-1345.
13. Kim, K. K., Kim, J. R., Kim, J. Y.: Buton battery impaction in nasal cavity. J. of Korean Medical Science, 14, 1999, 2, s. 210-212 (medline).
14. Loh, W. S., Leong, J. L., Tan, H. K. K.: Hazardous foreign bodies-Complications and management of buton batteries in nose. Annals of Otology Rhinology and Laryngology, 112, 2003, 4, s. 379-383.
15. McRae, K.: Anesthesia for airway surgery. Anesthesiol. Clin. North America, 19, 2001, s. 515-519.
16. Ngo, A., Ng, K. C., Sim, T. P.: Otorhinolaryngeal foreign bodies in children presenting to the emergency department. Singapure Med. J., 46, 2005, 4, s. 172-178.
17. Pokorný. K., Pellant, A.: Poznámky k patofyziologii ušního mazu. Otorinolaryngologie a foniatrie /Prague/, 55, 2006, s. 35-38.
18. Pokorný, K., Pellant, A.: Fyziologické vlastnosti ušního mazu. Otorinolaryngologie a foniatrie /Prague/, 52, 2003, 4, s. 167-169.
19. Pride,H., Schwab, R.: A new technique for removing foreign bodies of the external auditory canal. Pediatr. Emerg. Care, 5, 1989, 2, s. 135-136.
20. Přecechtěl, A.: Otolaryngologie, 1953, s. 408-409.
21. Reynolds, J. C.: Asteatosis and pruritus of the ear. JAMA, 249, 1983, 7, s. 884-885.
22. Thompson, S. K., Sein, R. O., Dutcher, P.O.: External auditory canal foreign body removal-management practises and autcomes. Laryngoskope, 113, 2003, 11, s. 1912-1915.
23. Vane, D. W., Pritchard, J., Colville, C. W.: Bronchoskopy for aspirated foreign in children. Arch. Surg., 123, 1998, s. 885-888.
24. Wei, W. I., Wong, F. L. Y., Ho, W. K.: A chopstick in the nose. J. R. Soc. Med., 95, 2002, s. 614-615.
25. Weissberg, D., Schwarz, I.: Foreign bodies in the tracheobronchial tree. Arch. Surg., 123, 1998, s. 885-888.
26. Wood, R. E., Postma, D.: Endoskopy of the airway in infants and children. J. Pediatr., 112, 1988, s. 1-6.
27. http://www.susysafe.org/.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2009 Číslo 2
Najčítanejšie v tomto čísle
- Parapharyngeal and Retropharyngeal Abscess in Children
- Foreign Bodies in ORL Area in Children
- Radiofrequency Induced Tonsil Thermotherapy in Children
- Incidence of Helicobacter Pylori in Nasal Lymphatic Tissues and its Possible Link to Adenoidal Vegetation