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Anales de Otorrinolaringología Mexicana

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2016, Number 1

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Otorrinolaringología 2016; 61 (1)

Complications due to previous manipulation of foreign body of ear and nose in pediatric patients

González-Hernández CB, Ríos-Nava JR, Curiel-Dávalos CB, Felipe-Vega JC, Vázquez-Ramírez JG
Full text How to cite this article

Language: Spanish
References: 12
Page: 25-34
PDF size: 569.32 Kb.


Key words:

foreign body, extraction attempt, complications.

ABSTRACT

Background: Children in their early years of life are undergoing a body scan, this process includes the placement of objects that are available to them in natural orifices. Since the child is capable of gripping (at 8 months) he/she has a natural tendency to place objects by the natural orifices of the face.
Objective: To demonstrate that in children 2-17 years of age with a diagnosis of foreign body presenting to Otolaringology with extraction attempt have more complications than those without previous management.
Material and Method: An observational, prospective, open, clinical, longitudinal cohort study, in which patients who attended the Pediatric otolaryngology service with the diagnosis of foreign body in the ear or nose were studied from March 1st, 2007 to March 1st, 2010. Continuous variables were compared with t test of Student, nominal variables with proof of Mann-Whitney U. Risk and complications of prior management and risk of complications with no previous management were established as well as the relative risk of these.
Results: We studied 300 patients, of which 109 belonged to the group with previous attempt extraction (Ctx) and 191 to the group without prior extraction attempt (Stx); 92% of patients with previous attempt extraction had complications as well as 8% of patients without previous attempt to extract.
Conclusions: Complications occurred more frequently in patients in the group with previous attempt extraction. Similarly, these can be prevented by a proper diagnosis and sending to the specialist to offer the most appropriate treatment for the patient.


REFERENCES

  1. Heim S, Maughan K. Foreign bodies in the ear, nose and throat. Am Fam Physician 2007;76:1185-1189.

  2. Figueiredo RR, Azevedo AA, Kós AO, Tomita S. Complications of ent foreign bodies: a retrospective study. Rev Bras Otorrinolaringol 2008;74:7-15.

  3. Saha S, Chandra S, Mondal PK, Das S, et al. Emergency otorhinolaryngological cases in medical college, Kolkata- A statistical analysis. Indian J Otolaryngol Head Neck Surg 2005;57:219-225.

  4. Endican S, Garap JP, Dubey SP. Ear, nose and throat bodies in Melanesian children: an analysis of 1037 cases. Int J Pediatric Otorhinolaryngol 2006;70:1539-1545.

  5. Ngo A, Ng K, Sim TP. Otorhinolaryngeal foreign bodies in children presenting to the emergency department. Singapore Med J 2005;46:172-178.

  6. Singh GB, Sidhu TS, Sharma A, Dhawan R, et al. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol 2007;28:87-90.

  7. Schultze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol Head Neck Surg 2002;127:73-78.

  8. Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope 2003;113:1912-1915.

  9. Béjar M, Cevo J, Romero María, Iñiguez R. Mortalidad nacional en Otorrinolaringología. Rev Otorrinolaringol Cir Cabeza Cuello 2007;67:31-37.

  10. Esteban JA, Sáinz A, Delgado R, Burgués P, et al. Aspiración de cuerpos extraños en la infancia. Cir Pediatr 2007;20:25- 28.

  11. Rodrigues R, Aparecida A, De Avila A, Tomita S. Nasal foreign bodies: description of types and complications in 420 cases. Rev Bras Otorrinolaringol 2006;72:18-23.

  12. Chan TC, Ufberg J, Harrigan RA, Vilke G. Nasal foreign body removal. J Emerg Med 2004;26:441-445.




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Otorrinolaringología. 2016;61