ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
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ORIGINAL RESEARCH

Foreign Bodies in the Ear Nose and Throat in Children: Experience of a Tertiary Hospital
Çocuklarda Kulak Burun ve Boğazda Görülen Yabancı Cisimler: Üçüncü Basamak Hastane Deneyimi
Received Date : 10 May 2022
Accepted Date : 14 Jun 2022
Available Online : 20 Jun 2022
Doi: 10.24179/kbbbbc.2022-91252 - Makale Dili: EN
KBB ve BBC Dergisi. 2022;30(4):216-23
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Foreign bodies (FB) in the ear, nose and throat (ENT) are frequently encountered in pediatric emergency services and polyclinics. The aim of this study is to examine the clinical features and approach methods of patients who applied to the pediatric emergency department with the complaint of FBs in the ENT. Material and Methods: The files of the patients who applied to the pediatric emergency outpatient clinic and were consulted due to FBs from the ENT clinic were retrospectively analyzed. Demographic data, diagnostic examinations, type of FB, localization and treatment methods of 301 patients with FB in the ENT were recorded. The patients were divided into three groups as 0- 5, 6-11 and 12-17 years old, and the findings were analyzed. Results: The median age of the patients was 3.0 (2.0-5.0) years and 134 (44.5%) were female and 167 (55.5%) were male. It was determined that 239 (79.4%) of the patients were 0-5 years old, 40 (13.3%) were 6-11 years old and 22 (7.3%) were 12-17 years old. In patients aged 0-5 years, the most common nasal FB [184 (61.1%) patients] was observed, while in patients aged 6-11 and 12-17 years, FBs in the ear [respectively; 23 (7.6%) patients and 15 (5.0%) patients] were found to be more common. Of the FBs removed from the patients, 194 (64.5%) were composed of inorganic [most common beads (29.2%)] and 107 (35.5%) organic materials [most common sunflower seed shell (8.0 %)]. In 9 (3.0%) cases FB was removed under general anesthesia. Conclusion: FBs are frequently seen between the ages of 0-5 and in the nose. By informing parents and caregivers, unwanted complications and applications to pediatric emergency services will decrease.
ÖZET
Amaç: Kulak-burun-boğazda (KBB) yabancı cisimlere (YC) çocuk acil servislerinde ve polikliniklerde sıklıkla rastlanmaktadır. Bu çalışmanın amacı, KBB’de YC şikâyeti ile çocuk acil servisine başvuran hastaların klinik özelliklerini ve yaklaşım yöntemlerini incelemektir. Gereç ve Yöntemler: Çocuk acil polikliniğine başvuran ve KBB kliniğinden YC nedeniyle konsülte edilen hastaların dosyaları geriye dönük olarak incelendi. KBB’de YC olan 301 hastanın demografik verileri, tanı muayeneleri, YC tipi, lokalizasyonu ve tedavi yöntemleri kaydedildi. Hastalar 0-5, 6-11 ve 12-17 yaş olmak üzere üç gruba ayrıldı ve bulgular gruplar arasında analiz edildi. Bulgular: Hastaların ortanca yaşı 3,0 (2,0- 5,0) yıl olup, 134’ü (%44,5) kadın, 167’si (%55,5) erkekti. Hastaların 239’unun (%79,4) 0-5 yaş, 40’ının (%13,3) 6-11 yaş, 22’sinin (%7,3) 12-17 yaş arasında olduğu belirlendi. 0-5 yaş arası hastalarda en sık burunda YC [184 (%61,1) hasta] gözlenirken, 6-11 ve 12-17 yaş arası hastalarda kulakta YC’ler [sırasıyla 23 (%7,6) hasta ve 15 (%5,0) hasta] daha sık bulundu. Hastalardan çıkarılan YC'lerin 194'ü (%64.5) inorganik [en sık boncuk (%29.2)], 107'si (%35.5) organik materyalden [en sık ayçiçeği çekirdeği kabuğu (%8.0)] oluşuyordu. Hastaların 9'unda (%3.0) bulunan YC genel anestezi altında çıkarıldı. Sonuç: YC’ler 0-5 yaş arasında ve burunda sık görülmektedir. Genellikle zararsız olan YC’ler gözden kaçırıldıklarında komplikasyonlara neden olabilirler. Ebeveynlerin ve bakıcıların bilgilendirilmesiyle istenmeyen komplikasyonlar ve çocuk acil servislerine başvurular azalacaktır.
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