小儿外耳道异物：698例病例回顾

Pediatric external auditory canal foreign bodies: a review of 698 cases.

作者信息

Schulze Stacey L, Kerschner Joseph, Beste David

机构信息

Division of Pediatric Otolaryngology, Department of Otolaryngology and Communication Sciences and Medical College of Wisconson, Children's Hospital of Wisconsin, WI 53202, USA.

出版信息

Otolaryngol Head Neck Surg. 2002 Jul;127(1):73-8. doi: 10.1067/mhn.2002.126724.

DOI:10.1067/mhn.2002.126724

PMID:12161734

Abstract

OBJECTIVE

The study goal was to determine the relationships between patient management factors and patient outcomes in pediatric patients with external auditory canal foreign bodies.

STUDY DESIGN AND SETTING

Retrospective analysis was conducted of 698 consecutive cases of pediatric external auditory canal foreign bodies (n = 605 patients) who presented to a tertiary care pediatric referral center during a 6-year period.

RESULTS

Emergency physicians frequently removed foreign bodies under direct visualization while otolaryngologists primarily used otomicroscopy. Both of these methods had high success rates overall (77% and 86%), but attempts under direct visualization had lower success rates with removing spherical objects, objects touching the tympanic membrane, and objects in the canal for more than 24 hours. Failed removal attempts resulted in higher complication rates.

CONCLUSION

Certain foreign body and patient characteristics are associated with poor outcomes with removal attempts made under direct visualization. These cases should be referred directly to otolaryngologists for otomicroscopic removal.

摘要