Figueiredo Ricardo Rodrigues, Azevedo Andréia Aparecida de, Kós Arthur Octavio de Avila, Tomita Shiro
Valenca Medical School, RJ, Brazil.
Braz J Otorhinolaryngol. 2008 Jan-Feb;74(1):7-15. doi: 10.1016/s1808-8694(15)30744-8.
Foreign bodies are one of the most common ENT (Ear, Nose and Throat) urgencies. Serious complications may occur, like tympanic perforations and bronchoaspiration, but they are uncommon.
To analyze a 1356 foreign body series and establish causes for the complications, looking at prevention.
1356 patients with ear, nose and throat foreign bodies from the ENT Department of Souza Aguiar Hospital, in Rio de Janeiro, between 1992 and 2000, were analyzed in a retrospective study for parameters like age, gender, type and localization of the foreign body, time span between introduction and removal of the foreign body and complications.
The most common foreign bodies were beans and the most frequent age was between 1 and 4 years old. Ear foreign bodies were the most common, followed by nasal foreign bodies. Complications were statistically related to time, childs age and practical experience of the physician.
Most of the situations related to ENT foreign bodies are avoidable. Improvements in Public Health Assistance and otolaryngologists training are essential to avoid serious complications.
异物是耳鼻喉科(耳、鼻、喉)最常见的急症之一。可能会发生严重并发症,如鼓膜穿孔和支气管误吸,但并不常见。
分析1356例异物病例系列,确定并发症的原因并探讨预防措施。
对1992年至2000年间里约热内卢苏扎·阿吉亚尔医院耳鼻喉科的1356例耳、鼻、喉异物患者进行回顾性研究,分析年龄、性别、异物类型和位置、异物置入与取出的时间间隔以及并发症等参数。
最常见的异物是豆类,最常见的年龄在1至4岁之间。耳部异物最为常见,其次是鼻部异物。并发症在统计学上与时间、儿童年龄以及医生的实践经验有关。
大多数与耳鼻喉科异物相关的情况是可以避免的。改善公共卫生援助和耳鼻喉科医生的培训对于避免严重并发症至关重要。