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印度东部一家教学医院耳鼻喉科的异物情况

Foreign bodies in ENT in a teaching hospital in Eastern India.

作者信息

Sarkar Saurav, Roychoudhury A, Roychaudhuri B K

机构信息

Department of ENT and Head and Neck Surgery, Medical College, Kolkata, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2010 Jun;62(2):118-20. doi: 10.1007/s12070-010-0040-6. Epub 2010 Sep 24.

Abstract

OBJECTIVE

To evaluate the nature, common sites, modes of presentation of various foreign bodies (FB) in Ear, Nose and Throat (ENT).

MATERIALS AND METHODS

Observational retrospective study carried out at Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan. The study period was between Jan 2006 to Jan 2007. The information obtained from the hospital record books.

RESULTS

Four hundred and eighty-two patients presented in the Department of Otorhinolaryngology of Vivekananda Institute of Medical Sciences, in the study period with FB in their ENT. Out of 482 pts, the commonest location of FB was to be in throat with 302 pts (62%) followed by ear with 119 pts (25%) and nose 61 pts (13%). Amongst the FB in throat the commonest was fish bone and the commonest site being tonsils. Artificial denture accounted for a significant number of 13 (4.3%). External auditory canal was the commonest site of FB lodgment in ear found in 118 patients (99.16%). Nasal FB were found in 61 patients; more common in pediatric age group (98.36%).

CONCLUSION

From this study we have found that FB lodgement is a very common complaint with which patients come to otolaryngologist. The commonest site of FB lodgement is in the throat. Most of the FB could be removed in emergency room (ER) with or without Local Anesthesia.

摘要

目的

评估耳鼻喉科(ENT)各种异物(FB)的性质、常见部位及表现方式。

材料与方法

在罗摩克里希那传道会服务机构维韦卡南达医学科学研究所进行观察性回顾性研究。研究时间段为2006年1月至2007年1月。信息从医院病历中获取。

结果

在研究期间,482例患者因耳鼻喉科异物就诊于维韦卡南达医学科学研究所耳鼻喉科。在482例患者中,异物最常见的位置是咽喉部,有302例(62%),其次是耳部,有119例(25%),鼻部有61例(13%)。在咽喉部异物中,最常见的是鱼刺,最常见的部位是扁桃体。假牙占相当数量,有13例(4.3%)。外耳道是耳部异物最常见的存留部位,在118例患者中发现(99.16%)。61例患者发现鼻腔异物;在儿童年龄组更常见(98.36%)。

结论

通过本研究我们发现,异物存留是患者前来耳鼻喉科就诊的非常常见的主诉。异物最常见的存留部位是咽喉部。大多数异物在急诊室可在局部麻醉或不麻醉的情况下取出。

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