Adedeji Taiwo Olugbemiga, Sogebi Olusola Ayodele, Bande Sahabi
LAUTECH Teaching Hospital, Osogbo, Ear, Nose and Throat.
Olabisi Onabanjo University Teaching Hospital, Ear, Nose and Throat.
Afr Health Sci. 2016 Mar;16(1):292-7. doi: 10.4314/ahs.v16i1.38.
Ear, nose and throat foreign bodies (FBs) are common occurrences particularly among children. This study reviewed the clinical spectrum of ENT FBs, their treatment and outcomes as seen in a tertiary health center in North Western Nigeria.
The study was a retrospective chart review of patients that were managed for FB impaction in a tertiary health institution in North Western Nigeria over a four year period.
There were 239 patients; M: F: 1.2:1. Majority of FB impaction (46.4%) occurred in children. Majority (68.7%) were otic and FBs. 18.0% of the patients had had failed attempted removal by non ENT specialists. About 25% of these patients developed complications. Majority (62.0%) of these complications occurred in the hand of non-ENT medical personnel.
Ear, nose and throat foreign bodies are common in North-Western Nigeria with the highest incidence in children. Removal attempts by untrained health professionals and lack of experience in FB management predisposes to complications. Parental education on close monitoring of their children to avoid such incidences and the need to immediately seek an Otorhinolaryngologist to prevent complications are emphasized.
耳鼻咽喉异物（FBs）很常见，尤其是在儿童中。本研究回顾了尼日利亚西北部一家三级医疗中心所见的耳鼻咽喉异物的临床谱、治疗方法及结果。
该研究是对尼日利亚西北部一家三级医疗机构在四年期间因异物嵌顿而接受治疗的患者进行的回顾性病历审查。
共有239例患者，男女比例为1.2:1。大多数异物嵌顿（46.4%）发生在儿童中。大多数（68.7%）为耳部异物。18.0%的患者曾由非耳鼻咽喉科专科医生尝试取出但失败。这些患者中约25%出现了并发症。这些并发症中的大多数（62.0%）发生在非耳鼻咽喉科医务人员手中。
耳鼻咽喉异物在尼日利亚西北部很常见，儿童发病率最高。未经培训的卫生专业人员进行取出尝试以及在异物管理方面缺乏经验易导致并发症。强调对家长进行教育，使其密切监测孩子以避免此类情况发生，并强调需要立即寻求耳鼻喉科医生以预防并发症。
