Regonne P-E-J, Ndiaye M, Sy A, Diandy Y, Diop A-D, Diallo B-K
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Oct;134(5):361-364. doi: 10.1016/j.anorl.2017.02.013. Epub 2017 Mar 23.
Nasal foreign bodies (NFB) constitute a common domestic accident in children. The objectives of the present study were to report the particularities of NFBs in children presenting at a pediatric hospital in Senegal, and to describe our therapeutic attitude.
A retrospective descriptive study included all under-15 year-olds presenting with NFB in the ENT department of the National Children's Hospital Center of Diamniadio, Senegal, between January 1, 2013 and December 31, 2015. Study variables comprised: age, gender, provenance, presenting symptoms, time to consultation, type of NFB, extraction method, and complications.
58 NFB cases were retrieved. Mean age was 3years 4months; 93% of patients were under 5 years old. There was female predominance of 53.45%: i.e., sex-ratio, 0.87. Location was in the right cavity in 43 patients (74.1%). The presenting symptom was purulent rhinorrhea in 51.7% of cases. Time to consultation was within 24hours in 17.24% of cases. NFB type was firstly foam rubber (29.3%), followed by grain (20.7%). Extraction was performed in consultation in 84.5% of cases and in the operating room in 15.5%. Morbidity was 22.41%: 17.24% epistaxis and 5.17% nasal infection.
NFBs constitute a common domestic accident in under-5 year-olds. The rural Senegalese context shows delay in consultation.
鼻腔异物是儿童常见的家庭意外事故。本研究的目的是报告在塞内加尔一家儿科医院就诊的儿童鼻腔异物的特点，并描述我们的治疗方法。
一项回顾性描述性研究纳入了2013年1月1日至2015年12月31日期间在塞内加尔迪亚姆尼亚迪奥国家儿童医院中心耳鼻喉科就诊的所有15岁以下鼻腔异物患儿。研究变量包括：年龄、性别、来源、就诊症状、就诊时间、鼻腔异物类型、取出方法和并发症。
共检索到58例鼻腔异物病例。平均年龄为3岁4个月；93%的患者年龄在5岁以下。女性占优势，为53.45%，即性别比为0.87。43例（74.1%）异物位于右侧鼻腔。51.7%的病例就诊症状为脓性鼻漏。17.24%的病例在24小时内就诊。鼻腔异物类型首先是泡沫橡胶（29.3%），其次是谷物（20.7%）。84.5%的病例在门诊取出异物，15.5%在手术室取出。发病率为22.41%：鼻出血占17.24%，鼻感染占5.17%。
鼻腔异物是5岁以下儿童常见的家庭意外事故。塞内加尔农村地区存在就诊延迟的情况。
