Khalaf M, Smaily H, Rassi S
Oto-rhino-laryngology, Head and Neck Surgery Department, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
Oto-rhino-laryngology, Head and Neck Surgery Department, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109654. doi: 10.1016/j.ijporl.2019.109654. Epub 2019 Aug 21.
Foreign body impaction in the pediatric hard palate is a rarely described otolaryngologic entity. It is often misdiagnosed as a neoplastic or an inflammatory lesion causing much stress to parents. The aim of this paper is to report a case managed in our department and to present a systematic review of the literature on pediatric hard palate foreign body impaction.
We present the case and the management of an impacted plastic screw cap in the hard palate of a 9 month-old boy.
Following the PRISMA guidelines, a systematic review was conducted in August 2019 using Medline and Embase databases. Included articles were reviewed for mean age at presentation, gender, presumptive diagnosis, time to removal, foreign body type, average size, anesthesia type and complications.
32 reported cases were included. Foreign bodies were mistaken for other diagnoses in 24 cases. Mean duration from first presentation till removal was 56.9 days. Circular plastic covers were found in 20 cases. General anesthesia was used in 68% of the cases. No major complications were reported.
Foreign body impaction should be kept in the differential diagnosis of hard palate lesions in children. Up to date, this entity is still frequently misdiagnosed.
小儿硬腭异物嵌顿是一种鲜有描述的耳鼻喉科病症。它常被误诊为肿瘤性或炎性病变，给家长带来很大压力。本文旨在报告我院收治的一例病例，并对小儿硬腭异物嵌顿的文献进行系统综述。
我们呈现一名9个月大男孩硬腭嵌顿塑料螺帽的病例及处理情况。
遵循PRISMA指南，于2019年8月使用Medline和Embase数据库进行系统综述。对纳入的文章进行审查，内容包括就诊时的平均年龄、性别、初步诊断、取出时间、异物类型、平均大小、麻醉类型及并发症。
纳入32例报告病例。24例异物被误诊为其他病症。从首次就诊到取出的平均时长为56.9天。20例发现圆形塑料盖。68%的病例使用全身麻醉。未报告重大并发症。
异物嵌顿应纳入小儿硬腭病变的鉴别诊断。时至今日，该病症仍常被误诊。
