临床实践中耳异物处理的改变——我们从 2019 冠状病毒病疫情中学到的。
A change in clinical practice for aural foreign bodies - what we learnt from the coronavirus disease 2019 pandemic.
机构信息
ENT Department, Milton Keynes University Hospital, Milton Keynes, UK.
出版信息
J Laryngol Otol. 2021 Sep;135(9):825-828. doi: 10.1017/S0022215121002048. Epub 2021 Aug 5.
OBJECTIVE
This case series, conducted during the coronavirus disease 2019 pandemic, investigates the impact of leaving aural foreign bodies in situ for a prolonged period of time, including the risk of complications and success rates of subsequent removal attempts.
METHOD
A retrospective study of aural foreign body referrals over a six-month period was carried out.
RESULTS
Thirty-four patients with 35 foreign bodies were identified (6 organic and 29 inorganic). The duration of foreign bodies left in situ ranged from 1 to 78 days. Four patients suffered from traumatic removal upon initial attempts. First attempts made by non-ENT specialists (68.8 per cent) all failed and were associated with a high risk of trauma (36.4 per cent).
CONCLUSION
Because of the coronavirus disease 2019 pandemic, this is the first case series to specifically investigate the relationship between the duration of aural foreign bodies left in situ and the risk of complications. Our data suggest that prolonged duration does not increase the incidence of complications.
目的
本病例系列研究在 2019 冠状病毒病大流行期间进行，旨在调查长时间留置耳内异物的影响，包括并发症风险和后续取出尝试的成功率。
方法
对六个月期间的耳内异物转诊进行回顾性研究。
结果
确定了 34 例 35 个异物患者（6 个有机和 29 个无机）。异物在体内留置的时间从 1 天到 78 天不等。有 4 名患者在初次尝试时遭受了创伤性取出。非耳鼻喉科专家（68.8%）进行的首次尝试均失败，且伴有较高的创伤风险（36.4%）。
结论
由于 2019 冠状病毒病大流行，这是第一个专门调查耳内异物在体内留置时间与并发症风险之间关系的病例系列研究。我们的数据表明，长时间留置不会增加并发症的发生率。
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