Loperfido Antonella, Mammarella Fulvio, Giorgione Cristina, Celebrini Alessandra, Acquaviva Gilberto, Bellocchi Gianluca
Otolaryngology Unit, San Camillo Forlanini Hospital, Rome, ITA.
Cureus. 2022 Oct 26;14(10):e30739. doi: 10.7759/cureus.30739. eCollection 2022 Oct.
Foreign body (FB) injuries occur frequently in children. The aim of this paper is to provide an update on the experience of the Department of Otolaryngology, San Camillo Forlanini Hospital in Rome concerning the management of FB injuries in children.
This study was carried out by collecting data from the medical reports of our Pediatric Emergency Room stored between 2007 and 2021. Inclusion criteria were diagnosis of FB in pediatric patients based on the ENT evaluation. Pediatric patients included children and preteens ranging from six months to 15 years.
Between 2007 and 2021, 1,623 cases of FBs in young patients (840 males, 783 females, mean age: 5.5 years) were observed at the Pediatric Emergency Room and treated by the ENT Department. The ear was the most frequently involved site (700 patients), followed by the nose (517 cases), pharynx (319 cases), mouth (76 patients) and airways (11 cases). The most common management strategy was FBs' removal in the emergency room and home discharge (1,409 patients), 99 cases required outpatient discharge, 64 patients moved away from the Emergency Care refusing treatment, 35 patients were hospitalized, 10 patients refused hospitalization, five were transferred to the pediatric hospital and one died in the emergency room.
A quick diagnosis of FB followed by an effective removal is crucial to avoid injuries and complications. Surveillance registries have a key role in the prevention and management of FB injuries. Moreover, it is necessary to train medical and nursing staff of emergency, pediatric and otolaryngologist departments to best recognize and manage FB injuries.
儿童异物（FB）损伤屡见不鲜。本文旨在更新罗马圣卡米洛·福尔拉尼尼医院耳鼻喉科在儿童FB损伤管理方面的经验。
本研究通过收集2007年至2021年间我们儿科急诊室医疗报告中的数据进行。纳入标准为根据耳鼻喉科评估诊断儿科患者存在FB。儿科患者包括6个月至15岁的儿童和青少年。
2007年至2021年间，儿科急诊室共观察到1623例年轻患者的FB病例（840例男性，783例女性，平均年龄：5.5岁），并由耳鼻喉科进行治疗。耳部是最常受累部位（700例患者），其次是鼻子（517例）、咽部（319例）、口腔（76例患者）和气道（11例）。最常见的管理策略是在急诊室取出FB并让患者回家（1409例患者），99例患者需要门诊出院，64例患者拒绝治疗后离开急诊护理，35例患者住院，10例患者拒绝住院，5例患者被转至儿科医院，1例患者在急诊室死亡。
快速诊断FB并有效取出对于避免损伤和并发症至关重要。监测登记在FB损伤的预防和管理中起着关键作用。此外，有必要培训急诊科、儿科和耳鼻喉科的医护人员，以便更好地识别和处理FB损伤。
