Department of Otorhinolaryngology/Head and Neck Surgery, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.
Department of Otorhinolaryngology/Head and Neck Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Laryngoscope. 2023 Oct;133(10):2553-2557. doi: 10.1002/lary.30581. Epub 2023 Jan 23.
The treatment of nasal foreign bodies involves safe and reliable removal. Few reports have investigated the relationship between equipment and the incidence of complications.
This retrospective study included 300 patients with nasal foreign bodies (average: 3.28 years, interquartile range: 2-4 years). Patients' background, characteristics of nasal foreign body, equipment to remove the nasal foreign body, and complications were obtained from medical records. Statistical analysis was performed using Pearson's chi-square test for associated factors and the incidence of epistaxis among the complications.
Nasal foreign bodies were found and removed in 256 patients. Forceps, hooks, suction, modified paper clips, and cotton swabs were mainly used to remove the nasal foreign bodies. Epistaxis due to the removal procedure was observed in 26 patients. The occurrence of epistaxis differed depending on the equipment (p = 0.077) and was less frequent in suction and paper clips than in forceps (p < 0.05 and p = 0.077). Epistaxis was not observed when a cotton swab was used. Aspiration and septal perforation were not observed. A statistical relationship was not detected between the hardness of foreign bodies and the occurrence of epistaxis (p = 0.251). The incidence of epistaxis was higher in cases nasal foreign bodies remained for 1 day and over than in cases foreign bodies were removed within 1 day (p < 0.05).
This study revealed that suction, modified paper clips, and cotton swabs could be beneficial options for minimizing complications in the removal of nasal foreign bodies.
4 Laryngoscope, 133:2553-2557, 2023.
鼻内异物的治疗涉及到安全可靠的去除。很少有报道研究设备与并发症发生率之间的关系。
本回顾性研究纳入了 300 例鼻内异物患者（平均年龄：3.28 岁，四分位距：2-4 岁）。从病历中获取患者背景、鼻内异物特征、去除鼻内异物的设备以及并发症等信息。采用 Pearson 卡方检验分析相关因素与并发症中鼻出血的发生率。
256 例患者发现并取出了鼻内异物。主要使用镊子、钩子、吸引器、改良回形针和棉签来取出鼻内异物。26 例患者因去除过程中出现鼻出血。根据设备的不同，鼻出血的发生情况存在差异（p=0.077），吸引器和回形针的发生率低于镊子（p<0.05 和 p=0.077）。使用棉签时未观察到鼻出血。未观察到吸引和鼻中隔穿孔。未发现异物硬度与鼻出血发生之间存在统计学关系（p=0.251）。异物在鼻腔中停留 1 天及以上的患者，其鼻出血的发生率高于异物在 1 天内取出的患者（p<0.05）。
本研究表明，在去除鼻内异物时，吸引器、改良回形针和棉签可以作为减少并发症的有益选择。
4 级喉镜，133：2553-2557，2023 年。
