Lomate Snehal, Ekhar Vipin, Chandankhede Vaibhav, Shelkar Ritesh, Vedi Jeevan
Indira Gandhi Medical College and Hospital, Nagpur, Maharashtra 440001 India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3461-3466. doi: 10.1007/s12070-023-04015-6. Epub 2023 Jun 29.
A foreign body is an object foreign to location where it found. Foreign body (FB) in ear, nose and aerodigestive tract are common problem seen in children and adults. This study aims to know foreign bodies in terms of type, age, site, gender distribution and method of removal. This prospective study was performed in tertiary care centre from 2020-2022. A total 185 patients with foreign bodies in ear, nose and aero digestive tract who were presented to casualty and OPD were included in study. Their demographic data, age of presentation, clinical presentation, foreign bodies types, site of lodgement and management were included in study. Out of 185 patients, 99 were male [53.51%], 86 were female [46.48%]. FB were found to be maximum in ear (44.32%) followed by nose (37.29%), aerodigestive tract (18.37%). The foreign bodies were removed with or without local anaesthesia in 155 patients and under general anaesthesia in only 30 patients. In some patient foreign bodies like coin, small ear ring was expelled out spontaneously. Left Ear FB (51.21%) was seen most commonly than right ear [45.12%] & both ears (3.67%). Right Side of nasal cavity was frequently involved (69.56%) than left nasal cavity [28.99%] & in both nasal cavities (1.45%). In aerodigestive tract, FB most commonly seen at cricopharynx level [38.23%]. The early childhood group had highest number of patients. Foreign bodies in ENT can be easy as well as difficult at times. Thorough and timely clinical and radiological examination helps in diagnosing and subsequent timely intervention.
异物是指在其所处位置之外的物体。耳、鼻及气消化道中的异物是儿童和成人中常见的问题。本研究旨在了解异物在类型、年龄、部位、性别分布及取出方法方面的情况。这项前瞻性研究于2020年至2022年在一家三级医疗中心进行。共有185例耳、鼻和气消化道异物患者被纳入研究，这些患者均前往急诊室和门诊就诊。研究内容包括他们的人口统计学数据、就诊年龄、临床表现、异物类型、存留部位及处理方式。在185例患者中，男性99例[53.51%]，女性86例[46.48%]。发现异物最多的部位是耳（44.32%），其次是鼻（37.29%），气消化道（18.37%）。155例患者在局部麻醉下或未使用局部麻醉取出异物，仅30例患者在全身麻醉下取出。在一些患者中，硬币、小耳环等异物会自行排出。左耳异物（51.21%）比右耳[45.12%]及双耳（3.67%）更常见。右侧鼻腔比左侧鼻腔（28.99%）及双侧鼻腔（1.45%）更常受累（69.56%）。在气消化道中，异物最常见于环咽肌水平[38.23%]。幼儿组患者数量最多。耳鼻喉科的异物有时容易处理，有时则困难。全面及时的临床和影像学检查有助于诊断及随后的及时干预。
