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塔马利教学医院小儿耳鼻咽喉科异物手术:一项回顾性观察研究

Pediatric otorhinolaryngology surgeries for foreign bodies: A retrospective observational study in Tamale Teaching Hospital.

作者信息

Alhassan Abdul R, Iddrisu Mahadi, Abdul-Karim Nurudeen, Iddrisu Rhubamatu, Baba Mohammed A

机构信息

Department of Surgery Tamale Teaching Hospital Tamale Ghana.

Hasbi Research Consultancy Tamale Ghana.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2023 Aug 21;10(4):275-281. doi: 10.1002/wjo2.130. eCollection 2024 Dec.

Abstract

OBJECTIVE

This present study investigated the prevalence, characteristics, and management of ear, nose, and throat (ENT) foreign body (FB) in the pediatric population of Tamale.

STUDY DESIGN

Retrospective observational study for otorhinolaryngology surgeries from 2019 to 2022 for children aged 17 years and below at Tamale Teaching Hospital.

METHODS

A checklist created was used to collect data from the Otorhinolaryngology Surgeries records from 2019 to 2022. Chi-square and binary logistics regression analysis were done for associations. The level of statistical significance was set at 0.05.

RESULTS

Two hundred and sixty-three cases were included in this study, and the mean age of the study participants was (4.3 ± 3.8) years with a minimum age of 1 month and a maximum age of 17 years. Most (65.4%) of the study participants were under-5 years. The prevalence of FB in this study was 47.9%. The majority (54.8%) of the ENT FB incidence was through ingestion. Almost half (50.8%) of the ENT FB was removed through esophagoscopy. Among the foreign bodies, the coin was the most common (44.5%). Those less than 1 year were more likely to encounter FB than those 12 years and above (adust odds ratio [AOR] = 27.7, 95% confidence interval [CI] = 4.7-164.6). Again, those of 5 to less than 12 years were more likely to encounter ENT FB than those 12 years and above (AOR = 5.7, 95% CI = 1.2-26.3).

CONCLUSIONS

Foreign bodies are a common occurrence in pediatric otorhinolaryngology surgeries in Tamale Teaching Hospital. Younger children are more likely to report for otorhinolaryngology surgeries for FB in Tamale Teaching Hospital.

摘要

目的

本研究调查了塔马利儿科人群中耳、鼻、喉(ENT)异物(FB)的患病率、特征及处理情况。

研究设计

对2019年至2022年在塔马利教学医院进行的17岁及以下儿童耳鼻喉科手术进行回顾性观察研究。

方法

使用创建的检查表从2019年至2022年的耳鼻喉科手术记录中收集数据。对关联进行卡方检验和二元逻辑回归分析。统计学显著性水平设定为0.05。

结果

本研究纳入了263例病例,研究参与者的平均年龄为(4.3±3.8)岁,最小年龄为1个月,最大年龄为17岁。大多数(65.4%)研究参与者年龄在5岁以下。本研究中FB的患病率为47.9%。耳鼻喉科FB发生率的大多数(54.8%)是通过吞食。几乎一半(50.8%)的耳鼻喉科FB通过食管镜取出。在异物中,硬币是最常见的(44.5%)。1岁以下的儿童比12岁及以上的儿童更有可能遭遇FB(调整优势比[AOR]=27.7,95%置信区间[CI]=4.7-164.6)。同样,5岁至12岁以下的儿童比12岁及以上的儿童更有可能遭遇耳鼻喉科FB(AOR=5.7,95%CI=1.2-26.3)。

结论

在塔马利教学医院的儿科耳鼻喉科手术中,异物很常见。在塔马利教学医院,年龄较小的儿童更有可能因FB接受耳鼻喉科手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ea/11634716/02e444090384/WJO2-10-275-g001.jpg

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