Rhinological foreign bodies in Ekiti

Adegbiji, Waheed Atilade and Aremu, Shuaib Kayode and Olatoke, Fatai and Nwawolo, Clement (2018) Rhinological foreign bodies in Ekiti. MedLife Open Access, 1. pp. 1-5.

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Abstract

BACKGROUND: Nasal foreign body impaction is still a challenge due to high levels of pre-hospital unskilled attempted removal. This study aimed at determining the prevalence, sociodemographic features, etiology, clinical presentation, management, and outcome in a tertiary care center in Nigeria. MATERIALS AND METHODS: This is a prospective hospital-based study of all patients with impacted rhinology foreign bodies. Consented patients were studied between October 2015 and September 2017. Interviewer-assisted questionnaire was used to collect data. Analysis of obtained data was done with SPSS version 16.0. RESULTS: Prevalence of rhinological foreign body impaction was 2.4%. There were 67.1% males, and the male to female ratio was 1.5:1. There were 34.2% inorganic foreign bodies and 65.8% organic. Commonest foreign bodies were seeds, foam, and beads in 28.8, 24.7, and 15.1%, respectively. Unilateral foreign body was 98.6% and bilateral foreign body was 1.4%. Right was commoner than left in 53.4 and 45.2%, respectively. Major sources of referral were self-reporting in 34.2% and general practitioners in 24.7%. Commonest mode of presentation in this study was foreign body impaction in 91.8%, nasal blockage in 80.8%, and pain in 80.8%. Acute foreign body presentation was 98.3%, while chronic foreign body presentation was 2.7%. Commonest predisposing factors for rhinological foreign body were 16.4% allergy and 5.5% mental disorders. Associated disabilities with rhinological foreign body impaction were anxiety, irritability, and absenteeism in 15.1, 19.2, and 39.7%, respectively. In the management of the foreign body impaction, 91.8% objects were visualized. All patients had foreign body removed. Prehospital treatment occurred in 63.0%. 21.9% of the patients had conservative/medical treatment and bleeding controlled in 16.4%. Commonest associated complications were 9.6% epistaxis and 15.1% rhinosinusitis. 97.3% had foreign body removed without anesthesia. 83.6% patients were satisfied with the hospital treatment intervention. CONCLUSION: Presentation of nasal foreign body impaction was common in otorhinolaryngologist practice worldwide. Nasal foreign body impaction is still a challenge due to high levels of complicated prehospital unskilled attempted removal.

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