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Fb Case Studies

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Discussion The present study considered patients examined for ENT FBs in the OD and in the ENT emergency unit in a tertiary referral hospital for 2 consecutive years (from July 2014 to June 2016). The 1,013 cases of ENT FBs accounted for 30% of all patients examined in the ENT emergency services during this period. According to the literature, FBs account for � 11% of the cases observed in ENT emergency services.2–4 Ear, nose and throat FB injuries represent an emerging problem in the population, especially in the pediatric age group, because of their human and social costs.10,11 In the present study, FBs represented the most common ENT emergencies; this is similar to other studies, which also recorded FBs to be the most common ENT …show more content…

Therapeutic success depends on several factors, but there is no strong evidence to indicate that one specific removal method should be performed over others.22 It is known, however, that the permanence of FBs in ENT cavities for over 72 hours and repeated attempts to remove the FB increase the risk of complications. 2,3,23 In our study, the FB was removed with or without LA in 40.57% of the patients; 54.69% of the patients required removal under GA; and no FB was found in 4.74% of the patients, in spite of positive history. In our study, the need for GA to remove the FBs was higher than the rates reported in the literature (around 30%).3,6,24 A study by Barreto and Holinger in 2005 mentioned that, among the upper digestive tract FB cases, fish bone was the most common (70.5%), followed by coin in the esophagus (6.63%), artificial denture impaction in the esophagus (1.89%), and meat bone impaction in the esophagus (1.49%).25 In our study, the most commonly ingested FBs were coins (75.37%), followed by meat lumps (5.88%) and fish bones (5.51%). Since coins are used as currency, toddlers and children have easy access to them, and accidentally swallow them. The most common site of lodgment was the cricopharynx, and that correlates with other studies.19,26 Foreign body ingestion is common among children, but it is frequently observed among intellectually disabled or mentally ill adults as well.27 A total of

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