Nasal foreign bodies in children in a pediatric hospital in Senegal: A three-year assessment

Publication date: Available online 23 March 2017
Source:European Annals of Otorhinolaryngology, Head and Neck Diseases
Author(s): P.-E.-J. Regonne, M. Ndiaye, A. Sy, Y. Diandy, A.-D. Diop, B.-K. Diallo
ObjectivesNasal foreign bodies (NFB) constitute a common domestic accident in children. The objectives of the present study were to report the particularities of NFBs in children presenting at a pediatric hospital in Senegal, and to describe our therapeutic attitude.Material and methodsA retrospective descriptive study included all under-15 year-olds presenting with NFB in the ENT department of the National Children's Hospital Center of Diamniadio, Senegal, between January 1, 2013 and December 31, 2015. Study variables comprised: age, gender, provenance, presenting symptoms, time to consultation, type of NFB, extraction method, and complications.Results58 NFB cases were retrieved. Mean age was 3years 4months; 93% of patients were under 5 years old. There was female predominance of 53.45%: i.e., sex-ratio, 0.87. Location was in the right cavity in 43 patients (74.1%). The presenting symptom was purulent rhinorrhea in 51.7% of cases. Time to consultation was within 24hours in 17.24% of cases. NFB type was firstly foam rubber (29.3%), followed by grain (20.7%). Extraction was performed in consultation in 84.5% of cases and in the operating room in 15.5%. Morbidity was 22.41%: 17.24% epistaxis and 5.17% nasal infection.ConclusionNFBs constitute a common domestic accident in under-5 year-olds. The rural Senegalese context shows delay in consultation.



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