The prevalence of types of nasal foreign bodies with their clinical presentation and complications in children referring to Tohid Hospital, in Sanandaj 1380-84

Placing and entrapment of an object into the nasal cavity can lead to an unpleasant experience in the early childhood. The aim of this study was to determine the type of foreign bodies, assessment of clinical symptoms and complications of this problem in children referring to Tohid Hospital in Sanandaj from 1380 to1384. This is a prospective descriptive study and included all the cases of nasal foreign bodies who had referred to Tohid Hospital. The sample size comprised 196 children and sampling method was census. Collected data were recorded in questionnaires and analyzed by means of SPSS. win. 196 children of the age of 10 or younger with an average age of 3 years, were included in this study. 57.1% of the patients were male, and 42.9% female. Foreign bodies were detected in the right nasal cavity in 126 cases (64.3%), while in 69(35.2%) of cases the left nasal cavity was involved. In 0.5% of cases foreign bodies were found bilaterally. Removal of foreign bodies in 71.4% of cases was performed within 48 hours, while in 28.6% of the patients this was achieved from 48 hours to a few months after foreign body insertion. 66.7% of the foreign bodies removed by physician and emergency room personnel. The most common nasal foreign bodies were grains (16.8%), toy parts (14.8%) and tissue paper (13.3%). Various clinical presentations included mucopurulent nasal discharge (32.9%), nasal obstructions (22.2%), halitosis (13.3%), chronic cough (9.5%), epistaxis(10.1%), mouth breathing (6.3%) and sneezing(5.7%). The main complications were vestibulitis (38.3%), sinusitis(28.3%), persistent crusting and local atrophic rhinitis(16.7%), rhinolits (5%), S.O.M (3.3%), adhesion and nasal stenosis (3.3%), nasal septal perforation (1.7%), saddle nose deformities (1.7%) and formation of granulation tissue (1.7%). The results of this research concerning types of nasal foreign bodies was compatible with those of others studies. Parents should be warned against attemping to remove inaccessible objects out of the nose of their children. Education and training of physicians and personnel of emergency unit should be regarded necessary.