Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study

Introduction: For Otorhinolaryngologist, removal of Foreign Bodies (FB) from the ear, nose and throat is one of the common emergency procedures done. Most of the cases especially of the ear and nose can be managed without General Anaesthesia (GA). But in some cases GA may be needed. There are ve...

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Main Authors: Neizekhotuo Brian Shunyu, Hanifa Akhtar, Habib Md Rezaul Karim, Nari M Lyngdoh, Md. Yunus, Md. Jamil
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9373/22078_CE[Ra1]_F(DK)_Pf1(GU_RO)_PFA(AK)_PF2(P_PC)_PF3(AG_OM).pdf
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author Neizekhotuo Brian Shunyu
Hanifa Akhtar
Habib Md Rezaul Karim
Nari M Lyngdoh
Md. Yunus
Md. Jamil
author_facet Neizekhotuo Brian Shunyu
Hanifa Akhtar
Habib Md Rezaul Karim
Nari M Lyngdoh
Md. Yunus
Md. Jamil
author_sort Neizekhotuo Brian Shunyu
collection DOAJ
description Introduction: For Otorhinolaryngologist, removal of Foreign Bodies (FB) from the ear, nose and throat is one of the common emergency procedures done. Most of the cases especially of the ear and nose can be managed without General Anaesthesia (GA). But in some cases GA may be needed. There are very few studies that address the scenario of ear, nose and throat foreign body that required GA for its removal and the complications associated with it. Aim: This study was conducted with the aim to study the patient’s profile, types and distribution of FB removed under GA, and the associated complications. Materials and Methods: The present study is a hospital based retrospective, cross-sectional study conducted in the Department of Otorhinolaryngology in association with Department of Anaesthesiology and Critical Care in North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India from year 2009 to 2014. Information was collected from indoor patient file and operation record book. Those patients where foreign body was not found after examination under GA were excluded. Results: A total of 112 cases of foreign body in ear, nose and throat removed under GA were selected. There was variation of age from youngest case being 11 months to 74 years with a slight male predominance. Two third of the patients belonged to paediatric age group. Most of the FB were inanimate with high number of inorganic type found in majority. Foreign body in food passage was found in most cases. Coin and meat bone were the common FB in children and adults respectively. We found no complications related to removal of foreign body from the food passage and nose. But some complications were seen in foreign body of ear and tracheo-bronchial tree. Conclusion: Ear, nose and throat FB that required GA were seen in all age groups. FB of food passage constitute the majority. Type of foreign body varies between children and adults. In children most common types were related to toys and their part and food materials. In adults, food materials were most common.
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spelling doaj.art-a1b59e26d7d741d5ae737782f89cf5962022-12-22T03:55:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-02-01112MC01MC0410.7860/JCDR/2017/22078.9373Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective StudyNeizekhotuo Brian Shunyu0Hanifa Akhtar1Habib Md Rezaul Karim2Nari M Lyngdoh3Md. Yunus4Md. Jamil5Associate Professor, Department of ENT and Head and Neck Surgery, NEIGRIHMS, Shillong, India. Assistant Professor, Department of ENT and Head and Neck Surgery, NEIGRIHMS, Shillong, India.Senior Resident, Department of Anaesthesiology and Critical Care and Emergency Medicine, NEIGRIHMS, Shillong, India.Associate Professor, Department of Anaesthesiology and Critical Care and Emergency Medicine, NEIGRIHMS, Shillong, India.Additional Professor, Department of Anaesthesiology and Critical Care and Emergency Medicine, NEIGRIHMS, Shillong, India.Assistant Professor, Department of General Medicine and Emergency Medicine, NEIGRIHMS, Shillong, India.Introduction: For Otorhinolaryngologist, removal of Foreign Bodies (FB) from the ear, nose and throat is one of the common emergency procedures done. Most of the cases especially of the ear and nose can be managed without General Anaesthesia (GA). But in some cases GA may be needed. There are very few studies that address the scenario of ear, nose and throat foreign body that required GA for its removal and the complications associated with it. Aim: This study was conducted with the aim to study the patient’s profile, types and distribution of FB removed under GA, and the associated complications. Materials and Methods: The present study is a hospital based retrospective, cross-sectional study conducted in the Department of Otorhinolaryngology in association with Department of Anaesthesiology and Critical Care in North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India from year 2009 to 2014. Information was collected from indoor patient file and operation record book. Those patients where foreign body was not found after examination under GA were excluded. Results: A total of 112 cases of foreign body in ear, nose and throat removed under GA were selected. There was variation of age from youngest case being 11 months to 74 years with a slight male predominance. Two third of the patients belonged to paediatric age group. Most of the FB were inanimate with high number of inorganic type found in majority. Foreign body in food passage was found in most cases. Coin and meat bone were the common FB in children and adults respectively. We found no complications related to removal of foreign body from the food passage and nose. But some complications were seen in foreign body of ear and tracheo-bronchial tree. Conclusion: Ear, nose and throat FB that required GA were seen in all age groups. FB of food passage constitute the majority. Type of foreign body varies between children and adults. In children most common types were related to toys and their part and food materials. In adults, food materials were most common.https://jcdr.net/articles/PDF/9373/22078_CE[Ra1]_F(DK)_Pf1(GU_RO)_PFA(AK)_PF2(P_PC)_PF3(AG_OM).pdfcomplicationsforeign bodygeneral anaesthesiaotorhinolaryngology
spellingShingle Neizekhotuo Brian Shunyu
Hanifa Akhtar
Habib Md Rezaul Karim
Nari M Lyngdoh
Md. Yunus
Md. Jamil
Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
Journal of Clinical and Diagnostic Research
complications
foreign body
general anaesthesia
otorhinolaryngology
title Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
title_full Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
title_fullStr Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
title_full_unstemmed Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
title_short Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study
title_sort ear nose and throat foreign bodies removed under general anaesthesia a retrospective study
topic complications
foreign body
general anaesthesia
otorhinolaryngology
url https://jcdr.net/articles/PDF/9373/22078_CE[Ra1]_F(DK)_Pf1(GU_RO)_PFA(AK)_PF2(P_PC)_PF3(AG_OM).pdf
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