Document Detail

Foreign bodies in the ears causing complications and requiring hospitalization in children 0-14 age: results from the ESFBI study.
MedLine Citation:
PMID:  18513905     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The occurrence of foreign bodies (FBs) in otorhinolaryngological practice is a common and serious problem among patients in paediatric age. The aim of this work is to characterize the risk of complications and prolonged hospitalization due to foreign bodies in ears in terms of the characteristics of the injured patients (age, gender), typology and features of the foreign bodies, the circumstances of the accident and the hospitalization's details. METHODS: A retrospective study in major hospitals of 19 European countries was realized on children aged 0-14 with regard to the characteristics of the injured child and the FB, the circumstances of the accident and finally the hospitalization's details. RESULTS: Four hundred and ninety eight cases were reported with an injury due to insertion of a FB in the ear (ICD931). Complications were observed in 65 (13.05%) children. Complications were lesion of auricular canal, perforation of tympanic membrane, local inflammation, bleeding, pain and otitis. Hospitalization lasted in median 1 day. The 82% of hospitalized children are in the "day hospital" regimen. The spherical, rigid and inorganic FB caused hospitalization in 61%, 63% and 84% of cases, respectively. CONCLUSION: Foreign body injuries in the ears are commonly encountered in clinical practice. The removal by non-ENT personnel can be associated to complications especially in children who have a variable level of cooperation. Occasions for the injury were mostly playing in the absence of watchful caregivers. Since prevention is the most essential way to deal with FB injuries public education should be encouraged.
Dario Gregori; Bruno Morra; Paola Berchialla; Lorenzo Salerni; Cecilia Scarinzi; Silvia Snidero; Roberto Corradetti; Desiderio Passali;
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2008-06-02
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  36     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2008-12-03     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  7-14     Citation Subset:  IM    
Department of Public Health and Microbiology, University of Torino, Torino, Italy.
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MeSH Terms
Child, Preschool
Ear, Inner*
Ear, Middle*
Earache / epidemiology,  etiology
Emergency Medical Services
Emergency Service, Hospital
Foreign Bodies / epidemiology*
Hemorrhage / epidemiology,  etiology
Hospitalization / statistics & numerical data*
Infant, Newborn
Italy / epidemiology
Otitis / epidemiology,  etiology
Retrospective Studies
Tympanic Membrane Perforation / epidemiology,  etiology
Roberto Corradetti / ; Dario Gregori / ; Desiderio Passali / ; Silvia Snidero / ; Albegger Klaus / ; Huttegger Isidor / ; Schulz Gernot / ; Bauer Jan / ; Bertrand Bernard / ; Karchev Todor / ; Tzolov Tzolo / ; Mladina Ranko / ; Kovac Lana / ; Slapak Ivo / ; Tos Mirko / ; Per Caye-Thomasen / ; Pitkäranta Anne / ; Jahnke Volker / ; Göktas Onder / ; Nikola Simasko / ; Matilda Chroni / ; Ioannis Christopoulos / ; Desiderio Passàli / ; Luisa Bellussi / ; Giulio Cesare Passàli / ; Francesco Passàli / ; Valerio Damiani / ; Mieczysław Chmielik / ; Dorin Sarafoleanu / ; Codrut Sarafoleanu / ; Cristian Gheorghe / ; Janka Jakubíková / ; Miha Zargi / ; Ales Groselj / ; Ales Matos / ; Rubio Lorenzo / ; Javier Cervera / ; Stierna Pontus / ; Philippe Pasche / ; Ahmed Cherif / ; Onerci T Metin / ; Ciftçi Ozden / ; Doğan Riza / ; John Graham / ; Peter Rea / ; Rupert Obholtzer /

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