Dış Kulak Yolunda Yabancı Cisim Bulunan Çocuk Hastaların Değerlendirilmesi

Yıl 2023, Cilt: 33 Sayı: 1, 21 - 24, 28.02.2023

Erkun Tuncer , Cüneyt Uğur , Fatih Yüksel

https://doi.org/10.54005/geneltip.1131855

Öz

Amaç: Bu çalışmada dış kulak yolunda yabancı cisim (YC) saptanan hastaların demografik özellikleri, YC tipleri, tedavi yaklaşımları ve komplikasyonların araştırılması amaçlandı.
Yöntemler: Aralık 2020 ve Şubat 2022 tarihleri arasında KBB uzmanları tarafından dış kulak yolunda YC saptanan çocuk hastaların dosyaları retrospektif olarak incelendi. Hastaların yaşı, cinsiyeti, YC’lerin türü, tedavi yöntemleri ve komplikasyonlar kaydedildi.
Bulgular: Dış kulak yolunda YC saptanan 66’sı erkek (% 61,1), 42’si kız (% 38,9) 108 hasta çalışmaya alındı. Hastaların yaşları 1 - 17 yıl arasında ve medyan yaşı 5.0 (4.0) yıl idi. Altmış dört (% 59.3) hastada sağ kulakta, 41 (% 38.0) hastada sol kulakta, 3 (% 2.8) hastada her iki kulakta YC saptandı. YC’lerin en sık görülenleri boncuk (% 31.5), böcek (% 9.3), kalem ucu (%8.3) ve pamuk (% 8.3) idi. Olguların % 9.3'ünde komplikasyon gözlendi. YC’ler, 100 (% 92.6) hastada poliklinik şartlarında çıkarılırken 8 (%7.4) hastada genel anestezi altında çıkarıldı.
Sonuç: Dış kulak yolunda YC’leri sıklıkla 5 yaş ve altı çocuklarda görüldü. YC’lerin çoğunluğunu boncuk gibi inorganik maddeler oluşturmaktaydı. Basit uygulamalarla çıkarılamayan özellikle yuvarlak ve sert YC varlığında komplikasyonlardan kaçınmak için KBB uzmanından konsültasyon istenmelidir.

Anahtar Kelimeler

Çocuk, dış kulak yolu, yabancı cisim, boncuk

Evaluation of Pediatric Patients with Foreign Body in External Auditory Canal

Öz

Aim: The aim of this study is to investigate the demographic characteristics, foreign body (FB) types, treatment approaches and complications of pediatric patients with FB detected in the external ear canal.
Methods: The files of pediatric patients who were found to have FBs in the external auditory canal by ENT specialists between December 2020 and February 2022 were retrospectively reviewed. The age, gender, type of FBs, treatment methods and complications of the patients were recorded.
Results: A total of 108 patients (66 male (61.1%) and 42 female (38.9%) patients) with FB detected in the external ear canal were included in the study. The patients' ages ranged from 1 to 17 years and the median age was 5.0 (4.0) years. FBs were detected in the right ear in 64 (59.3%) patients, in the left ear in 41 (38.0%) patients, and in both ears in 3 (2.8%) patients. The most common FBs were beads (31.5%), insects (9.3%), pencil tips (8.3%) and cotton (8.3%). Complications were observed in 9.3% of the cases. FBs were removed under outpatient conditions in 100 (92.6%) patients, while they were removed under general anesthesia in 8 (7.4%) patients.
Conclusion: FBs in the external ear canal were frequently seen in children aged 5 years and younger. Most of the FBs consisted of inorganic materials such as beads. In order to avoid complications, especially in the presence of a round and hard FB that cannot be removed with simple applications, consultation from an ENT specialist should be requested.

Anahtar Kelimeler

Children, external auditory canal, foreign body, bead

Kaynakça

• Zewdu D, Wondwosen M, Chufamo M, Eanga S, Aga A, Ewnte B, vd. The practice of foreign body removal from the ear, nose, and upper esophageal in children in Ethiopia: A retrospective descriptive study. Laryngoscope Investig Otolaryngol. Aralık 2021;6(6):1316-20.
• Grace A, Francis P, Mgbe R, Offiong M, Enyuma CN, Umana A. Aural foreign bodies in children. Niger J Med. 2020;29(2):269.
• Ansley JF, Cunningham MJ. Treatment of aural foreign bodies in children. Pediatrics. Nisan 1998;101(4 Pt 1):638-41.
• Ologe FE, Dunmade AD, Afolabi OA. Aural foreign bodies in children. Indian J Pediatr. Ağustos 2007;74(8):755-8.
• Schulze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. Temmuz 2002;127(1):73-8.
• Olajuyin O, Olatunya OS. Aural foreign body extraction in children: a double-edged sword. Pan Afr Med J. 2015;20:186.
• Mishra A, Shukla GK, Bhatia N. Aural foreign bodies. Indian J Pediatr. Nisan 2000;67(4):267-9.
• Yadav R, Yadav D. Foreign Bodies in Ear: A Descriptive Study. Indian J Otolaryngol Head Neck Surg. 2021;
• Kim KH, Chung JH, Byun H, Zheng T, Jeong JH, Lee SH. Clinical Characteristics of External Auditory Canal Foreign Bodies in Children and Adolescents. Ear Nose Throat J. Aralık 2020;99(10):648-53.
• Karimnejad K, Nelson EJ, Rohde RL, Costa DJ. External Auditory Canal Foreign Body Extraction Outcomes. Ann Otol Rhinol Laryngol. 01 Kasım 2017;126(11):755-61.
• Bowles PF, Turrell C, Das P. Bilateral aural foreign bodies. Aust Fam Physician. Nisan 2016;45(4):200-1.
• Yegin Y, Çelik M, Olgun B, Şimşek BM, Altıntaş A, Kayhan FT. Evaluation of patients with external auditory canal foreign body. Kocaeli Med J. 2017;6(1):45-51.
• Tonga NL, Modu A, Dajam D. Aural foreign bodies encountered in a Tertiary Health Facility Bingham University Teaching Hospital Jos. Jos J Med. 2019;13(2):79-83.
• Fasunla AJ, Ogunleye OOA, Ijaduola TGA. Healthcare givers’ skill and foreign bodies in the ears of children in the tropics. Int J Pediatr Otorhinolaryngol. Şubat 2007;71(2):191-5.