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


METHODS
A 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.


RESULTS
58 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.


CONCLUSIONS
NFBs constitute a common domestic accident in under-5 year-olds. The rural Senegalese context shows delay in consultation.
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal. Electronic address: regonne.palou@yahoo.fr.
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Regonne
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
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M
Ndiaye
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
A
A
Sy
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
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Y
Diandy
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
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Diop
Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants Albert-Royer, Dakar, Senegal.
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BK
Diallo
D002648:Child; D002675:Child, Preschool; D004844:Epistaxis / Q000209:etiology; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009296:Nasal Cavity; D012189:Retrospective Studies; D012220:Rhinitis / Q000209:etiology; D012675:Senegal / Q000453:epidemiology; D016896:Treatment Outcome
Children; Foreign body; Nasal cavities; Purulent rhinorrhea