{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:43:27Z","timestamp":1740167007351,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Foreign body accidents (FBAs) are frequent in children and can be severe, being a common cause of morbidity and mortality and a public health problem. As these accidents are multifactorial, their cause can only be determined by analyzing the clinical details and characteristics of the object. Knowing the associated mechanisms and factors is essential to determine a risk profile and have a preventive, therapeutic, and diagnostic purpose.<\/jats:p><jats:p>\n          Objective\u2003The present study aimed to describe the incidence of FBAs in otorhinolaryngology according to their anatomical location, focusing on the aerodigestive system.<\/jats:p><jats:p>\n          Methods\u2003This is a retrospective study performed by reviewing the medical records of 668 cases seen in the emergency department of a tertiary pediatric hospital in S\u00e3o Paulo, state of S\u00e3o Paulo, Brazil, between 2014 and 2017.<\/jats:p><jats:p>\n          Results\u2003Foreign bodies (FBs) were found in the digestive system (238\/668), in the nasal cavities (206\/668), in the ears (182\/668), in the oropharynx (34\/668), and in the respiratory system (8\/668). A total of 91.77% of the patients were treated in the emergency room. The main age group affected was\u2009&lt;\u20095 years old, with no difference between genders. The most frequent complications affected the digestive system and the most serious occurred in cases involving the respiratory system.<\/jats:p><jats:p>\n          Conclusion\u2003Multidisciplinary teams should be ready in the emergency room to provide adequate care in FBAs. Early diagnosis, FB removal in the emergency room or the surgical center and follow-up are essential. Developing prevention campaigns including a risk profile for certain products and\/or materials, helping to ensure safety for consumers, is necessary. For this, a national database with compulsory notification containing relevant information on FBAs in the pediatric population should be created.<\/jats:p>","DOI":"10.1055\/s-0042-1744255","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:35:22Z","timestamp":1682721322000},"page":"e316-e323","source":"Crossref","is-referenced-by-count":0,"title":["Foreign Body Accidents in a Pediatric Emergency Department"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6071-285X","authenticated-orcid":false,"given":"Saramira Cardoso","family":"Bohadana","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital Infantil Sabar\u00e1, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0820-2673","authenticated-orcid":false,"given":"Rayza Gaspar dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital Infantil Sabar\u00e1, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5845-0923","authenticated-orcid":false,"given":"Mirella Kalyne Cavalcante","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital Infantil Sabar\u00e1, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3776-9115","authenticated-orcid":false,"given":"Regina Grigolli","family":"Cesar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical Sciences College, Santa Casa de S\u00e3o Paulo, Hospital Infantil Sabar\u00e1, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"volume-title":"Crian\u00e7as e Adolescentes Seguros. Guia Completo para Preven\u00e7\u00e3o de Acidentes e Viol\u00eancias","year":"2005","author":"R D Waksman","key":"ref1"},{"issue":"07","key":"ref2","first-page":"653","article-title":"Aspira\u00e7\u00e3o de corpo estranho por menores de 15 anos: experi\u00eancia de um centro de refer\u00eancia do Brasil","volume":"35","author":"S TEV Sousa","year":"2009"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.ijporl.2005.09.024","article-title":"Foreign body aspiration: clinical, radiological findings and factors associated with its late removal","volume":"70","author":"P FS Bittencourt","year":"2006","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1017\/S0022215100113891","article-title":"Radiological diagnosis of aspirated foreign bodies in children: review of 343 cases","volume":"104","author":"L C Mu","year":"1990","journal-title":"J Laryngol Otol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1590\/1980-5497201700050005","article-title":"Principais causas da mortalidade na inf\u00e2ncia no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doen\u00e7a","volume":"20","author":"E B Fran\u00e7a","year":"2017","journal-title":"Rev Bras Epidemiol"},{"issue":"02","key":"ref10","first-page":"74","article-title":"Aspira\u00e7\u00e3o de corpo estranho em crian\u00e7as: aspectos cl\u00ednicos, radiol\u00f3gicos e tratamento broncosc\u00f3pico","volume":"34","author":"A MA Fraga","year":"2008","journal-title":"Jornal Brasileiro de Pneumologia"},{"issue":"03","key":"ref11","first-page":"139","article-title":"corpo estranho na via aerea de crian\u00e7as","volume":"29","author":"V Cassol","year":"2003","journal-title":"J Pneumol"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1542\/pir.21.3.86","article-title":"Pediatric foreign body aspiration","volume":"21","author":"J D Rovin","year":"2000","journal-title":"Pediatr Rev"},{"key":"ref13","first-page":"1","volume-title":"Sol\u00e9s JVCM, Moussalle SK. Corpo estranho em conduto auditivo e vias a\u00e9reas superiores","author":"A da S Portela","year":"2012"},{"issue":"06","key":"ref14","first-page":"699","article-title":"ENT foreign bodies: profile of the cases seen at a tertiary hospital emergency care unit","volume":"79","author":"J Mangussi-Gomes","year":"2013","journal-title":"Braz J Otorhinolaryngol. 2013 Nov-Dec;"},{"issue":"02","key":"ref15","first-page":"177","article-title":"Corpo estranho de orelha, nariz e orofaringe: experi\u00eancia de um hospital terci\u00e1rio","volume":"72","author":"R SL Tiago","year":"2006","journal-title":"Brazilian Journal of Otorhinolaryngology"},{"issue":"04","key":"ref16","first-page":"394","article-title":"Foreign Bodies in Otorhinolaryngology: A Study of 128 Cases","volume":"13","author":"B SR Silva","year":"2009","journal-title":"Int. Arch. Otorhinolaryngol."},{"issue":"02","key":"ref17","first-page":"e2104","article-title":"Accidents in childhood: casuistry of a tertiary service in a medium-sized city in Brazil","volume":"46","author":"A C Gon\u00e7alves","year":"2019","journal-title":"Rev Col Bras Cir"},{"issue":"20","key":"ref18","first-page":"54","article-title":"Corpo estranho em via a\u00e9rea","volume":"2011","author":"M EP Gon\u00e7alves","year":"2011","journal-title":"Pulm\u00e3o RJ"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1001\/jamaoto.2017.2550","article-title":"Traumatic tympanic membrane perforations diagnosed in emergency departments","volume":"144","author":"E T Carniol","year":"2018","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"11","key":"ref20","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1177\/0003489417731578","article-title":"External Auditory Canal Foreign Body Extraction Outcomes","volume":"126","author":"K Karimnejad","year":"2017","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1590\/S0021-75572002000100005","article-title":"Aspira\u00e7\u00e3o de corpos estranhos [Foreign body aspiration]","volume":"78","author":"P F Bittencourt","year":"2002","journal-title":"J Pediatr (Rio J)"},{"issue":"04","key":"ref22","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/S0031-3955(16)34645-4","article-title":"Spelunking in the pediatric airways: explorations with the flexible fiberoptic bronchoscope","volume":"31","author":"R E Wood","year":"1984","journal-title":"Pediatr Clin North Am"},{"issue":"03","key":"ref23","first-page":"315","article-title":"Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults","volume":"38","author":"A J Rodrigues","year":"2012","journal-title":"J Bras Pneumol"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/0002-9610(84)90436-7","article-title":"Bronchoscopic removal of aspirated foreign bodies in children","volume":"148","author":"R E Black","year":"1984","journal-title":"Am J Surg"},{"issue":"02","key":"ref27","doi-asserted-by":"publisher","first-page":"100775","DOI":"10.1016\/j.cpem.2020.100775","article-title":"Clinical Guidelines and Advocacy Towards the Reduction of Pediatric Button Battery Injuries","volume":"21","author":"H Gibbs","year":"2020","journal-title":"Clin Pediatr Emerg Med"},{"issue":"06","key":"ref28","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1542\/peds.2009-3037","article-title":"Emerging battery-ingestion hazard: clinical implications","volume":"125","author":"T Litovitz","year":"2010","journal-title":"Pediatrics"},{"issue":"01","key":"ref30","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1002\/lary.27312","article-title":"pH-neutralizing esophageal irrigations as a novel mitigation strategy for button battery injury","volume":"129","author":"R R Anfang","year":"2019","journal-title":"Laryngoscope"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1744255.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:40:49Z","timestamp":1682721649000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1744255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":23,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,28]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1744255","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"type":"print","value":"1809-9777"},{"type":"electronic","value":"1809-4864"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}