{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T15:23:47Z","timestamp":1782228227169,"version":"3.54.5"},"reference-count":17,"publisher":"Universidad del Valle","issue":"2","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Background: Managing foreign bodies in otorhinolaryngology requires appropriate treatment based on case severity.\nObjective: To analyze the clinical characteristics associated with complicated cases of foreign bodies.\nMethods: This study categorized patients with diagnosed foreign bodies into complicated and uncomplicated cases. Complicated cases were defined as complications from foreign bodies requiring an operating room procedure, hospitalization, or tracheal foreign body. Otherwise, they were considered uncomplicated. Clinical data and disease variables were recorded. Univariate and multivariate regression analyses were performed to evaluate the significance of different clinical features between the groups (p-value &lt;0.05).\nResults: Of the 751 cases studied, most cases involving foreign bodies were treated outpatient and typically presented without complications, while 20.1% (n=151) were confirmed as complicated. There were 119 cases present with complications from foreign bodies, 58 requiring removal in an operating room, 57 needing hospitalization, and two tracheal foreign bodies. Multivariate analysis revealed that male gender (p-value 0.043, OR (95%CI) = 1.554 (1.015-2.378)), positive presenting symptoms (p-value &lt;0.0001, OR (95%CI)= 4.081 (2.299-7.248)), foreign body in the hypopharyngeal area (p-value &lt;0.0001, OR (95%CI) = 65.615 (6.907-623.336)), and foreign body in the laryngeal area (p-value 0.006, OR (95%CI) = 27.787 (2.568-300.673)) were significantly associated with complicated foreign bodies cases.\nConclusion: Complicated foreign body cases should be addressed in male patients complaining of symptoms and foreign bodies in the hypopharyngeal and laryngotracheal locations. Due to the complexity of their condition, effective management of these patients requires a multidisciplinary approach.<\/jats:p>","DOI":"10.25100\/cm.v55i2.5837","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T15:53:40Z","timestamp":1738252420000},"page":"e2045837","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Complicated cases in foreign bodies of the ear, nose, and throat: a case series"],"prefix":"10.25100","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1076-6029","authenticated-orcid":false,"given":"Chonticha","family":"Srivanitchapoom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7340-7392","authenticated-orcid":false,"given":"Kedsaraporn","family":"Yata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10728","published-online":{"date-parts":[[2024,6,30]]},"reference":[{"key":"90351","doi-asserted-by":"crossref","unstructured":"Zewdu D, Wondwosen M, Chufamo M, Eanga S, Aga A, Ewnte B, et al. The practice of foreign body removal from the ear, nose, and upper esophageal in children in Ethiopia: a retrospective descriptive study. Laryngoscope Investig Otolaryngol. 2021; 6: 1316-20. https:\/\/doi.org\/10.1002\/lio2.688 PMid:34938868 PMCid:PMC8665465","DOI":"10.1002\/lio2.688"},{"key":"90352","doi-asserted-by":"crossref","unstructured":"Awad AH, ElTaher M. ENT foreign bodies: an experience. Int Arch Otorhinolaryngol. 2018; 22: 146-51. https:\/\/doi.org\/10.1055\/s-0037-1603922 PMid:29619103 PMCid:PMC5882369","DOI":"10.1055\/s-0037-1603922"},{"key":"90353","doi-asserted-by":"crossref","unstructured":"Sjogren PP, Mills TJ, Pollak AD, Muntz HR, Meier JD, Grimmer F. Predictors of complicated airway foreign body extraction. Laryngoscope. 2018; 128: 490-5. PMid:28815616","DOI":"10.1002\/lary.26814"},{"key":"90354","doi-asserted-by":"crossref","unstructured":"Mackle T, Conlon B. Foreign bodies of the nose and ears in children. Should these be managed in the accident and emergency setting? Int J Pediatr Otorhinolaryngol. 2006; 70: 425-8. https:\/\/doi.org\/10.1016\/j.ijporl.2005.07.007 PMid:16125254","DOI":"10.1016\/j.ijporl.2005.07.007"},{"key":"90355","doi-asserted-by":"crossref","unstructured":"Yan S, Zeng N, Chen G, Chen Y, Wu Z, Pan H, et al. Presentation and management of nasal foreign bodies in a Chinese metro area. Medicine (Baltimore). 2021; 100: e25626. https:\/\/doi.org\/10.1097\/MD.0000000000025626 PMid:33879736 PMCid:PMC8078234","DOI":"10.1097\/MD.0000000000025626"},{"key":"90356","doi-asserted-by":"crossref","unstructured":"Mukherjee A, Haldar D, Dutta S, Dutta M, Saha J, Sinha R. Ear, nose and throat foreign bodies in children: a search for socio-demographic correlates. Int J Pediatr Otorhinolaryngol. 2011; 75: 510-2. https:\/\/doi.org\/10.1016\/j.ijporl.2011.01.006 PMid:21295355","DOI":"10.1016\/j.ijporl.2011.01.006"},{"key":"90357","doi-asserted-by":"crossref","unstructured":"Karimnejad K, Nelson EJ, Rohde RL, Costa DJ. External auditory canal foreign body extraction outcomes. Ann Otol Rhinol Laryngol. 2017; 126: 755-61. https:\/\/doi.org\/10.1177\/0003489417731578 PMid:28954532","DOI":"10.1177\/0003489417731578"},{"key":"90358","doi-asserted-by":"crossref","unstructured":"Thompson SK, Wein RO, Dutcher PO. External auditory canal foreign body removal: management practices and outcomes. Laryngoscope. 2003; 113: 1912-5. https:\/\/doi.org\/10.1097\/00005537-200311000-00010 PMid:14603046","DOI":"10.1097\/00005537-200311000-00010"},{"key":"90359","unstructured":"Heim SW, Maughan KL. Foreign bodies in the ear, nose, and throat. Am Fam Physician. 2007; 76: 1185-9."},{"key":"90360","doi-asserted-by":"crossref","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014; 12: 1495-9. https:\/\/doi.org\/10.1016\/j.ijsu.2014.07.013 PMid:25046131","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"90361","doi-asserted-by":"crossref","unstructured":"Tiago RSL, Salgado DC, Corr\u00eaa JP, Pio MR, Lambert EE. Foreign body in ear, nose, and oropharynx: experience from a tertiary hospital. Braz J Otorhinolaryngol. 2006; 72: 177-81. https:\/\/doi.org\/10.1016\/S1808-8694(15)30052-5 PMid:16951849","DOI":"10.1016\/S1808-8694(15)30052-5"},{"key":"90362","doi-asserted-by":"crossref","unstructured":"Figueiredo RR, de Azevedo AA, de Avila K\u00f3s AO, Tomita S. Complications of ent foreign bodies: a retrospective study. Braz J Otorhinolaryngol. 2018; 74: 7-15. https:\/\/doi.org\/10.1016\/S1808-8694(15)30744-8 PMid:18392495","DOI":"10.1016\/S1808-8694(15)30744-8"},{"key":"90363","doi-asserted-by":"crossref","unstructured":"Oya R, Horii A, Uno A, Kawasaki Y, Inohara H. Foreign bodies in the ear, nose, and throat in Japan: association with sociocultural and geographical conditions. Auris Nasus Larynx. 2019; 46: 618-23. https:\/\/doi.org\/10.1016\/j.anl.2018.11.007 PMid:30509554","DOI":"10.1016\/j.anl.2018.11.007"},{"key":"90364","doi-asserted-by":"crossref","unstructured":"Lee CH, Chen TH, Ko JY, Yeh TH, Hsu WC, Kang KT. Ear, nose, and throat foreign bodies in adults: A population-based study in Taiwan. J Formos Med Assoc. 2019; 118: 1290-8. https:\/\/doi.org\/10.1016\/j.jfma.2019.05.003 PMid:31133521","DOI":"10.1016\/j.jfma.2019.05.003"},{"key":"90365","unstructured":"Ngo A, Ng KC, Sim TP. Otorhinolaryngeal foreign bodies in children presenting to the emergency department. 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