<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812022000100033</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v6i1.228</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cuerpo extraño en fosas nasales y conducto auditivo externo en el Hospital de Clínicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Foreign body in nostrils and ear canal at Hospital de Clinicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tornaco Maidana]]></surname>
<given-names><![CDATA[Raúl Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pires Cardozo]]></surname>
<given-names><![CDATA[Franciso Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mena Canata]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Girala]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco Peña]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812022000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812022000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812022000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La presencia de cuerpo extraño en cavidad nasal u ótica es un problema frecuente en pediatría, porque puede producir secuelas severas para la salud del paciente. Estratificar por edades nos ayudaría a definir las medidas más apropiadas ente estos eventos en las distintas edades.  Objetivo: Conocer la diferencia de media de edades entre pacientes con cuerpo extraño ótico y nasal.  Metodología:  Estudio observacional descriptivo con componentes analíticos, de muestreo aleatorio simple. De pacientes pediátricos del Hospital de Clínicas con antecedentes de introducción de cuerpo extraño en fosas nasales y conducto auditivo externo de enero a junio del 2019.  Resultados:  Fueron analizadas 182 interconsultas al servicio de otorrinolaringología, de pacientes pediátricos con antecedente de cuerpo extraño en oído o fosa nasal. El 47,81 % era del sexo femenino. En el 58,79 % de los casos el motivo de consulta era cuerpo extraño en fosa nasal y en el 41,21 % en oído. Los métodos de extracción más frecuentes fueron la cureta nasal (87,85 %) y el lavado de oído (54,67 %). Los cuerpos extraños más frecuente fue piezas de bijouteri. Solo 2 (1,09 %) pacientes requirieron internación (ambos con retraso en el desarrollo sicomotor) y extracción bajo sedación. El tratamiento más usado posterior a la extracción de oído fue antibióticos tópicos (52 %) y; antibióticos orales combinados con lavados nasales (28,97 %) para los de fosa nasal. La media de edades de pacientes con cuerpo extraño en fosa nasal fue de 2,97 años y en oído 5,59 años, significativamente mayor (p&lt;0,05).  Conclusión:  Las guías refieren que los niños a partir de los 5 años distinguen lo bueno y lo malo, disminuyen las autointroducciones y esto se vuelve algo más bien accidental; sin embargo, en nuestra experiencia la edad promedio de introducción oído era mayor a 5 años.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The presence of a foreign body in the nasal or otic cavity is a frequent problem in pediatrics, because it can produce severe sequels for the patient's health. Stratifying by age would help us to define the most appropriate measures between these events at different ages.  Objective:  To know the average age difference between patients with otic and nasal foreign bodies.  Methods:  Descriptive observational study with analytical components, simple random sampling. Pediatric patients at the Hospital de Clínicas with a history of introduction of foreign body into the nostrils and external auditory canal from January to June 2019.  Results: 182 interconsultations were analyzed in the otolaryngology service of pediatric patients with a history of foreign body in the ear or nostril. 47.81% were female. In 58.79% of the cases the reason for consultation was foreign body in the nostril and in 41.21% in the ear. The most frequent extraction methods were nasal curettage (87.85%) and earwashing (54.67%). The most frequent foreign bodies were pieces of bijouteri. Only 2 (1.09%) patients required hospitalization (both with delayed psychomotor development) and extraction under sedation. The most commonly used treatment after ear removal was topical antibiotics (52%) and oral antibiotics combined with nasal lavage (28.97%) for nasal fossa. The mean age of patients with foreign body in the nasal fossa was 2.97 years and in the ear 5.59 years (p&lt;0.05).  Conclusion:  The guidelines state that children from 5 years onwards distinguish good and bad, decrease autointroductions and this becomes rather accidental; however, in our experience the average age of ear introduction was greater than 5 years.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[Cavidad Nasal]]></kwd>
<kwd lng="es"><![CDATA[Conducto auditivo externo]]></kwd>
<kwd lng="es"><![CDATA[Extracción]]></kwd>
<kwd lng="en"><![CDATA[Foreign Body]]></kwd>
<kwd lng="en"><![CDATA[Nostril]]></kwd>
<kwd lng="en"><![CDATA[Ear]]></kwd>
<kwd lng="en"><![CDATA[Removal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schuldt]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Großmann]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Weiss]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Ovari]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mlynski]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Schraven]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aural and nasal foreign bodies in children - Epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations]]></article-title>
<source><![CDATA[International Journal of Pediatric Otorhinolaryngology]]></source>
<year>2019</year>
<numero>118</numero>
<issue>118</issue>
<page-range>165-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jahshan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sela]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gruber]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pneumothorax and Pneumomediastinum Complicating Pediatric Foreign Body Aspiration]]></article-title>
<source><![CDATA[Ear, Nose Throat J]]></source>
<year>2020</year>
<volume>99</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>107-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Woodley]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mohd Slim]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Tikka]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Locke]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Not 'just' a foreign body in the ear canal]]></article-title>
<source><![CDATA[BMJ Case Rep]]></source>
<year>2019</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Artigas-Sapiain]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sarría-Echegaray]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tomás-Barberán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo de cuerpos extraños nasales y óticos en niños]]></article-title>
<source><![CDATA[Semer - Med Fam]]></source>
<year>2010</year>
<volume>36</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>278-82</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[French MA]]></surname>
<given-names><![CDATA[Lorenzoni G]]></given-names>
</name>
<name>
<surname><![CDATA[Purnima]]></surname>
<given-names><![CDATA[Azzolina D]]></given-names>
</name>
<name>
<surname><![CDATA[Baldas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gregori D]]></surname>
<given-names><![CDATA[Gulati A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Foreign Body injuries in children in India: Recommendations for prevention from a comparative analysis with international experience]]></article-title>
<source><![CDATA[Int J Pediatr Otorhinolaryngol]]></source>
<year>2019</year>
<numero>124</numero>
<issue>124</issue>
<page-range>6-13</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz Estévez]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Naranjo Rodríguez]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Negret Hernández]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comportamiento de los accidentes por cuerpo extraño en Otorrinolaringología Pediátrica]]></article-title>
<source><![CDATA[RevMedElectrón]]></source>
<year>2015</year>
<volume>37</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>356-63</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres Márquez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fonseca Pelegrín]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Martínez]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[del Campo Mulet]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
<name>
<surname><![CDATA[Roché Hernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Accidentes en la infancia: una problemática actual en pediatría]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2010</year>
<volume>14</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>368-78</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Cuestas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gregori]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lorenzoni]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Tortosa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[D&#8217;Aquila]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recomendaciones sobre la prevención de la aspiración de cuerpos extraños orgánicos]]></article-title>
<source><![CDATA[Arch Argent Pediatría]]></source>
<year>2017</year>
<volume>115</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>512-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabrera García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana Luzón]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[erpos extraños en conducto auditivo externo y fosas nasales]]></article-title>
<source><![CDATA[JANO]]></source>
<year>2001</year>
<numero>1425</numero>
<issue>1425</issue>
<page-range>27-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Faba]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Caro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico, manejo y actualización en cuerpo extraño aerodigestivo]]></article-title>
<source><![CDATA[Rev Otorrinolaringol Cir Cabeza Cuello]]></source>
<year>2008</year>
<volume>68</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>309-18</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Hernández]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Ríos-Nava]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Curiel-Dávalos]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Felipe-Vega]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez-Ramírez]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones por manipulación previa de cuerpos extraños del oído y la nariz en pacientes pediátricos]]></article-title>
<source><![CDATA[An Orl Mex]]></source>
<year>2016</year>
<volume>61</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-34</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nazar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Martelo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Machiavello]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Naser]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cuerpo extraño nasosinusal inusual: presentación de 3 casos]]></article-title>
<source><![CDATA[Acta Otorrinolaringológica Española]]></source>
<year>2014</year>
<volume>65</volume>
<page-range>109-13</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fried]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cuerpos extraños nasales. Manual MSD versión para profesionales]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Artigas-Sapiain]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sarría-Echegaray]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tomás-Barderán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo de cuerpos extraños nasales y óticos en niños. Medicina de Familia]]></article-title>
<source><![CDATA[SEMERGEN. Elsevier]]></source>
<year>2010</year>
<volume>36</volume>
<page-range>278-82</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baranowski]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Aaraj]]></surname>
<given-names><![CDATA[MSA]]></given-names>
</name>
<name>
<surname><![CDATA[Sinha]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Nasal Foreign Body. StatPearls]]></source>
<year>2021</year>
<publisher-name><![CDATA[StatPearls Publishing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tasche]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Otolaryngologic Emergencies in the Primary Care Setting]]></article-title>
<source><![CDATA[Med. Clin. North Am]]></source>
<year>2017</year>
<volume>101</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>641-56</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Awad]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[ElTaher]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[ENT Foreign Bodies: An Experience]]></article-title>
<source><![CDATA[Int Arch Otorhinolaryngol]]></source>
<year>2018</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>146-51</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bressler]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Shelton]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ear Foreign-Body Removal: A Review of 98 Consecutive Cases]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>1993</year>
<volume>103</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>367-70</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tee]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Nasserallah]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The art of removing nasal foreign bodies]]></article-title>
<source><![CDATA[Ncbi]]></source>
<year>2017</year>
<numero>9</numero>
<issue>9</issue>
<page-range>107-12</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
