Laryngo-tracheo-bronchial foreign bodies in children

1988 ◽  
Vol 102 (11) ◽  
pp. 1029-1032 ◽  
Author(s):  
Amit Banerjee ◽  
K. S. V. K. Subba Rao ◽  
S. K. Khanna ◽  
P. S. Narayanant ◽  
B. K. Gupta ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Bronchial Tree ◽  
Endoscopic Removal ◽  
Diagnosis And Management ◽  
Respiratory Passage ◽  
History Of ◽  
The Right

AbstractInhalation of a foreign body into the respiratory passage can be a serious and sometimes fatal childhood accident. In this paper we analyze the management of 223 children with laryngo-tracheo-bronchial foreign bodies. Children below three years of age were found to be the most vulnerable. The majority of the patients were boys. Over a quarter of the patients did not present with a history of inhalation. Only 52 per cent reported within 24 hours of inhalation. Endoscopic removal was possible in all but nine cases. One hundred and fort eight (66.4 per cent) of the recovered foreign bodies were organic in origin, the majority of them being peanuts. In one hundred and five (47.1 per cent) the objects found their way into the right bronchial tree. There were two deaths. The modalities of diagnosis and management are discussed.

scholarly journals Management of an Unusual Intranasal Foreign Body Abutting the Cribriform Plate: A Case Report and Review of Literature

2019 ◽  
Vol 12 ◽  
pp. 117955061985860
Author(s):  
Mingyang L Gray ◽  
Catharine Kappauf ◽  
Satish Govindaraj
Keyword(s):  
Foreign Body ◽  
Skull Base ◽  
Foreign Bodies ◽  
Cribriform Plate ◽  
Sinus Surgery ◽  
Csf Leak ◽  
Intracranial Involvement ◽  
History Of ◽  
Initial Imaging ◽  
The Right

A 35-year-old man with history of schizophrenia presented 3 weeks after placing a screw in his right nostril. Initial imaging showed a screw in the right ethmoid sinus with the tip penetrating the right cribriform plate. On exam, the patient was hemodynamically stable with purulent drainage in the right nasal cavity but no visible foreign body. While most nasal foreign bodies occur in children and are generally removed at the bedside, intranasal foreign bodies in adults tend to require further assessment. The foreign body in this case was concerning for skull base involvement and the patient was brought to the operating room (OR) with neurosurgery for endoscopic sinus surgery (ESS) and removal of foreign body. The screw was removed and the patient recovered with no signs of cerebrospinal fluid (CSF) leak postoperatively. Any concern for skull base or intracranial involvement should call for a full evaluation of the mechanism of injury and intervention in a controlled environment.

scholarly journals Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Self-Inflicted Urethrovesical Foreign Bodies in Children

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Canan Ceran ◽  
Sema Uguralp
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Skin Incision ◽  
Definitive Treatment ◽  
Endoscopic Removal ◽  
X Ray ◽  
History Of ◽  
Endoscopic Guidance ◽  
Lower Urinary

We present two cases of self-inflicted urethrovesical foreign body in children. Case 1 was a 6-year-old girl admitted with a history of self-introduction of a pin. The X-ray revealed the pin as 3.5 cm in length and in the bladder. The foreign body was removed endoscopically. Case 2 was a 13-year-old boy with a self-introduced packing needle, 13 cm in length, partially in the urethra. The end and the tip of the needle passed through the urethra to the surrounding tissues. Foreign body removed via a little skin incision with endoscopic guidance. Foreign bodies are rarely found in the lower urinary tract of children. Definitive treatment is usually the endoscopic removal; however, sometimes surgical intervention may require.

scholarly journals A Rare Case of Chronic Intracerebral Foreign Body

2020 ◽  
Vol 2 (1) ◽  
pp. 18-23
Author(s):  
Naufal Hilmy Imran ◽  
Wahyudi
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gunshot Wounds ◽  
Anatomical Location ◽  
Major Injury ◽  
Left Limb ◽  
Foreign Body Extraction ◽  
History Of ◽  
Motor Strength ◽  
The Right

Introduction: Intracranial foreign bodies are usually caused by trauma that penetrates the cranium. Gunshot wounds are the most common cause, while non-missile intracranial penetration is rare. The patient’s clinical condition highly depends on the mechanism, anatomical location of the lesion, and related injuries. Possible complications include intracerebral hemorrhage, contusion, major injury on the vascular, and meningitis. In this article, we report case of intracerebral nail extraction from a patient with right cerebral foreign body. Case presentation: A 22-year-old man with a history of unspecified schizophrenia reported with reduced awareness accompanied by weakness of his left limb. During a head CT scan of the head, there are several tubular foreign bodies in the right cerebral. Craniotomy for foreign body extraction and drainage of the cerebral abscess is immediately performed. Four days after surgery, the patient had increased awareness, although there was no significant improvement in motor strength. One month after discharged from hospital there was slight improvement in motor strength. Conclusion: Extraction of foreign bodies by a surgical procedure is mandatory and should be performed thoroughly. The administration of antibiotics, anticonvulsants, physiotherapy, and psychiatric follow-up should be added to the treatment of this patient.

scholarly journals Migration of a Swallowed Blunt Foreign Body to the Neck

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Kerem Ozturk ◽  
Goksel Turhal ◽  
Sercan Gode ◽  
Atilla Yavuzer
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Primary Closure ◽  
Foreign Bodies ◽  
Barium Swallow ◽  
X Rays ◽  
Upper Aerodigestive Tract ◽  
Computed Tomography Scans ◽  
History Of ◽  
The Right

Ingestion of foreign bodies is a common problem in the otolaryngology practice. Reports of extraluminal migration of the foreign bodies from the upper aerodigestive tract are rare. Penetration and extraluminal migration of ingested foreign bodies may cause severe vascular and suppurative complications, even death. We report a 4-year-old girl who presented with a mass and partial extrusion of a foreign body in the neck. She had a history of ingesting the plastic top piece of a knitting needle approximately 1 year ago. She had been asymptomatic until the present time. The examination revealed a red, blunt, rectangular plastic foreign body half embedded in the skin of the right neck. Esophagography with barium swallow, cervical X-rays, and computed tomography scans were obtained. The foreign body was easily removed under general anesthesia. Primary closure and direct laryngoscopy was also performed. The patient recovered very well without any complications.

scholarly journals A needle in a haystack: Endoscopic removal of a foreign body from the infratemporal fossa

2018 ◽  
Vol 9 ◽  
pp. 215265671876414 ◽  
Author(s):  
Khrystyna Ioanidis ◽  
Brian Rotenberg
Keyword(s):  
Foreign Body ◽  
Image Guidance ◽  
Foreign Bodies ◽  
Intraoperative Imaging ◽  
Infratemporal Fossa ◽  
Endoscopic Removal ◽  
Dental Procedure ◽  
Open Technique ◽  
Foreign Body Removal ◽  
The Right

Background This report presented the case of a difficult-to-remove needle foreign body. The patient had a dental procedure in which a 30-gauge needle was lost in the gingival buccal sulcus. Several attempts at removal were unsuccessful. The patient presented to the otolaryngology clinic with trismus, pain with mastication, intermittent right otalgia, and numbness of the right cheek. Methods The needle was finally localized in the infratemporal fossa and removed by using image guidance technology. Results This case demonstrated an approach to a difficult-to-locate foreign body removal and the importance of intraoperative imaging in foreign body localization. Conclusion Foreign bodies of the infratemporal fossa and posterior orbit are better removed via endoscopic than open technique.

Foreign Body of the Right Nostril and Left Bronchus

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 303-304
Author(s):  
Donald B. Hawkins ◽  
Emily J. Kahlstrom ◽  
Eithne F. MacLaughlin ◽  
Monique F. Margetis
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Los Angeles ◽  
Los Angeles County ◽  
Foreign Bodies ◽  
Medical Center ◽  
University Of Southern California ◽  
Left Bronchus ◽  
History Of ◽  
The Right

Foreign bodies in the airway often present problems for physicians who treat children. The following case report illustrates some of these problems. CASE REPORT A 6-year-old boy was admitted to the Pediatric Respiratory Disease Service of the Los Angeles County-University of Southern California Medical Center with a complaint of persistent nonproductive cough since awakening the morning of the previous day. He also had a history of discharge from his right nostril for eight months, at times foul-smelling. During this time, he had seen doctors on three occasions; twice antibiotics had been prescribed for sinus infection. He was in no distress, and demonstrated no respiratory difficulty.

Transesophageal Echocardiography Use in Diagnosis and Management of Embolized Intravascular Foreign Bodies

2018 ◽  
Vol 22 (1) ◽  
pp. 100-103 ◽  
Author(s):  
James Taylor Herbert ◽  
Miklos David Kertai
Keyword(s):  
Foreign Body ◽  
Transesophageal Echocardiography ◽  
Foreign Bodies ◽  
Vena Cava ◽  
Case Series ◽  
Surgical Removal ◽  
Diagnosis And Management ◽  
Endovascular Interventions ◽  
Intravascular Foreign Body ◽  
The Right

The increasing use of endovascular interventions coupled with the large number of published case series detailing complications attest to the likelihood that anesthesiologists will encounter a case of intravascular foreign body embolization during their careers. Transesophageal echocardiography is essential to the diagnosis and management of traumatic and intravascular foreign bodies embolized to the heart because it can identify not only the foreign body but also hemodynamically significant lesions to radiolucent anatomic structures prior to and during surgical exploration. In this case presentation, we review how intraoperative transesophageal echocardiography facilitated the intraoperative assessment and management of a post–liver transplant patient who underwent open surgical removal of migrated inferior vena cava stent from the right ventricle with concomitant tricuspid valve annuloplasty.

Five-Year Retrospective Study with Special Reference to Management

1980 ◽  
Vol 89 (5) ◽  
pp. 437-442 ◽  
Author(s):  
Seymour R. Cohen ◽  
Wayne I. Herbert ◽  
George B. Lewis ◽  
Kenneth A. Geller
Keyword(s):  
Foreign Body ◽  
Los Angeles ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Muscle Relaxation ◽  
Bronchial Tree ◽  
Tracheobronchial Tree ◽  
Team Approach ◽  
The Right ◽  
Postoperative Problems

The charts of 143 patients with foreign bodies in the larynx and tracheobronchial tree who were admitted to the Childrens Hospital of Los Angeles during the period 1973 to 1978 were reviewed. Of these children 84 were male and 59 were female. One hundred were private patients and forty-three were clinic patients. Of these foreign bodies 60 were nut meat which is by far the most common foreign body of the tracheobronchial tree. All foreign bodies were successfully removed. One hundred twenty-six were discharged within the first 24 hours after admission and treatment. Fifty-one or 36% of these patients were discharged on the same day after the foreign body was removed. Sixty-two of the foreign bodies were in the left bronchial tree, while 55 were in the right bronchial tree. One hundred thirty-eight were endoscoped under general anesthesia using the apneic technique and five patients were treated with oxygen standby only because of severe respiratory obstruction. A detailed description of the use of apneic technique with profound muscle relaxation, the avoidance of preoperative medication and the team approach to ventilating the patients are all described. The advantage of general anesthesia, and the potential intraoperative and postoperative problems are reviewed. Of the total number of cases 13 % were between 4 and 11 months of age, 44% were between 12 and 23 months of age and 57% were over 23 months of age.

Unsuspected Foreign Bodies of the Aerodigestive Tract

1978 ◽  
Vol 87 (4) ◽  
pp. 515-518 ◽  
Author(s):  
William Banks ◽  
William P. Potsic
Keyword(s):  
Foreign Body ◽  
Early Diagnosis ◽  
Chart Review ◽  
Foreign Bodies ◽  
Failure To Thrive ◽  
Late Complications ◽  
Aerodigestive Tract ◽  
Endoscopic Removal ◽  
Children's Hospital ◽  
Prolonged Duration

The well-known tendency for children to place loose objects in their months not infrequently leads to the entrapment of foreign bodies in the aerodigestive tract. With prompt and adequate removal few complications occur. However, when the foreign body goes undetected or is neglected the patient may develop dysphagia, pneumonia, failure to thrive, lung or mediastinal abscesses, bronchopulmonary or bronchoesophageal fistulas, or erosion of major vessels. Fifteen cases of retained foreign bodies were identified in a chart review between 1971 and 1977 at the Children's Hospital of Philadelphia, calling attention to the problems of aerodigestive foreign bodies of prolonged duration. Early and late complications are discussed and early diagnosis and endoscopic removal emphasized.

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