Removal of nasal foreign bodies with a Fogarty biliary balloon catheter

1994 ◽  
Vol 108 (9) ◽  
pp. 758-760 ◽  
Author(s):  
V. Nandapalan ◽  
J. C. McIlwain
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Balloon Catheter ◽  
Safe Procedure ◽  
The Cost

AbstractTwenty-five children with a range of nasal foreign bodies, which were not easily amenable to anterior instrumental extraction, were considered for this study. These foreign bodies were removed by the use of a Fogarty biliary balloon catheter (Intimax) successfully in 23 children. In two children no foreign body was found. None of the children had any complications.This is a safe procedure which can be performed as an out-patient. Whilst the cost of the catheter may appear expensive, in comparison to the cost of admission for removal of similarly sited foreign bodies under general anaesthesia, the catheter fares favourably.

scholarly journals Removal of Aural Tick in a General Practitioner Setting During COVID-19 Lockdown

2020 ◽  
Author(s):  
Zuraida Zainun ◽  
Husbani Suhaimee ◽  
Irfan Mohamad ◽  
Azliehanis Abdul Hadi
Keyword(s):  
General Practitioner ◽  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Medical Science ◽  
Tropical Climate ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Clinic Setting

Foreign body in the ear including beads and seeds is not uncommon in children. Tick also has been a common aural foreign body especially in tropical climate countries. Although in older cooperative children it can be attempted in the clinic setting, most of paediatric aural foreign bodies require general anaesthesia. In addition, a general practitioner setting may impose additional limitations. The available instruments and experience maybe be different from a tertiary referral centre. We report a case of a 3-year-old child with left ear pain for 4 days associated with loud crying when the pinna was touched. It has been worsening until the cry became continuous. The mother was quite hesitated to bring the child to hospital because of the lockdown situation. She sought nearby general practitioner where the engorged tick was removed without any complication in that clinic alone. Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 82-S 84

scholarly journals The ‘Parent's Kiss’: An Effective Way to Remove Paediatric Nasal Foreign Bodies

2008 ◽  
Vol 90 (5) ◽  
pp. 420-422 ◽  
Author(s):  
Neeraj Purohit ◽  
Shalina Ray ◽  
Tom Wilson ◽  
OP Chawla
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Foreign Bodies ◽  
Secondary Outcome ◽  
General Anaesthetic ◽  
Number Of Children ◽  
Accident And Emergency ◽  
Successful Removal

INTRODUCTION The objectives of this study were to: (i) evaluate the effectiveness of ‘parent's kiss’ as a technique for removal of nasal foreign bodies in children; and (ii) determine whether this technique reduces the number of children requiring general anaesthesia for their removal. PATIENTS AND METHODS This was a prospective observational study in the accident and emergency and ENT departments at Luton and Dunstable Hospital. The participants were 31 children with nasal foreign bodies, under the age of 5 years, presenting via the acute services over a 6-month period. The primary outcome measured was successful removal of nasal foreign body with the ‘parent's kiss’ technique. Secondary outcome was reduction in the number of general anaesthetics following introduction of the technique. RESULTS The technique was successful in 20 out of the 31 children (64.5%) in the study group. Only one patient required general anaesthesia for removal of nasal foreign body (3%). This compares with a rate of 32.5% requiring removal under general anaesthetic in the preceding 6-month period. The ‘parent's kiss’, when not successful, seemed to improve the visibility of the foreign body making their subsequent removal easier. CONCLUSIONS The ‘parent's kiss’ is an effective technique. It is non-traumatic, both physically and emotionally, for the child subjected to it. We advocate that it should be used routinely as a first line of management in children with a nasal foreign body in the primary care setting.

scholarly journals Role of Foley’s Catheter in Removing Foreign Body of Oesophagus

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Prakash Adhikari ◽  
CL Bhusal ◽  
RPS Guragain ◽  
S Acharya ◽  
B Budhathoki
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Fluoroscopic Control ◽  
Successful Removal ◽  
Foley’S Catheter ◽  
Rigid Oesophagoscopy

Oesophageal foreign bodies are commonly removed with rigid oesophagoscopy under general anaesthesia, but spherical foreign bodies can also be removed using a foley's catheter under fluoroscopic control without anaesthesia. We present a case of successful removal of a spherical marble from the oesophagus in a four years old girl by a foley's catheter under general anaesthesiaKeywords:Keywords:Foreign body, oesophagus, foley’s catheter

scholarly journals Study on prevalence of foreign bodies in ENT

2020 ◽  
Vol 7 ◽  
Author(s):  
Shilpi Agrawal ◽  
Haritosh K. Velankar
Keyword(s):  
Foreign Body ◽  
Emergency Room ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Age Groups ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Location ◽  
Nose And Throat

Introduction- Foreign body is a substance that doesn’t belong to a location where it is found. Ear,nose and throat are common location for occurence of foreign bodies. It is a common problem encountered in both adults and children. Objective- 1) To analyse the different kinds of foreign bodies in ear ,nose and throat and their prevalence in different age groups. 2) To analyse the most prevalent site of foreign body among ear, nose and throat.Methods- A cross-sectional study was performed in our tertiary care hospital in Navi-mumbai. The study period was from august 2017 to august 2019. The study population were the patients who came to the out patient department and emergency room of this hospital.Result- A total of 100 patients as sample size with foreign bodies in ear, nose or throat were taken on first come basis. 62 were males and 38 were females. Of the 100 patients, 36 had foreign body in ear, 47 in nose and 17 in the throat. The foreign body was removed under local anaesthesia in 4% patients, with general anaesthesia in 30 % and with no anaesthesia at all in 66% patients. The most common age group affected was less than 10 years among both male and female patients.Conclusion- The most frequent site of foreign body occurrence was found to be nose. The most common site requiring general anaesthesia for foreign body removal was throat. Although most of the foreign bodies could be removed without any anaesthesia in the emergency room or outpatient department.

scholarly journals Foreign bodies in adult upper digestive tract: a series of 30 cases

2018 ◽  
Vol 4 (2) ◽  
pp. 575
Author(s):  
Nirmal Kumar Jayaraman ◽  
Vikram V. J. ◽  
Kalaiselvi M. ◽  
Sudha M.
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Oesophageal Perforation ◽  
Rigid Endoscopy ◽  
Upper Digestive Tract ◽  
Madras Medical College ◽  
Sharp Foreign Body

<p class="abstract"><strong>Background:</strong> Rigid endoscopy under general anaesthesia has traditionally been used by otolaryngologist for diagnosis and management of variety of disorders affecting the upper digestive tract including the removal of foreign body. Smooth foreign bodies does not pose much threat but may cause airway obstruction. Sharp foreign bodies, if not removed the earliest may penetrate oesophageal wall and cause complications.</p><p class="abstract"><strong>Methods:</strong> A Retrospective analysis was done for patients who underwent rigid oesophaghoscopy under general anaesthesia for 30 patients of foreign body ingestion at Upgraded Institute of Otorhinolaryngology, Madras Medical College, Chennai, between November 2016 – November 2017. The records of age, sex, co-morbidities, X-ray finding, complications were recorded.  </p><p class="abstract"><strong>Results:</strong> Majority of adults in this group belonged to 40-50 years age. The most common foreign body impacted was chicken bone totalling 16. 2 patients of denture ingestion were referred for flexible endoscopy after failed attempt, 1 developed oesophageal perforation.</p><p><strong>Conclusions:</strong> Rigid endoscopy is the gold standard for removal of sharp foreign body as the sharp ends can be clasped and brought in to the endoscope there by preventing damage to the mucosa. Foreign body with multiple sharp ends which cannot be negotiated into rigid endoscope, should be pushed into the stomach and attempted removal by cutting sharp ends of foreign body or by gastrostomy, as pulling such foreign body will lead to full length tear of oesophagus leading to morbidity and mortality. </p>

Combined forceps and catheter extraction of an oesophageal foreign body

1997 ◽  
Vol 111 (6) ◽  
pp. 583-584 ◽  
Author(s):  
R. Al-Shahi ◽  
M. O'Connell ◽  
P. Huchzermeyer ◽  
V. Moore-Gillon
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Balloon Catheter ◽  
Endoscopic Guidance

AbstractThe extraction of impacted foreign bodies from the oesophagus is frequently performed using forceps under endoscopic guidance. We report the case of a 23-year-old prisoner who ingested a lump of cannabis resin which could not be removed from the upper oesophagus with forceps alone. We recommend the use of a Fogarty balloon catheter in conjunction with toothed forceps in such cases.

scholarly journals Experience of management of nasal foreign bodies in Out patient department of a Tertiary Hospital

2016 ◽  
Vol 21 (2) ◽  
pp. 102-109
Author(s):  
Md Abdur Rahman ◽  
Mesbah Uddin Ahmed ◽  
Md Abdullah Al Harun ◽  
Mohammad Harun OR Rashid ◽  
MA Kalam Prodhan
Keyword(s):  
Foreign Body ◽  
Head And Neck ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Neck Surgery ◽  
Tertiary Hospital ◽  
Head And Neck Surgery ◽  
Outpatient Department ◽  
Medical College ◽  
Impacted Foreign Body

Objectives: To evaluate 113 cases of nasal foreign body removal with regard to type of foreign body, location, complications, techniques for removal, age , genderand to present the results of theevaluation.Methods: Between April 2009 to May 2011, a total of 113 nasal foreign bodies were attended inOutpatient Department ofENT, Head and Neck Surgery in Sir Salimullah Medical College, MitfordHospital,Dhaka. A retrospective reviewwas undertaken to evaluate the parameters related to the nasal foreign body and their removal and the data wereanalyzed.Results:113 cases of nasal foreign bodies were attended in Outpatient department of ENT, Head and Neck Surgery in Sir Salimullah Medical College, Mitford Hospital, Dhaka. Of these 113 cases, 101cases were removed in outpatient department and 12 cases were admitted and were removed under general anaesthesia. We found higher incidence in patients between ages 2 and 5 years. The distribution of nasal foreign body was 44.25% in male and 55.75% in female.Conclusion:Nasal foreign bodies are encountered daily in our routine clinical practice in the pediatric age group. General anaesthesia is required in uncooperative agitated patients or impacted foreign body to avoid complications.Button batteries and penetrating foreign body must be treated immediately.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 102-109

Foreign Body Removal: A New Role for the Fiberoptic Bronchoscope

1975 ◽  
Vol 84 (5) ◽  
pp. 650-656 ◽  
Author(s):  
Donald C. Zavala ◽  
Mitchell L. Rhodes
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Balloon Catheter ◽  
Small Diameter ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Fiberoptic Bronchoscope ◽  
Older Children ◽  
Foreign Body Removal ◽  
The Wire

Artificial and animal lung models initially were used to investigate the removal of foreign bodies from the tracheobronchial tree with the flexible fiberoptic bronchoscope. Different extraction instruments (claw, basket, forceps, and balloon catheter) were passed separately through the channel of the bronchofiberscope, and tested for usefulness prior to human application. The Fogarty balloon catheter served as a valuable aid in dislodging impacted objects so that the operator could then grasp them with the claw, basket or forceps. The wire claw recovered many of the metallic and organic objects, the wire basket was successful in retrieving only the bulky objects and the forceps (ACMI) was effective in capturing all of the metallic foreign bodies. These techniques, developed in our laboratory, are now being used to augment rigid bronchoscopy in the removal of foreign bodies from adults and older children. At the present time fiberoptic foreign body removal is not recommended for pediatric cases because of the small diameter of the trachea and glottis in infants and young children.

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

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