Airway Foreign Bodies

2020 ◽  
pp. 155-160
Author(s):  
C. Anthoney Lim ◽  
Rachel Whitney ◽  
Jeremy M. Rose
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Operative Management ◽  
Treatment Modalities ◽  
Foreign Body Removal ◽  
Life Threatening ◽  
Airway Foreign Body ◽  
Emergent Airway Management ◽  
Physical Findings

The presentation of an airway foreign body can range from benign to truly life-threatening. Respiratory tract obstruction from an airway or esophageal foreign body is relatively rare but remains a leading cause of morbidity and mortality among children. This chapter discusses the evaluation and management for inhaled and aspirated foreign bodies in the upper aerodigestive and lower respiratory tracts. Using anatomical areas as a systematic approach, common presentations, physical findings, and diagnostic workup including imaging options are reviewed. Treatment modalities including emergent airway management and foreign body removal are discussed, with a focus on procedures that can be performed in an emergency department setting and indications for operative management.

scholarly journals Diagnostics and treatment of foreign bodies in the gastrointestinal tract in children. A literature review

2020 ◽  
Vol 24 (3) ◽  
pp. 198-204
Author(s):  
H. A. Akilov ◽  
Donier R. Asadullaev
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Literature Review ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Treatment Modalities ◽  
Clinical Scenarios ◽  
Life Threatening ◽  
Delay In Treatment

Foreign bodies in the gastrointestinal tract in children is one of the most challenging clinical scenarios which pediatric surgeons and gastroenterologists face. Previously published materials demonstrate that 80% of foreign bodies pass spontaneously through the gastrointestinal digestive tract without any harm to the child’s health, while 20% require endoscopic and/or surgical intervention, since delay in treatment can cause serious life-threatening complications. The present review discusses prevalence of foreign body ingestion in children. It also describes in detail controversial aspects of current diagnostic and treatment modalities.

scholarly journals Svetimkūnis storojoje žarnoje: atvejo pristatymas ir literatūros apžvalga

2009 ◽  
Vol 7 (1-2) ◽  
pp. 0-0
Author(s):  
Bronius Buckus ◽  
Gintaras Varanauskas ◽  
Juozas Stanaitis ◽  
Algimantas Stašinskas
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Literature Review ◽  
Current Literature ◽  
Foreign Bodies ◽  
Distal Colon ◽  
Foreign Body Removal ◽  
Uncommon Presentation ◽  
Vilnius University ◽  
Transanal Extraction

Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinikos Bendrosios chirurgijos centras; Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Svetimkūniai storojoje žarnoje nėra tokie reti, kaip kartais yra manoma. Į distalinę storojo žarnyno dalį patenkančių svetimkūnių įvairovė yra begalinė, kaip ir jiems pašalinti naudojamų metodų skaičius, aprašomas literatūroje.Šio straipsnio tikslas – aprašyti retą svetimkūnio storojoje žarnoje klinikinį atvejį ir pateikti literatūros apžvalgą.Aprašomas klinikinis avejis, kai 29 metų ligonis į tiesiąją žarną įsipurškė „Makroflex“ montažinių poliuretano putų, kurios stingdamos geba išsiplėsti iki dviejų kartų. Vyriškis atvyko į gydymo įstaigą praėjus trims valandoms po įvykio, tačiau pašalinti svetimkūnio priėmimo skyriuje nepavyko. Įvertinus anamnezę, kliniką ir tyrimų duomenis, bendrosios nejautros metu ligoniui buvo atliktas laparotominis pjūvis ir svetimkūnis pašalintas transanaliai. Operacijos metu išplėsta storoji žarna buvo nepažeista ir gyvybinga, todėl kolotomija nebuvo indikuotina. Ligonis sparčiai sveiko ir šeštąją dieną buvo išrašytas iš gydymo įstaigos. Straipsnio pabaigoje pateikiama literatūros ir svetimkūnių iš storosios žarnos šalinimo būdų apžvalga. Reikšminiai žodžiai: storoji žarna, svetimkūnis, gydymas Colorectal foreign bodies: a case report and current literature review Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilnius University, General Surgery Center of Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Rectal foreign bodies are not an uncommon presentation in the emergency department. The variety of foreign bodies inserted to the distal colon is enormous and ingenious methods have been described for the extraction of these foreign bodies.The aim of this article is to present a rare case of colorectal foreign body removal and to review current literature in this area.We present a case of a 29-year old male patient with a difficult colorectal foreign body of moisture-cure semirigid polyurethane foam insulation which expands roughly two times in size during curing. When manual transanal extraction in the emergency department failed, the patient was admitted directly to the operating room for retrieval of the foreign body under general anesthesia. A laparotomy was conducted and the foreign body was successfuly removed transanally from the colorectal region without a colotomy. The patient was discharged within 6 days of the operation. A current literature review is presented and a management strategy suggested. Key words: colorectal, foreign body, management

scholarly journals Left Bronchial Foreign Body Is Always Left Rigid Bronchoscopy an Armour Beyond Barriers in Retrieval-A Case Series

2020 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Foreign Body ◽  
Food Item ◽  
Foreign Bodies ◽  
Case Series ◽  
Clinical Situation ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Bronchial Foreign Body ◽  
Life Threatening ◽  
Airway Foreign Body

Airway foreign bodies (AFBs) is an interdisciplinary area between, Pediatrics and Otolaryngology [1]. Foreign-body aspiration in the airway of children is a life-threatening clinical situation responsible for many deaths each year. Most airway foreign body aspirations occur in children younger than 15 years; children aged 1-3 years are the most susceptible [2]. Vegetable matter tends to be the most common airway foreign body; peanuts are the most common food item aspirated [5]. We present four interesting cases of bronchial foreign bodies that caused diagnostic and therapeutic challenges.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

2021 ◽  
pp. 1-3
Author(s):  
P D Chakravarty ◽  
T Kunanandam ◽  
G Walker
Keyword(s):  
Foreign Body ◽  
Granulation Tissue ◽  
Foreign Bodies ◽  
Fluoroscopic Guidance ◽  
Tertiary Referral ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Common Presentation ◽  
Reproducible Technique ◽  
Rigid Oesophagoscopy

Abstract Background Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means. Method and results After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction. Conclusion This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

Use of Ophthalmic Sonography to Evaluate for Intraocular Foreign Body in Both Outpatient and Emergency Department/Urgent Care Patients

2021 ◽  
pp. 875647932110332
Author(s):  
Patrick J. Fish
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
Intraocular Foreign Body ◽  
Urgent Care ◽  
Posterior Chamber ◽  
Emergency Department Setting ◽  
Before And After ◽  
Glass Metal

Intraocular foreign bodies (IOFB) present differently depending on the type of material (wood, glass, metal) for the IOFB, extent of the injury, and location of the injury. IOFB and the injury can cause a perforation or penetration of the globe which can require more extensive treatment including surgery. Proper evaluation of the IOFB and injury can help to determine extent of the injury, the prognosis of the vision, and health of the eye before and after treatment but may be difficult for the physician depending on the view of the posterior chamber being compromised by media or simply by patient sensitivity. The extent of the injury may also prevent proper evaluation due to swelling, lacerations on the lids, or pain. Proper ophthalmic sonography can provide a quick evaluation of the globe for any IOFB in both the outpatient setting as well as emergency department setting. Evaluation via sonography may allow the physician to accurately diagnose and properly treat the patient to help restore and prevent further loss of vision.

Difficult button battery ear foreign body removal: the magnetic solution

2014 ◽  
Vol 129 (1) ◽  
pp. 93-94 ◽  
Author(s):  
W Nivatvongs ◽  
M Ghabour ◽  
G Dhanasekar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Ear Canal ◽  
Foreign Body Removal ◽  
Button Battery ◽  
Operating Theatres

AbstractBackground:Removing a button battery from the ear can be a tricky and challenging procedure.Method and Results:We describe the innovative use of a magnetic telescopic rod to successfully remove a button battery from the ear canal of a nine-year-old boy.Conclusion:We propose that this equipment should be available in ENT clinics and operating theatres to be used for removing foreign bodies made from ferrous materials.

scholarly journals Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

2014 ◽  
Vol 24 (02) ◽  
pp. 196-200
Author(s):  
Morteza Tahmasebi ◽  
Hamdollah Zareizadeh ◽  
Azim Motamedfar
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
High Frequency ◽  
Foreign Bodies ◽  
Linear Array ◽  
Foreign Body Removal ◽  
Retained Foreign Body ◽  
Array Transducer ◽  
Highly Sensitive ◽  
Objective Detection

Abstract Background and Objective: Detection of radiolucent soft-tissue foreign bodies is a challenging problem, which is especially further complicated when retained foreign body is highly suggested by clinicians but radiography is negative. So, blind exploration is sometimes hazardous for patients. The purpose of this study was to determine the accuracy of ultrasonography (USG) in detecting radiolucent soft-tissue foreign bodies in the extremities. Materials and Methods: From November 2011 to January 2012, patients with clinically suspected radiolucent soft-tissue foreign body and negative radiography were evaluated by USG with a 12-MHz linear array transducer. The patients with positive clinical and USG examination were included in our study and underwent exploration or USG removal. Results: Fifty-one patients underwent foreign body removal under ultrasonography-guided or surgical exploration and 47 patients had foreign body (31, 12, 3, and 1 case had thorn, wood, glass, and plastic, respectively). Ultrasound was positive in 50 patients. USG falsely predicted the presence of foreign body in four cases and was falsely negative in one of the cases. Accuracy, sensitivity, and positive predictive value were determined as 90.2%, 97.9%, and 92%, respectively. Conclusions: The real-time high-frequency USG is a highly sensitive and accurate tool for detecting and removing radiolucent foreign bodies which are difficult to be visualized by routine radiography.

scholarly journals Extraluminal Migration of Foreign Body: A Report of Two Cases

2013 ◽  
Vol 4 (2) ◽  
pp. 98-101 ◽  
Author(s):  
K Ramachandran ◽  
GM Divya ◽  
A Shahul Hameed ◽  
KV Vinayak
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Vascular Complications ◽  
Neck Exploration ◽  
Upper Digestive Tract ◽  
Life Threatening ◽  
Ingested Foreign Body ◽  
Head Neck

ABSTRACT Ingested foreign body is one of the most frequently encountered emergencies in otolaryngology practice. Many of these foreign bodies get lodged in the upper digestive tract and can be removed endoscopically. Few of these foreign bodies can perforate the upper digestive tract and an even smaller number of these can migrate extraluminally. Although, a migrating foreign body can remain quiescent, they can cause life-threatening suppurative or vascular complications; hence, location and removal is essential. Here we report two cases of extraluminal migration of foreign body which was removed by neck exploration. How to cite this article Divya GM, Hameed AS, Ramachandran K, Vinayak KV. Extraluminal Migration of Foreign Body: A Report of Two Cases. Int J Head Neck Surg 2013;4(2):98-101.

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