scholarly journals Treatment of a self-inflicted intracranial nail gun injury

2021 ◽  
Vol 14 (1) ◽  
pp. e237122
Author(s):  
Roger Chen Zhu ◽  
Miya Catherine Yoshida ◽  
Miroslav Kopp ◽  
Ning Lin
Keyword(s):  
Foreign Body ◽  
Subsequent Removal ◽  
Foreign Body Removal ◽  
Glascow Coma Scale ◽  
Stereotactic Navigation ◽  
Fixation Plate ◽  
The Right ◽  
Neurologically Intact ◽  
The Brain ◽  
Nail Gun Injury

A 30-year-old man walked into the emergency department after a suicide attempt by firing a nail from a pneumatic nail gun directed at his left temple. He was haemodynamically stable and neurologically intact, able to recall all events and moving all extremities with a Glascow Coma Scale of 15. CT of the brain showed a 6.3 cm nail in the right frontal region without major intracerebral vessel disruption. He was taken to the operating room for left temporal wound washout, debridement of gross contamination and closure with titanium cranial fixation plate. The foreign body was not accessible on initial surgical intervention and was left in place to define anatomy and plan for subsequent removal. Thin slice CT images were used to create 3D reconstructions to facilitate stereotactic navigation and foreign body removal via right craniotomy the following day. The patient tolerated the procedures well and recovered with full neurological function.

scholarly journals Flexible bronchoscopy in foreign body removal in the pediatric population: A Systematic Review

2021 ◽  
Author(s):  
Anastasios-Panagiotis Chantzaras ◽  
Panagiota Panagiotou ◽  
Spyridon Karageorgos ◽  
Konstantinos Douros
Keyword(s):  
Systematic Review ◽  
Foreign Body ◽  
Pediatric Population ◽  
Bronchial Tree ◽  
Tracheobronchial Tree ◽  
Flexible Bronchoscopy ◽  
Safe Alternative ◽  
Gold Standard Method ◽  
Foreign Body Removal ◽  
The Right

Background: Foreign body aspiration (FBA) in the tracheobronchial tree is a common problem in the pediatric population. Rigid bronchoscopic procedure is currently the gold standard method for treatment in pediatric patients, whereas recent reports present flexible bronchoscopy as an alternative method. The aim of this study was to summarize all available evidence regarding the application and the success rate of flexible bronchoscopy in foreign body (FB) removal. Methods: Systematic review of the use of flexible bronchoscopy as the first-line treatment in FBA cases in PubMed from 2001 to 2021. Results: Out of 243 citations, 23 studies were included on the use of flexible bronchoscopic procedure as a treatment of choice in 2,587 children with FBA. The FBs were successfully removed in 2,254/2,587 (87.1%) patients with a low complication rate. The majority of FBs retrieved were organic materials 1,073/1,370 (78.3%), and they were most commonly lodged in the right bronchial tree 708/1,401 (50.5%). General anesthesia was applied in most studies (14/23) before proceeding to a flexible bronchoscopy and laryngeal mask airways (LMAs) were mostly used (10/23 studies) to secure the airway during the procedure. Ancillary equipment, usually forceps 1,544/1808 (85.4%) assisted in the FB retrieval. Conclusion: The use of flexible bronchoscopy is shown to be a feasible and safe alternative therapeutic procedure in FBA cases. There is a need for development of extraction equipment and techniques to assist the procedure. Finally, future studies focusing on the comparison between clinical outcomes of flexible and rigid bronchoscopies are necessary.

scholarly journals Hypertrophic osteopathy associated with a bronchial foreign body (grass awn) in a dog: a case report

2012 ◽  
Vol 57 (No. 11) ◽  
pp. 618-621 ◽  
Author(s):  
A. Palumbo Piccionello ◽  
F. Dini ◽  
AM Tambella ◽  
M. Cerquetella ◽  
C. Vullo
Keyword(s):  
Foreign Body ◽  
Bone Lesion ◽  
Clinical Signs ◽  
Bone Apposition ◽  
Foreign Body Removal ◽  
Clinically Normal ◽  
History Of ◽  
The Right ◽  
Grass Awn

A five-year-old dog was referred with a five-month history of lethargy, decreased appetite, cough and intermittent forelimb lameness. Radiographs revealed an intra-thoracic lesion and a marked periosteal bone apposition of the second digit on the left forelimb. As it was palisading and circumferential, the latter appeared typical of hypertrophic osteopathy (HO). A grass awn in a sub-lobar ramification of the right caudal bronchus was identified and removed by bronchoscopy. At three months follow-up, the digit appeared clinically normal. On radiographs the periosteal bone reaction had decreased, indicative of resolving hypertrophic osteopathy. Thoracic radiographs showed no abnormalities five months after foreign body removal and the bone lesion on the digit had disappeared. Successful treatment of the pulmonary foreign body abscess led to spontaneous regression of HO and eventually to complete resolution of clinical signs. To the authors’ knowledge, this is the first reported case of HO secondary to a bronchial-pulmonary grass an abscess.

CASE OF MAXILLARY SINUS FOREIGN BODY REMOVAL

2019 ◽  
Vol 25 (3) ◽  
pp. 73-77
Author(s):  
S.A. Karpishchenko ◽  
◽  
D.A. Usmanova ◽  
E.V. Bolozneva ◽  
E.S. Karpishchenko ◽  
...  
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Technical Difficulty ◽  
Patient Treatment ◽  
Endoscopic Endonasal ◽  
Foreign Body Removal ◽  
Impression Materials ◽  
The Right ◽  
Selection Of

Maxillary sinus foreign bodies are interrelated with different types of treatment of pathologies of teeth of the maxilla. Foreign bodies can be presented by pins, sillers, impression materials, teeth, dental implants etc. Features of anatomical development of maxilla, degree of pneumatization of it and many other factors promote hit of the foreign body to the maxillary sinus. Detection of the foreign body in the maxillary sinus during the operation sometimes can become a serious technical difficulty and needs a surgeon to be a man of experience. Important part of success of the surgery is selection of access to the maxillary sinus based on the 3D computed tomography data. We represent a clinical case of treatment the patient with the maxillary sinus foreign body after two non-resultative surgeries. After the implantation of dental implant, patient appealed for medical treatment, complaining on the discomfort, passing pain at the right buccal region and secrete from the right part of nose. We know from the anamnesis, that the patient was operated through the anterior maxillary wall under the general anesthesia for two times. The foreign body was removed only during the third surgery, that was done under the local anesthesia under the control of the rigid endoscopes. The patient was conversed to the out-patient treatment at the day of the surgery. The efficacy of the endoscopic endonasal approach to the maxillary sinus through the inferior nasal meatus in case of maxillary sinus foreign body was approved.

Retained intraocular metallic foreign body causing retinal detachment

2016 ◽  
Vol 2 (1) ◽  
pp. 56-60
Author(s):  
Bhim Bahadur Rai ◽  
Samten Dorji ◽  
Pema Zangmo ◽  
Thukten Tshering
Keyword(s):  
Foreign Body ◽  
Hand Movement ◽  
Anterior Segment ◽  
Cataract Extraction ◽  
Silicon Oil ◽  
Age Related ◽  
Entry Wound ◽  
The Right ◽  
Oil Injection ◽  
The Brain

A 60 year old farmer presented on 4th Sept, 2015with progressive diminution of vision in the right eye following trauma while hammering about a month previously. His vision was Hand Movement only in the right eye and 6/6 in left eye. The anterior segment showed normal findings, except mild anterior chamber reaction and an early cataract in the right eye. The left eye was normal except for an early age-related cataract. Fundoscopy revealed retained intra-ocular foreign body (ROOFB, subtotal RD with macula off in right eye. Interestingly, no entry wound was found. A B-scan and CT scan of the brain and orbit confirmed RIOFB and RD. On 9th September 23G PPV was done and RIOFB was removed. Fluid-air exchange, endolaser and silicon oil injection were done to attach the RD. On 6th February 2016 a cataract extraction with intraocular lens implantation and silicon oil removal was performed which improved the patient’s vision to 6/18p.

Multimodal Imaging in Ocular Siderosis

2020 ◽  
pp. 247412642096202
Author(s):  
Anh D. Bui ◽  
Anna L. Diep ◽  
Qiyin Lin ◽  
Donald S. Minckler ◽  
Andrew W. Browne ◽  
...  
Keyword(s):  
Foreign Body ◽  
Color Vision ◽  
Multimodal Imaging ◽  
Iron Toxicity ◽  
Contrast Threshold ◽  
Flow Density ◽  
Foreign Body Removal ◽  
Full Field ◽  
Vascular Flow ◽  
The Right

Purpose: This report aims to characterize ocular changes in a case of ocular siderosis with iron toxicity using multimodal imaging and electroretinography. Methods: A 34-year-old woman presented with ocular siderosis of the left eye following penetrating injury with an iron-containing foreign body. The patient’s uncorrected visual acuities were 20/60 and 20/150 in the right and left eye, respectively, with abnormal pupillary function and presence of a cataract in the left eye. She underwent successful intraocular foreign body removal and cataract surgery with no postoperative complications. Cone contrast threshold (CCT), full-field electroretinogram, spectral-domain optical coherence tomography (OCT), and OCT angiography (OCTA) were used to characterize ocular alterations preoperatively and postoperatively. Results: CCT color vision testing showed abnormal color vision, and OCTA revealed increased vascular flow density associated with the foreign body. Conclusions: CCT color vision testing, OCTA, OCT, and full-field electroretinogram can characterize retinal changes in cases of ocular siderosis.

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.

Detection of extrinsic bronchial compression during foreign body removal by pulse oximetry

1990 ◽  
Vol 104 (1) ◽  
pp. 50-51
Author(s):  
M. S. C. Morrissey ◽  
P. J. H. Venn ◽  
H. Y. Chan ◽  
H. Whittet
Keyword(s):  
Foreign Body ◽  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Main Bronchus ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Partial Removal ◽  
Foreign Body Removal ◽  
The Right ◽  
Bronchial Compression

AbstractA case of stridor is described which was due to the presence of a foreign body in the larynx of an infant. Following partial removal, compression of the right main bronchus was detected because of continuing low arterial oxygen saturation. The use of pulse oximetry allowed this complication to be identified, and the advantages of this method of monitoring are discussed.

The brain structure and neurosecretory cells of noctuid moth Anadevidia peponis: Noctuidae

1990 ◽  
Vol 48 (3) ◽  
pp. 436-437
Author(s):  
M. Sato ◽  
Y. Ogawa ◽  
M. Sasaki ◽  
T. Matsuo
Keyword(s):  
Biological Clock ◽  
Virgin Female ◽  
Basic Structure ◽  
Fixed Time ◽  
Neurosecretory Cells ◽  
Nerve Cells ◽  
Noctuid Moth ◽  
The Right ◽  
20 Nm ◽  
The Brain

A virgin female of the noctuid moth, a kind of noctuidae that eats cucumis, etc. performs calling at a fixed time of each day, depending on the length of a day. The photoreceptors that induce this calling are located around the neurosecretory cells (NSC) in the central portion of the protocerebrum. Besides, it is considered that the female’s biological clock is located also in the cerebral lobe. In order to elucidate the calling and the function of the biological clock, it is necessary to clarify the basic structure of the brain. The observation results of 12 or 30 day-old noctuid moths showed that their brains are basically composed of an outer and an inner portion-neural lamella (about 2.5 μm) of collagen fibril and perineurium cells. Furthermore, nerve cells surround the cerebral lobes, in which NSCs, mushroom bodies, and central nerve cells, etc. are observed. The NSCs are large-sized (20 to 30 μm dia.) cells, which are located in the pons intercerebralis of the head section and at the rear of the mushroom body (two each on the right and left). Furthermore, the cells were classified into two types: one having many free ribosoms 15 to 20 nm in dia. and the other having granules 150 to 350 nm in dia. (Fig. 1).

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