Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

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Capsular dissection technique for reducing recurrent laryngeal neuropraxia and temporary hypoparathyroidism after thyroidectomy: a single center experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20212445 ◽

2021 ◽

Vol 7 (7) ◽

pp. 1111

Author(s):

Dimple Sahni ◽

Rajwant Kaur ◽

Gagandeep Kaur ◽

Sangeeta Aggarwal ◽

Sanjeev Bhagat

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Single Center ◽

Single Center Experience ◽

Clinical Presentations ◽

Life Threatening ◽

High Index Of Suspicion ◽

A Prospective Study ◽

Dissection Technique ◽

Nose And Throat

Background: Foreign bodies in aerodigestive tract is common, frequent, and sometime life threatening emergency for otorhinolaryngologists mainly in the paediatric group. The aims of the present study was to find the incidence of foreign bodies, in relation to demographic factors, type and sites of foreign bodies its clinical presentations and its management.Methods: A prospective study was conducted on 100 cases coming to the ear, nose and throat (ENT) emergency and outpatient department (OPD). After thorough history, clinical examination, routine blood and urine investigations and urine done. Radiological examination was done to visualize the radio-opaque foreign body, and if the foreign body was not radio-opaque then computed tomography (CT) scan was done. Results: Incidence of foreign was 67% in male than 33% in female. Mostly foreign bodies were in nose (49%), followed by oesophageal (31%), abdominal (14%), and bronchus (6%) respectively. 33% were totally asymptomatic, 25% with mucupurulent discharge from nose, dysphagia (16%), nasal obstruction (15%), and odynophagia (11%) respectively. Most of the foreign bodies were inorganic in nature, coin (42%), pearls (8.16%), and battery (6.45%). Among organic foreign bodies peanut was most common (33.33%), grains (10%). All foreign bodies were removed successfully with minimal morbidity and zero mortality.Conclusions: Present study suggested incidence was very common among male children, in rural background, with common asymptomatic presentation. With high index of suspicion, and proper and timely intervention all 100 cases were managed successfully. But still educating the parents about keeping such things away from kids prevent these incident.

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Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

Medicinski pregled ◽

10.2298/mpns14s1069d ◽

2014 ◽

Vol 67 (suppl. 1) ◽

pp. 69-74

Author(s):

Danijela Dragicevic ◽

Ljiljana Jovancevic ◽

Rajko Jovic ◽

Ljiljana Vlaski ◽

Bojan Bozic

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Main Bronchus ◽

Age Groups ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Radiological Findings ◽

Tracheobronchial Foreign Body ◽

The Moment ◽

The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

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Do Times until Treatment for Foreign Body Aspiration Relate to Complications?

International Journal of Otolaryngology ◽

10.1155/2016/2831614 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Walailak Tatsanakanjanakorn ◽

Surapol Suetrong

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Main Bronchus ◽

Delayed Diagnosis ◽

Foreign Body Aspiration ◽

University Hospital ◽

Age Group ◽

Common Site ◽

Plant Seeds ◽

The Right

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.

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Benda Asing Faring Esofagus di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Desember 2016

e-CliniC ◽

10.35790/ecl.5.2.2017.18572 ◽

2017 ◽

Vol 5 (2) ◽

Author(s):

Illan P. Wallah ◽

Steward K. Mengko ◽

R. E.C. Tumbel

Keyword(s):

Foreign Body ◽

Head And Neck ◽

Foreign Bodies ◽

Treatment Success ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Esophageal Foreign Body ◽

Common Location ◽

Body Location ◽

Nose And Throat

Abstract: Ingested foreign bodies are one of the most common emergencies in Ear, Nose and Throat (ENT)-Head and Neck Surgery that can be found in all ages throughout the world. Ingested foreign bodies can usually be lodged in oropharynx, hypopharynx, or esophagus. This study was aimed to describe the profile of pharyngeal and esophageal foreign body patients in the Department of ENT-Head and Neck Surgery Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014-December 2016. This was a descriptive retrospective study. Samples were patients recorded in the register book and the medical record database which from their history, physical examination and diagnostic investigation were firstly diagnosed as pharyngeal or esophageal foreign body. Variables in this study were gender, age, type of foreign body, location of foreign body, and treatment success rate. The results showed that there were 25% of pharyngeal foreign bodiy cases and 75% of esophageal foreign body cases. Most cases were males (57.3%), age ≥51 years (25.3%) and 0-10 years (24.0%). The most common types of foreign bodies found were bones and dentures, each of 25 cases. The most common location written was in general. Conclusion: In foreign body cases of ENT-Head and Neck Surgery, esophageal foreign body cases were more common compared to pharyngeal foreign body cases.Keywords: foreign bodies, pharynx, esophagus Abstrak: Benda asing yang tertelan merupakan salah satu kegawatdaruratan bidang THT-KL yang tersering dan dapat ditemukan pada semua usia di seluruh dunia. Benda asing yang tertelan biasanya dapat tersangkut pada orofaring, hipofaring atau esofagus. Penelitian ini bertujuan untuk menguraikan profil penderita benda asing faring esofagus di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode Januari 2014 – Desember 2016. Jenis penelitian ialah retrospektif deskriptif. Sampel ialah pasien yang tercatat pada buku register dan database rekam medis yang dari anamnesis, pemeriksaan fisik dan penunjang terdiagnosis sebagai benda asing faring esofagus pertama kali di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode pengamatan. Variabel penelitian ini ialah jenis kelamin, umur, jenis benda asing, lokasi benda asing, dan tingkat keberhasilan penanganan. Terdapat 25% kasus benda asing faring dan 75% kasus benda asing esofagus. Kasus benda asing lebih sering terjadi pada jenis kelamin laki-laki (57,3%), usia ≥51 tahun (25,3%) dan 0-10 tahun (24,0%). Jenis benda asing yang tersering ditemukan ialah tulang dan gigi palsu, masing-masing 25 kasus. Penulisan lokasi paling sering ialah secara umum. Simpulan: Pada kasus benda asing THT-KL dalam periode pengamatan tiga tahun ini, kasus benda asing esofagus lebih sering ditemukan dibanding kasus benda asing faring.Kata kunci: benda asing, faring, esofagus

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Acute labyrinthitis and meningitis of the ear origin

Kazan medical journal ◽

10.17816/kazmj58436 ◽

1930 ◽

Vol 26 (9) ◽

pp. 941-941

Author(s):

B. Goland

Keyword(s):

Foreign Body ◽

Tympanic Membrane ◽

Foreign Bodies ◽

Family Doctor ◽

Ear Canal ◽

Deep Wound ◽

The Right

Abstracts. Otorhinolaryngology. Prof. Uffenrode (D. med. Woch. 1929. No. 25.) describes 2 very interesting cases from his practice. 1. To remove peas from the ears of a 5-year-old child, a family doctor used tweezers. In view of the child's strong anxiety, chlorine ethyl anesthesia was applied, but the removal of foreign bodies from the ears was not possible; deep wound in the right ear canal. Secondary chlorine - ethyl anesthesia; the foreign body was removed from the left ear by washing, from the right ear it was not possible. The next day, an otorhinolaryngologist will remove the foreign body from the right ear; a wound of the tympanic membrane was established.

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Respiratory disease in foreign body aspiration in children

Kazan medical journal ◽

10.17816/kazmj77576 ◽

1927 ◽

Vol 23 (11) ◽

pp. 1145-1150

Author(s):

G. M. Lopatin

Keyword(s):

Foreign Body ◽

Respiratory Tract ◽

Respiratory Disease ◽

Foreign Bodies ◽

Foreign Body Aspiration ◽

The Body ◽

Different Parts

Aspiration of foreign bodies into the windpipe usually results in respiratory damage. This lesion may be of varying intensity and may be localized in different parts of the respiratory tract or lungs. Both the intensity and the localization of the lesion may depend on a number of reasons and above all on the location of the foreign body and its type, but also on the constitutional characteristics of the body and on many other causes. Aspirated foreign bodies are found in the trachea or larynx and almost as often in the bronchi.

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Ear, Nose and Throat Emergencies and Anesthesia

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1183 ◽

2015 ◽

Vol 7 (1) ◽

pp. 28-34

Author(s):

Tushar Bawankar

Keyword(s):

Difficult Intubation ◽

Foreign Bodies ◽

Acute Onset ◽

Team Work ◽

Inhalational Induction ◽

Emergency Procedures ◽

Parapharyngeal Abscess ◽

Emergency Tracheostomy ◽

Deep Neck Space Infections ◽

Nose And Throat

ABSTRACT Ear, nose and throat (ENT) emergency procedures demand significant anesthetic challenges. Variety of emergency conditions like deep neck space infections (Ludwig's angina, retropharyngeal, parapharyngeal abscess), acute onset of stridor, epiglottitis, laryngotracheobronchitis, inhaled foreign bodies, facial injuries, etc. are a challenge to both the surgeon and the anesthesiologist and communication and cooperation is vital. Priority in emergency is to clear and secure the airway and consider requirement of ‘shared airway’. Preferred anesthesia and airway technique include awake flexible fiberoptic (FOB) guided intubation in cooperative patients’ and an inhalational induction in uncooperative patient or tracheostomy. Anticipation, vigilance, readiness for difficult intubation, emergency tracheostomy and team work is essential while managing ENT emergency procedures. How to cite this article Harde M, Bawankar T, Bhadade R. Ear, Nose and Throat Emergencies and Anesthesia. Int J Otorhinolaryngol Clin 2015;7(1):28-34.

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A rare cause of right iliac fossa lump: contained fish bone perforation of caecum

International Surgery Journal ◽

10.18203/2349-2902.isj20204161 ◽

2020 ◽

Vol 7 (10) ◽

pp. 3476

Author(s):

Washim F. Khan ◽

Sandeep Jain ◽

Yashwant S. Rathore ◽

Sunil Chumber

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Iliac Fossa ◽

Exploratory Laparotomy ◽

Right Hemicolectomy ◽

Fish Bone ◽

Rare Entity ◽

Radiological Findings ◽

Generalized Peritonitis ◽

High Index Of Suspicion

Ingested foreign bodies usually pass uneventfully through the gastrointestinal tract but few of them can cause symptoms. They can get stuck at acute angulations or narrow part of intestine and can perforate leading to localized to generalized peritonitis, collection or abscess formation. We describe a case of 59 year old gentleman who presented with pain in right iliac fossa with fever and a hard, tender lump. Initial investigation revealed a mass in right iliac fossa adherent to anterior abdominal was in right iliac fossa region with a foreign body inside. Patient was managed with exploratory laparotomy, removal of a fish bone from cacecum and limited right hemicolectomy. Fishbone perforation of caecum is a rare entity. Careful corroboration between patient’s presentation and radiological findings with a high index of suspicion is needed for pre-operative diagnosis.

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Persistent Lower Lid Swelling in an Infant – Impacted Foreign Body!

Pakistan Journal of Ophthalmology ◽

10.36351/pjo.v36i3.1052 ◽

2020 ◽

Vol 36 (3) ◽

Author(s):

Javeria Nasir ◽

Anum Javed ◽

Owais Arshad ◽

Mohammad Hanif` Chatni

Keyword(s):

Foreign Body ◽

Physical Examination ◽

General Practitioners ◽

Foreign Bodies ◽

General Physical Examination ◽

Care Givers ◽

Impacted Foreign Body ◽

General Physical ◽

The Right ◽

In Infants And Children

Ophthalmologists, including general practitioners definitely encounter ocular foreign bodies in their clinics. Theconjunctival fornices are potential sites of impaction. We report a case of a 9-month infant boy who was referred to us for a persistent lower lid swelling for one month. He had already been to an eye specialist before presenting to us. Upon examination, a round, pink coloured, toy cart-wheel came out of his lower eye lid of the right eye. Surprisingly, there was no associated conjunctival or adnexal damage. The authors wish to emphasize the importance of taking a thorough history and adequate general physical examination. A missing part of a toy, elucidated on history, should always raise the suspicion among parents and/or care givers for a probable foreign body in infants and children.

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Foreign Body Nose: An Unusual Presentation

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2020.v28i3.295 ◽

2021 ◽

Vol 28 (3) ◽

pp. 282-284

Author(s):

Ankit Gulati ◽

Surinder K Singhal ◽

Shashikant A Pol ◽

Nitin Gupta

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Interesting Case ◽

Alar Cartilage ◽

Open Approach ◽

Medial Canthus ◽

History Of ◽

Foreign Body Impaction ◽

Nasal Bleed ◽

High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

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