scholarly journals An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Feride Fatma Görgülü ◽  
Orhan Görgülü ◽  
Ayşe Selcan Koç ◽  
Fatma Yasemin Öksüzler
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Foreign Bodies ◽  
Penetrating Trauma ◽  
Endoscopic Examination ◽  
Maxillofacial Region ◽  
Pediatric Case ◽  
X Ray

Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.

scholarly journals Occult Foreign Bodies in ENT

2015 ◽  
Vol 23 (2) ◽  
pp. 73-76
Author(s):  
Bijan Kumar Adhikary ◽  
Subhra Deb Biswas ◽  
Avick Das ◽  
Swapan Kumar Ghosh
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Foreign Bodies ◽  
High Index ◽  
X Ray ◽  
High Index Of Suspicion ◽  
Separate Incision

IntroductionForeign bodies are common ENT emergencies. Histories are usually forthcoming from the patient himself or the relatives . Three occult foreign bodies are reported here, which were missed even by treating doctors, with discussion about steps to avoid such errors in future. Case SeriesCase 1: Though the history was apparent, the foreign body was removed only after 13 years from the Zygomatic region.Case 2: The parents were aware of the foreign body but inadequate investigations led to a delayed diagnosis.Case 3: The history clinched the diagnosis. Pre operative localization and separate incision to remove the foreign body saved the vital structures. DiscussionA high index of suspicion, meticulous history and proper investigation like x-ray or CT scan or MRI of the diseased area may help in locating the hidden foreign bodies in the ENT region.

scholarly journals Long-Standing Blades of Scissors in Paranasal Sinus Over 40 Years

2020 ◽  
Vol 27 (2) ◽  
pp. 132-134
Author(s):  
Ji-Eun Choi ◽  
Hack Jung Kim ◽  
Seung-Kyu Chung
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Metallic Foreign Body ◽  
Middle Meatus ◽  
Maxillofacial Region ◽  
X Ray ◽  
Computed Tomography Scans ◽  
Wait And See ◽  
Over 40 Years

Foreign bodies in the sinus are rare entities that are often associated with trauma. This paper presents a case of a metallic foreign body that was retained without any symptoms for over 40 years. A skull X-ray and computed tomography scans showed blades of scissors inside the maxillary sinus, extending to the middle meatus without affecting vital structures. The foreign body was successfully removed by an endoscopic approach. There were no complications during and after the surgery. The presence of retained foreign bodies in the maxillofacial region is rarely discussed in previous publications. This manuscript focuses on the asymptomatic period of this foreign body and aims to discuss the necessity and feasibility of a wait-and-see approach in selected cases.

scholarly journals Orofacial Impactions: A Common Rarity

2011 ◽  
Vol 3 (2) ◽  
pp. 98-101
Author(s):  
Freny Karjodkar ◽  
Sunali Khanna ◽  
Darshana Patil
Keyword(s):  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Dental Treatment ◽  
Maxillofacial Region ◽  
Orofacial Region ◽  
Insight Into ◽  
Mobile Tongue

ABSTRACT Impactions of the orofacial region are rare but impactions of the mobile tongue are unique. Hence, very limited literature is available. Foreign bodies embedded in the maxillofacial region frequently result from trauma and dental treatment. This is a compilation of cases of tongue impaction, tooth in maxillary sinus and watch battery impacted in tooth. A brief insight into the incidence of orofacial impactions, radiographic investigations and management is also provided.

Extremity Trauma: Foreign Bodies and Vascular Injury

2015 ◽  
Author(s):  
David A. Meguerdichian ◽  
John Eicken
Keyword(s):  
Foreign Body ◽  
Vascular Injury ◽  
Foreign Bodies ◽  
Significant Proportion ◽  
Ankle Brachial Index ◽  
Penetrating Trauma ◽  
Trauma Patients ◽  
Peripheral Vasculature ◽  
Extremity Trauma ◽  
Upper And Lower Extremities

It is important for physicians to be mindful of the possibility of a foreign body in the context of extremity trauma. Patients with foreign bodies may not suspect their presence, and a significant proportion of foreign bodies are missed by the initial treating physician. Trauma injuries to the peripheral vasculature can be divided into blunt and penetrating trauma, and can also be classified as occlusive or nonocclusive injuries. This review details the assessment and stabilization, diagnosis, treatment and disposition, and outcomes for patients with foreign body and vascular injuries. Figures show beside ultrasonography using a linear ray probe that demonstrates a foreign body wood splinter in soft tissue, the major arteries of the upper and lower extremities, and measurement of the ankle-brachial index in an injured limb with suspected vascular injury. Tables list supplies needed to perform bedside ultrasound-guided foreign body removal, steps to remove a foreign body under ultrasound guidance, hard and soft signs of arterial injuries, and high-risk orthopedic injuries and their commonly associated vascular injury. This review contains 4 figures, 4 tables, and 51 references.

scholarly journals Use of Scheimpflug imaging in the management of intra-lenticular foreign body

2015 ◽  
Vol 7 (1) ◽  
pp. 82-84 ◽  
Author(s):  
R Singh ◽  
J Ram ◽  
R Gupta
Keyword(s):  
Foreign Body ◽  
Intraocular Lens ◽  
Foreign Bodies ◽  
Case Reports ◽  
Slit Lamp ◽  
Traumatic Cataract ◽  
X Ray ◽  
Scheimpflug Imaging ◽  
History Of ◽  
Post Traumatic

Introduction: Asymptomatic traumatic intra-lenticular foreign body is very uncommon and few case reports have been published.Objective: To report a case of post-traumatic intra-lenticular foreign body and use of Scheimpflug imaging in its management. Case: A 41-year-old male with history of injury to right eye during hammering a chisel 1 year back presented with decreased vision since 6 months. An intra-lenticular foreign body was found on slit lamp bio-microscopy and was confrmed by Scheimpflug imaging. Posterior capsule was intact on Scheimpflug imaging. Thus, Scheimpflug imaging helps in exact localization of the foreign body in the intralenticular space or behind the iris. We ruled out other foreign bodies by x-ray and ultrasonography of the orbit. The foreign body with post-traumatic cataract was removed using phacoemulsification and three piece foldable intraocular lens was implanted in the bag. Conclusion: An intra- lenticular foreign body may remain asymptomatic for months. Scheimpflug imaging can be useful in its localization. It can be removed during phacoemulsification.

Unusual type of foreign body in the maxillary sinus

1990 ◽  
Vol 104 (9) ◽  
pp. 718-719 ◽  
Author(s):  
A. C. Gupta ◽  
D. P. Murthy ◽  
M. L. Pulotu
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Papua New Guinean ◽  
Unusual Type

AbstractA broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described. The types of foreign bodies and their mechanisms of introduction into this site are summarized.

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 Disk Battery Ingestion A Malpractice Case that Results in Pneumonia

2016 ◽  
Vol 21 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Cihat Şarkış ◽  
Selçuk Yazıcı ◽  
Muhammet Can
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neck Trauma ◽  
Private Hospitals ◽  
Alkaline Batteries ◽  
X Ray ◽  
Clinical Impairment ◽  
Chest X Ray ◽  
Increasing Risk ◽  
Swallowed Foreign Bodies

Alkaline batteries have become the second most swallowed foreign bodies following coins. Most cases have an uncomplicated course, but some may lead to serious complications and even death.Here we report a 28 months old boy who had experienced discomfort, eating refusal, vomiting and slightly wheezing after falling from a sofa bed. He has been in three different county hospitals and two private hospitals due to complaints, has been examined by two pediatricians and a cranial surgeon. A cranial CT imaging, a cranial X-ray radiograph and a chest X-ray radiograph was obtained. Firstly, diagnosed as head and neck trauma, then diagnosed as acute bronchiolitis, and finally pneumonia. Hospitalized twice. Finally, a chest radiograph revealed a button battery in the esophagus. The foreign body was endoscopic removed. The child had a quick clinical impairment after removal of the battery.As a result, alkaline batteries with their increasing risk of engulfment poses very serious problems. The parents and physicians should be informed against increasing frequency of ingestion of alkaline batteries by infants and children. Also, clinicians should be careful about the risk of these batteries that they can cause pneumonia and infiltration which may make it difficult to detect the foreign body.

scholarly journals A Case Report on the Child with Two Coins Ingested Foreign Bodies in the Esophagus During the Lockdown in COVID 19 Pandemic

2020 ◽  
Vol 2 (4) ◽  
pp. 1-2
Author(s):  
Rabia Arora ◽  
◽  
Satinder Pal Singh ◽  
Arvinder Singh ◽  
◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Pediatric Population ◽  
Age Groups ◽  
Acute Onset ◽  
Endoscopic Examination ◽  
Lateral View ◽  
X Rays ◽  
Cervical Oesophagus ◽  
X Ray ◽  
Low Threshold

A 4-year-old child presented to the emergency department with an acute onset of dysphagia and vomiting. A plain X-ray soft tissue neck lateral view revealed a double circular opacity in the cervical oesophagus consistent with an ingestion of multiple foreign bodies. Preoperative planning and SARS-CoV2 testing is of particular importance for the pediatric population and if testing cannot be performed, patients in all age groups should be handled as though they are positive for COVID-19, and appropriate precautions should be taken. The child was taken to the theatre for rigid pharyngo-oesophagoscopy and removal of the coins. After the first coin was removed subsequent endoscopic examination revealed a second coin at the same location. This extremely rare case of two ingested coins becoming impacted with perfect radiological alignment, we would therefore advocate having a low threshold for performing a ‘second look’ endoscopy after removal of the first foreign body with postoperative X-rays.

scholarly journals The foreign bodies in lower respiratory tract in pediatric patients treated in referral academic department of pediatric otolaryngology

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Irina Drogobytska ◽  
Maciej Pilch ◽  
Lidia Zawadzka-Głos
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Physical Examination ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Academic Department ◽  
Diagnostic Process ◽  
X Ray ◽  
Pediatric Otolaryngology

Introduction. Foreign bodies in lower respiratory tract for many years are big challenge for otolaryngologists. These objects could present variability of clinical symptoms. Increase of infection and mortality due to delay of accurate diagnosis. Interview is the most important part of examination of patient with suspected foreign body in airways. Any suspicion of aspiration is qualification to diagnostic bronchoscopy. Aim. This paper refers occurrence assessment, clinical course, diagnostic process and treatment of the pediatric patients with suspected foreign body in lower respiratory tract hospitalized in referral Academic Department of Pediatric Otolaryngology. Material and methods. Retrospective analysis of 74 patients with suspected foreign body in lower respiratory tract, who were hospitalized in Clinical Department of Pediatric Otolaryngology in Warsaw Medical University in 2016-2018. Analysis includes demographic data, occurrence frequency, localization and the type of foreign body, diagnostic process and treatment. Results. This study includes 42 boys (57%) and 32 girls (43%) in age of 8 months to 16-year-old. The episode of choking occurs in interview in 71 patients (96%). Foreign bodies in lower respiratory tract were confirmed and evacuated in bronchoscopy procedure in 44 cases (59.5%). In 30 cases (40.5%) there were any foreign body in airways. The most common group of patients admitted to Clinic with suspected foreign body in airways was children in age between 1 to 3-year-old, which accounted for 22 cases (50%). Coughing was the most commonly reported symptom (54.5%), wheezing (27.5%) and dyspnea (15.9%). Twenty-three patients were presenting wheezing and whirring in physical examination. Air trap found in thorax x-ray were in 22 patients (45%). The right main bronchus was the most common place of foreign body retention – 22 patients (50%). The organic foreign bodies were in 32 cases (72.7%) and non-organic in 12 (27.3%). The nuts were the most common foreign body aspirated to airways. Conclusions. Foreign body aspiration should be suspected in every patient, not only those with choking episode but also with patients who presents ambiguous change in physical examination and x-ray scan. In pediatric patient with suspected foreign body in lower respiratory tract, in every time the bronchoscopy is needed to be done, even in patients with no abnormalities in physical examination and x-ray scan.

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