scholarly journals To X-Ray or Not to X-Ray? Discussing Unknown Nasal Foreign Bodies and Button Batteries

2021 ◽  
pp. 014556132110331
Author(s):  
Rujuta R. Roplekar Bance ◽  
Vikas Acharya ◽  
Coyle Paula ◽  
J Panesar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
X Rays ◽  
Metallic Foreign Body ◽  
Plain Radiographs ◽  
X Ray ◽  
Button Batteries

The emergency of esophageal button batteries is recognized. Foreign bodies in the ear or nose are treated as comparatively nonemergent. We present the case of a child who presented with suspected pen-nib in the nostril to highlight the importance of investigation and intervention in unwitnessed nasal foreign body and review the literature regarding X-rays in these cases. Fifteen papers were identified as per search parameters; 3 papers recommend the use of plain radiographs for nasal foreign bodies. We propose that in unwitnessed pediatric nasal foreign body insertion, a facial X-ray should be considered, especially if suspecting a metallic foreign body.

Radiological diagnosis of aspirated foreign bodies in children: Review of 343 cases

1990 ◽  
Vol 104 (10) ◽  
pp. 778-782 ◽  
Author(s):  
Liancai Mu ◽  
Deqiang Sun ◽  
Ping He
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
X Rays ◽  
Endoscopic Removal ◽  
X Ray ◽  
Abnormal Chest ◽  
Mediastinal Shift ◽  
Plain Chest ◽  
Chest X Ray

AbstractIn our series of 400 Chinese children with foreign body aspiration (FBA),343 cases were evaluated by fluoroscopy and/or plain chest X-rays before endoscopic removal of the foreign bodies. The majority of the foreign bodies (FBs) were organic (378/400, 94.5 per cent). The results showed that mainstem bronchial foreign bodies were diagnosed correctly in 68 per centof cases compared with 65 per cent correct diagnoses with segmental bronchial foreign bodies, but only 22 per cent correct diagnoses with tracheal, and 0 per cent correct diagnosis in those with laryngeal foreign bodies. Eighty per cent (32/40) of the children with laryngotracheal FBs had normal X-ray findings, whereas 67.7 per cent (205/303) of the children with bronchial FBs had abnormal chest X-ray findings. The most common positive radiological signs in the children with tracheobronchial FBs were obstructive emphysema (131/213, 62 per cent) and mediastinal shift (117/213, 55 percent). The incidence of major complications was related not only to the size of the foreign body and its location but also the duration since aspiration. The most common types of bronchial obstructions by airway FBs are discussed.

scholarly journals Unusual foreign bodies of the airway: a case series regarding their management

2018 ◽  
Vol 4 (4) ◽  
pp. 1089
Author(s):  
Aishwarya Ullal ◽  
Sanjeev Mishra ◽  
R. K. Mundra
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Case Series ◽  
Rigid Bronchoscopy ◽  
Lateral View ◽  
Virtual Bronchoscopy ◽  
X Rays ◽  
X Ray ◽  
Radiological Studies ◽  
Respiratory Reflexes

<p>Foreign bodies in the bronchi are a common problem seen by ENT surgeons. Bronchial foreign bodies are common in children because they have difficulty in swallowing hard foodstuffs such as nuts and have an inadequately developed protective respiratory reflexes, which makes them vulnerable to inhalation of foreign bodies This is a case series of four unusual cases of foreign body airway, that presented to our ENT OPD, after taking detailed history and clinical examination, these patients were subjected to radiological studies such as chest X-rays, X-ray soft tissue lateral view, virtual bronchoscopy and CT chest to confirm the foreign body, after taking informed consent rigid bronchoscopy was performed and foreign body extracted.</p>

scholarly journals Overtubes and Foreign Bodies

1990 ◽  
Vol 4 (9) ◽  
pp. 599-602 ◽  
Author(s):  
Norman E Marcon
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Flexible Endoscopy ◽  
X Rays ◽  
Glass Bottle ◽  
New Techniques ◽  
Foreign Body Removal ◽  
Gastrostomy Tubes ◽  
Button Batteries

The most common article ingested in adults is food or food products such as nuts, shells, pits and bones. Poorly chewed steak causing bolus obstruction occurs especially in the elderly, while coins are most common in the pediatric group. New techniques of flexible endoscopy have altered and improved management, decreasing the need for surgery. A foreign body in the esophagus mandates prompt removal to avoid perforation. At least 80% of foreign, bodies reaching the stomach pass spontaneously. Once the foreign body is beyond the distal duodenum, it should be followed with serial x-rays. Techniques of removal of meat, bones, shells, bezoars, glass, bottle tops, sharps, pencils, pens, wires, thermometers, gastrostomy tubes, obesity balloons, safety pins, razor blades, button batteries and cocaine packets are described. Complications related to foreign body removal are rare.

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.

Ocular siderosis resulting from a retained intralenticular metallic foreign body

2020 ◽  
Vol 13 (6) ◽  
pp. e235228
Author(s):  
Rafal Nowak
Keyword(s):  
Foreign Body ◽  
Cataract Surgery ◽  
Foreign Bodies ◽  
Ferrous Metal ◽  
Intraocular Foreign Body ◽  
Eye Injury ◽  
Metallic Foreign Body ◽  
X Ray ◽  
Penetrating Eye Injury ◽  
Potential Factor

Intraocular foreign bodies are a potential factor threatening with loss of vision. The development of cataract and symptoms of ocular siderosis are the most common signs of ferrous metal entering the eye. We present a case of a 45-year-old man who reported to the hospital for planned cataract surgery. He denied the possibility of any past eye injury. Despite this, apart from the cataract, X-ray and CT scans confirmed the presence of an intralenticular foreign body and symptoms of ocular siderosis. Cataract surgery was successfully performed using phacoemulsification, and the metallic foreign body was removed. Intraocular foreign body symptoms may be overlooked by patients and even physicians and may occur with considerable delay. Hence, in patients with indirect symptoms of penetrating eye injury, the presence of an intraocular foreign body should not be ruled out, even if the patient denies this possibility.

scholarly journals An unusual cause of appendectomy in a child (a sharp pin trapped in the appendix): a case report

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Leen Jamel Doya ◽  
Nabila Salhab ◽  
Hanin Ahmed Mansour ◽  
Mohammad Ahmad Almahmod Alkhalil
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Alimentary Tract ◽  
Foreign Bodies ◽  
Abdominal Ultrasound ◽  
X Rays ◽  
Metallic Foreign Body ◽  
Pass Through

ABSTRACT Foreign bodies’ (FBs) ingestion is a common problem among children and the psychologically deranged. Ingested FBs usually pass through the alimentary tract without any incident. They can rarely be placed in the appendix and may cause problems. Here we report a case of an appendectomy with no signs of inflammation indicated for a sharp metallic foreign body trapped in the appendix of a 13-year-old Syrian girl. The diagnosis was made through serially abdominal X-rays and abdominal ultrasound.

Fish bone as a foreign body

2003 ◽  
Vol 117 (7) ◽  
pp. 568-569 ◽  
Author(s):  
Manoj Kumar ◽  
George Joseph ◽  
Seena Kumar ◽  
Malcolm Clayton
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Diagnostic Value ◽  
Fish Bone ◽  
Plain Radiography ◽  
X Rays ◽  
X Ray ◽  
Fish Bones ◽  
The Uk

Fish bones are one of the most common foreign bodies in the upper aero-digestive tract. The use of plain X-ray in identifying fish bones has questionable value. We believe that the knowledge of the type of the fish ingested improves the diagnostic value of the neck X-rays. This study was designed to evaluate the relative radio-densities of the bones of commonly eaten fish in the UK. Twenty-three species of fish were studied and their bones were grouped into three depending upon their ratio-densities. This information is expected to be useful in identifying fish bones while reading plain radiography.

scholarly journals Karakteristik pasien benda asing trakeobronkial di bagian T.H.T.K.L Rumah Sakit Dr. Mohammad Hoesin Palembang

2018 ◽  
Vol 47 (2) ◽  
pp. 164
Author(s):  
Puspa Zuleika ◽  
Abla Ghanie
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
The Body ◽  
X Rays ◽  
X Ray ◽  
Tracheobronchial Foreign Body ◽  
History Of ◽  
Chest X Ray

Latar belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar atau dalam tubuh, ke saluran trakeobronkial. Aspirasi benda asing saluran trakeobronkial merupakan keadaan darurat yang memerlukan tindakan bronkoskopi segera untuk mencegah komplikasi yang lebih serius. Tujuan: Mengidentifikasi karakteristik klinis pasien aspirasi benda asing saluran trakeobronkial di bagian Telinga Hidung Tenggorok – Bedah Kepala Leher (T.H.T.K.L) Fakultas Kedokteran Universitas Sriwijaya/ Rumah Sakit Dr. Mohammad Hoesin Palembang. Metode: Penelitian ini merupakan penelitian observasional deskriptif. Sampel penelitian ini diambil dari data rekam medis pasien aspirasi benda asing pada saluran trakeobronkial di Rumah Sakit Dr. Mohammad Hoesin Palembang periode Januari 2012 - Desember 2016. Hasil: Didapatkan 20 pasien dengan riwayat teraspirasi benda asing di saluran trakeobronkial. Dijumpai 9 orang laki-laki dan 11 orang perempuan dengan perbandingan 1:1,2, di mana usia 0-15 tahun merupakan penderita terbanyak aspirasi benda asing ini. Benda asing yang paling banyak ditemukan adalah mainan dan benda plastik sebanyak 9 kasus, serta jarum pentul sebanyak 6 kasus. Sebanyak 19 pasien diketahui terdapat riwayat tersedak benda asing. Pemeriksaan foto toraks menunjukkan gambaran normal pada 12 pasien. Lokasi benda asing terbanyak ditemukan di trakea sebanyak 8 kasus. Kesimpulan: Aspirasi benda asing di saluran trakeobronkial sering terjadi pada anak-anak yang berusia kurang dari 15 tahun. Benda asing terbanyak adalah anorganik berupa mainan dan benda plastik. Pemeriksaan radiologi paru dalam 24 jam pertama setelah kejadian aspirasi pada umumnya menunjukkan gambaran normal. Lokasi benda asing di saluran trakeobronkial terbanyak pada penelitian ini adalah di trakea. Kata kunci: Aspirasi, bronkoskopi, foto toraks, benda asing, traktus trakeobronkial ABSTRACT Background: Foreign body aspiration is the entrance of foreign objects from outside or inside of the body into the tracheobronchial tract. Aspiration of foreign body in tracheobronchial tract is an emergency condition that needs immediate bronchoscopy procedure to prevent serious complications. Objectives: To identify clinical characteristics of foreign body aspiration patients in ENT Department Sriwijaya Medical Faculty / Dr. Mohammad Hoesin Hospital, Palembang. Method: This study was a descriptive observational study. The sample of this study was taken from the medical record of tracheobronchial foreign body aspiration patients at Dr. Mohammad Hoesin Hospital from January 2012 until December 2016. Result: There were twenty patients with the history of foreign body aspiration in tracheobronchial tract, consisted of 9 male and 11 female, with the ratio 1:1,2, in which 0–15 year-old children were the majority of the patients. The most common foreign bodies were toys and plastic objects in 9 cases and head veil pin in 6 cases. Nineteen cases of the patients had the history of choking as presenting symptom. Chest X-Ray showed normal imaging on twelve patients. The most common site in tracheobronchial tract where foreign bodies found was the trachea, in eight cases. Conclusions: Foreign body aspirations in tracheobronchial tract were most frequently happened in children less than 15 year-old. The most common foreign bodies were anorganic material, such as toys and plastic objects. Lung X-Rays on the first 24 hours commonly showed normal imaging. Foreign bodies in tracheobronchial tracts most frequently were found in the trachea. Keywords: Aspirations, bronchoscopy, chest X-Ray, foreign body, tracheobronchial tree

scholarly journals Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics

2018 ◽  
Vol 100 (8) ◽  
pp. 632-634 ◽  
Author(s):  
S Morris ◽  
MS Osborne ◽  
AL McDermott
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hospital Episode Statistics ◽  
Hospital Data ◽  
Foreign Body Removal ◽  
Hospital Episode ◽  
Risk Of Injury ◽  
Adults And Children ◽  
Button Batteries ◽  
Nose And Throat

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Methods Hospital Episode Statistics for 2010–2016 were used to calculate the number of nasal and aural foreign bodies that have been removed in hospital. Data for adults and children have been compared. Results 8752 nasal and 17,325 aural foreign bodies have been removed from adults and children over the course of 6 years. Children were responsible for 95% of the 8353 nasal and 85% of the 14,875 aural foreign body presentations. Children aged 1–4 years are most at risk of injury. Conclusion Children are more likely to present to hospital than adults with a foreign body in the ear or nose. Aural bodies were more likely to need removal in hospital for both populations. Authors believe that these require identification and removal by an ear, nose and throat specialist to prevent morbidity. The overall number of procedures performed annually in children has not reduced over the study period; an average of 1218 nasal and 2479 aural foreign body removals are performed each year with an annual cost of £2,880,148 to NHS England.

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.

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