A Novel Approach to Oropharyngeal Foreign Body Removal

2017 ◽  
Vol 158 (1) ◽  
pp. 194-196 ◽  
Author(s):  
Madeleine P. Strohl ◽  
Nicholas A. Dewyer ◽  
Joshua Sckolnick ◽  
William R. Ryan
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Direct Laryngoscopy ◽  
Foreign Bodies ◽  
Robotic Assistance ◽  
Foreign Body Removal ◽  
Foreign Body Retrieval ◽  
Base Of Tongue ◽  
Novel Approach ◽  
Gag Reflex

Grill wire brush bristle foreign bodies most commonly embed in the oropharynx. Often these bristles can be removed in the clinic; however, on occasion, the patient requires general anesthesia for retrieval because of the gag reflex and difficulty with access and visualization. We report here on 2 cases of patients who underwent successful transoral robotic surgical retrieval of wire bristles from the base of tongue after unsuccessful direct laryngoscopy. Otolaryngologists should be aware of the use of robotic assistance for oropharyngeal foreign body retrieval.

Laryngeal Foreign Bodies in Children Revisited

2003 ◽  
Vol 112 (10) ◽  
pp. 866-868 ◽  
Author(s):  
Robert G. Berkowitz ◽  
Wye-Keat Lim
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
General Anesthesia ◽  
Retrospective Review ◽  
Foreign Bodies ◽  
Upper Airway ◽  
Laryngeal Edema ◽  
Foreign Body Removal ◽  
History Of ◽  
Age Range

To review our experience with inhaled laryngeal foreign bodies in children, we performed a retrospective review of all admissions to our institution between March 1989 and March 2002 with the diagnosis of an inhaled laryngeal foreign body. We included only cases in which the diagnosis was confirmed at endoscopy under general anesthesia. Two children were dead on arrival at our institution as a result of upper airway obstruction following a choking episode and did not undergo endoscopy; they were not included. Nine children (5 male, 4 female) were identified. The age range was 5 months to 13 years 9 months, although only 1 child was older than 32 months. The foreign body was removed within 24 hours of a witnessed choking episode in 4 children, and the diagnosis was delayed in 5 children for a period between 4 days and 2 months, including 2 in whom a history of a choking episode had been initially obtained. One complication occurred in a child in whom the diagnosis was delayed; he developed laryngeal edema after foreign body removal and required endotracheal intubation for 1 week.

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.

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 Esophageal foreign body removal using endoscopy in cat

2020 ◽  
Vol 4 (2) ◽  
pp. 21-22
Author(s):  
Sitaria Fransiska Siallagan ◽  
Herawati Napitu ◽  
Arni Diana Fitri ◽  
Nindya Dwi Utami ◽  
Soenarti D. Waspada ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Foreign Body ◽  
Physical Examination ◽  
General Anesthesia ◽  
Clinical Symptom ◽  
Esophageal Wall ◽  
Esophageal Foreign Body ◽  
Foreign Body Removal ◽  
Esophageal Lumen ◽  
Sewing Thread

A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.

scholarly journals A Cross-Knotted Suture Basket Technique for Large Nonmagnetic Intraocular Foreign Body Removal

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Jian Cao ◽  
Baihua Chen ◽  
Yun Li
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Intraocular Foreign Body ◽  
Effective Alternative ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Clinical Investigations ◽  
Vicryl Suture ◽  
The Cross ◽  
Set Up

Purpose. To report a novel technique of cross-knotted suture basket and to test its effectiveness in large nonmagnetic intraocular foreign body (IOFB) removal. Methods. A 7/0 Vicryl suture was cut in half and cross-knotted, and four ends were introduced into a 23G needle to form a basket. Pig eyes were used to set up the IOFB model, and the effectiveness of the suture basket in the removal of large nonmagnetic intraocular foreign bodies was tested. Results. Several modifications can be made to adapt to different situations. For the materials (stone, metal, glass, and wood) and shapes (irregular, spherical, and rectangle) of large IOFB tested, the cross-knotted suture basket successfully removed all kinds of IOFBs. Conclusion. The suture basket technique provides an accessible, safe, and effective alternative in large nonmagnetic IOFB removal. It can be adapted and interchangedand also worth’s further clinical investigations.

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 Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Maria Paparoupa ◽  
Markus Bruns-Toepler
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Terminal Ileum ◽  
Digestive System ◽  
Foreign Bodies ◽  
Ileocecal Valve ◽  
Psychiatric Diseases ◽  
Foreign Body Removal ◽  
Borderline Disorder ◽  
Endoscopic Insertion

Ingestion of foreign bodies and particularly of button or/and cylindrical batteries is frequent in children and adults with underlying psychiatric diseases. We present a case of a 30-year-old woman with unstable borderline disorder, where overall 4 button and 2 cylindrical batteries were endoscopically removed from her digestive system. During the last session of colonoscopy a peculiar incident was observed, as a cylindrical battery of 15 mm diameter and 43 mm length moved retrograde through ileocecal valve into the small bowel. The foreign body removal from terminal ileum was effective and safe using an endoscopic loop. This report suggests that endoscopic insertion in terminal ileum should be attempted in every colonoscopy session conducted under the indication of foreign body removal, as the possibility of retrograde movement of even large foreign bodies in the colon and through ileocecal valve is given.

scholarly journals Colonic Foreign Body Retrieval Using a Modified TAMIS Technique with Standard Instruments and Trocars

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Shamir O. Cawich ◽  
Fawwaz Mohammed ◽  
Richard Spence ◽  
Matthew Albert ◽  
Vijay Naraynsingh
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Conventional Laparoscopy ◽  
Skill Sets ◽  
Foreign Body Retrieval ◽  
Laparoscopic Instruments ◽  
Resource Poor ◽  
Specialized Equipment ◽  
Additional Skill

Background. Reports of retained colorectal foreign bodies (CFBs) are no longer considered uncommon. We present a case where a retained CFB was retrieved using a modified TAMIS technique using standard instruments and trocars.Case Report. A 52-year-old man presented with a CFB. We report our technique of extraction with standard laparoscopic instruments without specialized access platforms.Conclusions. This modified TAMIS technique is well suited for resource poor environments because it requires no specialized equipment, platforms, or additional skill sets compared to conventional laparoscopy.

scholarly journals Anesthesia for Removal of Foreign Bodies in Lower Respiratory Tracts in Souro Sanou University Hospital Center in Bobo-Dioulasso: About 46 Cases

2018 ◽  
Vol 5 (3) ◽  
pp. 3625-3629
Author(s):  
Barro SD ◽  
Tankoano A I ◽  
Ouedraogo RW-L ◽  
Guibla I
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Anesthetic Management ◽  
University Hospital ◽  
Foreign Body Extraction ◽  
Bobo Dioulasso ◽  
Consultation Time ◽  
Hospital Center

Introduction : The inhalation of foreign body is a common cause of respiratory distress in children. Anesthesia for this endoscopy represents a challenge for the anesthesiologist. Objective : To assess the anesthetic management of foreign body extraction of the lower respiratory tracts in a context of limited resources. Patients and methods : This is a retrospective study in descriptive aim, over 3 years from 1st January 2014 to 31st December 2016. It involved patients admitted for foreign bodies of the lower respiratory tracts in Resuscitation service and ENT in Souro Sanou University Hospital Center in Bobo-Dioulasso . Results : A total of 46 patients were hospitalized for foreign bodies of the lower respiratory tracts during the study period. The mean age of the patients was 2.6 years ± 8.23. Patients were predominantly male with 27 cases (58.70 %), a sex ratio of 1.42. The foreign bodies were of organic type in 82.60% of the cases, against 17.4 % of non organic. The location of foreign bodies was laryngeal in 03 cases (06.52%), tracheal in 06 cases (13.04%) and bronchial in 37 cases (80.43%). The average consultation time was 3.12 days ± 4.7. The circumstances of discovery were a notion of penetration syndrome in 69.57%, respiratory dyspnea in 91.30%, a queasy cough in 56.52% of cases and a chance discovery in 2.17% of cases. . The foreign bodies were radio-opaque in 17.39% of cases. Extraction of foreign bodies was performed under general anesthesia. In intraoperative operating room, incidents / accidents were noted in 23.91 %. Operative follow-up was simple in 82.60% of cases and complications were recorded in 15.21% of cases. Conclusion : Foreign bodies of the lower respiratory tracts remain a topical issue for the child. The therapeutic treatment is based on the realization of a Laryngo-tracheo-bronchial endoscopy, under general anesthesia by an experienced crew.

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