Airway Management in Complete Oral Cavity Foreign Body Obstruction: A Case Report

Abstract Background Foreign body ingestion is a common problem in pediatrics. Each foreign body can present its’ own unique challenges during removal, and we present the management of an ingested Spotted Tussock Moth (Lophocampa maculata), more commonly known as a caterpillar. Case presentation An 18-month-old boy presented to the emergency department with difficulty handling secretions and odynophagia. It was reported he had placed a caterpillar in his mouth and then spat it out. On examination, hundreds of miniscule filaments (setae) were seen embedded in his lips and tongue. Our service was consulted out of concern for airway involvement. The patient was taken to the operating room where a direct laryngoscopy under general anesthesia with spontaneous ventilation was performed to confirm the setae were confined to the anterior tongue and lips. Once we were satisfied the airway was stable, the airway was secured, and we then began to remove the setae. The initial method used was to use Adson-Brown forceps to remove the setae, however this proved difficult and time-consuming given the volume of setae and how thin the setae were. Ultimately, a more effective technique was developed: a 4 × 4 AMD-RITMES® gauze was applied to the mucosa in order to dry up any secretions and then a piece of pink, waterproof BSN medical® tape was applied to the mucosa. After 3 s of contact it was removed. This technique was then repeated and was used to remove the vast majority of the setae. Conclusion To our knowledge, we have described the first technique to remove the caterpillar setae from the oral cavity mucosa in a fast, safe and efficient manner.

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Giant tonsillolith: a case report and review of literature

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20150210 ◽

2015 ◽

Vol 1 (1) ◽

pp. 89

Author(s):

Hitesh Verma ◽

Arjun Dass ◽

Surinder K. Singhal ◽

Nitin Gupta

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Rare Clinical Entity ◽

Review Of Literature ◽

Tonsillar Fossa ◽

Body Sensation ◽

The World ◽

History Of ◽

One Year

We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. Keywords: Tonsillolith, Oral cavity

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Surgical Management of Intestinal Foreign Body Obstruction in Labrador Retriever Dog- A Case Report

International Journal of Current Microbiology and Applied Sciences ◽

10.20546/ijcmas.2020.907.426 ◽

2020 ◽

Vol 9 (7) ◽

pp. 3646-3648

Author(s):

B. M. Nijin Jos

Keyword(s):

Case Report ◽

Foreign Body ◽

Surgical Management ◽

Labrador Retriever ◽

Foreign Body Obstruction

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Metallic body foreign language - case report

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0012.0954 ◽

2018 ◽

Vol 7 (2) ◽

pp. 33-38

Author(s):

Magdalena Kuźmińska ◽

Aleksandra Wężyk ◽

Paulina Kołodziejczyk ◽

Tomasz Gotlib ◽

Piotr Chęciński ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Soft Tissue ◽

Oral Cavity ◽

Foreign Language ◽

Metallic Foreign Body ◽

Foreign Body Removal ◽

Common Location ◽

Final Treatment ◽

Metallic Body

Probably every laryngologist in his career will face off an issue of foreign body removal. It can be problematic especially that foreign body cause the trauma of surrounding tissues or may translocate unpredictably. A space of the middle and lower throat is the most common location. Occasionally it can be located in less obviously place, which force the laryngologist to prevent more viligant diagnostic. A foreign body pounded within soft tissue of the oral cavity is the example. A case report of a metallic foreign body inherent in the tongue for more than six weeks before the final treatment is presented.

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Unusual foreign object in a tooth: A case report and review of literature

Clinics and Practice ◽

10.4081/cp.2019.1114 ◽

2019 ◽

Vol 9 (1) ◽

Author(s):

Nawaf Mohammad Ashqar ◽

Fareedi Mukram Ali

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Case History ◽

Foreign Object ◽

Review Of Literature ◽

Source Of Infection ◽

Foreign Objects ◽

Potential Source ◽

History Of

Foreign body impactions in the tooth are common findings in the oral cavity of children because of their frequent habits of placing various objects in their mouth. The present case describes an 11-year-old boy with a foreign object in the maxillary left first molar tooth of which he was unaware. Foreign objects can not only be a source of infection but also be aspirated or ingested by the child. The discovery of foreign objects in the teeth is usually accidental. A detailed case history, consisting of a history of the ordinary placement of the object and clinical and radiographic examinations is necessary to determine the nature, size, and location of the foreign body, as well as the difficulty involved in its retrieval. The foreign object may sometimes fracture inside the tooth during exploration by the parent or child. Such an object may act as a potential source of infection and lead to complications.

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Penetrating craniofacial trauma from a vice clamp: case report and discussion

CJEM ◽

10.2310/8000.2011.100221 ◽

2011 ◽

Vol 13 (01) ◽

pp. 57-61 ◽

Cited By ~ 2

Author(s):

Colleen Kjelland ◽

Warren Thirsk

Keyword(s):

Case Report ◽

Foreign Body ◽

Intracranial Pressure ◽

Airway Management ◽

Facial Trauma ◽

Increased Intracranial Pressure ◽

Local Structures ◽

Craniofacial Trauma ◽

Neurovascular Structures

ABSTRACTPenetrating craniofacial trauma, although uncommon, has a high potential for death or serious morbidity from injury to vital neurovascular structures. An in situ facial foreign body, particularly if large, presents significant challenges beyond safe and timely removal. Airway management, stabilization of the object, management of increased intracranial pressure, and identification of injuries to local structures are all issues that may require addressing. We present a case of penetrating facial trauma from a vice clamp, with an in situ foreign body, that illustrates several of these challenges and provides a forum for their discussion.

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Impacted tooth brush in retromolar area: a practical management of difficult airway

Journal of Society of Anesthesiologists of Nepal ◽

10.3126/jsan.v1i1.13590 ◽

2015 ◽

Vol 1 (1) ◽

pp. 51-54 ◽

Cited By ~ 1

Author(s):

Gopendra Prasad Deo ◽

Prakash Chandra Majhi

Keyword(s):

Case Report ◽

Foreign Body ◽

Tracheal Intubation ◽

Airway Management ◽

Difficult Airway ◽

Foreign Bodies ◽

Impacted Tooth ◽

Operative Complications ◽

Retromolar Region ◽

The Right

Proper airway management is an important skill for an Anaesthesiologist. This case report deals with airway management performed in a forty five years lady, with impacted tooth brush in the retromolar region on the right side. She was intubated and the foreign body was removed surgically without any peri-operative complications. This case report discusses the complications and management of oropharyngeal injuries by stick-like foreign bodies such as a toothbrush or a chopstick. The article also focuses on basic airway management and some tracheal intubation techniques that may be performed to solve a difficult airway.Journal of Society of Anesthesiologists 2014 1(1): 51-54

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Foreign body in the maxillary sinus. Surgical closure using the palatal pocket technique

Revista de la Facultad de Odontología ◽

10.25014/revfacodont271.2021.31.2.20 ◽

2021 ◽

Vol 31 (2) ◽

pp. 20-25

Author(s):

OS Corominas ◽

◽

E Peretti ◽

S Fontana ◽

L Menutti

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Ct Scan ◽

Maxillary Sinus ◽

Multislice Ct ◽

Prosthetic Reconstruction ◽

Surgical Closure ◽

Surgical Preparation ◽

The Right

Objective: to present a case report of a patient with a bucosinusal communication and its surgical resolution through the palatal pocket technique. Method: The patient came to the office reporting pain and passage of substances from the oral cavity to the nose. During inspection, a prosthetic reconstruction was observed, and in the multislice CT scan, the right maxillary sinus showed a lane to the alveolus of the second upper premolar. An irregular and diffuse foreign body was seen inside the maxillary sinus. Pre-surgical preparation: washes were performed through the fistula. Under general anesthesia, surgery was performed for the removal of the foreign body and plastic closure of the communication, using the palatal pocket technique. Resultsand conclusion: This technique ensured a tight closure of the communication and prevented reopening of the lesion. This was confirmed during postoperative controls

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