Delayed diagnosis of laryngeal foreign body

2003 ◽  
Vol 117 (2) ◽  
pp. 143-144 ◽  
Author(s):  
W. V. Jesudason ◽  
D. A. Luff ◽  
M. P. Rothera
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Accidental Death ◽  
Delay In Diagnosis

Aspiration of a foreign body is a recognized cause of accidental death in children. Paediatricians are aware of the symptoms of inhaled foreign bodies in the lower respiratory tract. However, symptoms which suggest impaction in the larynx do not appear to raise the same index of suspicion of a foreign body. One case of laryngeal foreign body is described with a delay in diagnosis of five days. The clinical presentation, investigations and management are discussed.

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.

scholarly journals Foreign bodies of the lower respiratory tract

2009 ◽  
Vol 56 (3) ◽  
pp. 127-130 ◽  
Author(s):  
A.B. Ugrinovic ◽  
V.B. Djukic ◽  
Lj.V. Erdevicki ◽  
S.D. Arsenijevic ◽  
J.P. Milovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Modern Society ◽  
The United States ◽  
Sunflower Seeds ◽  
Left Main ◽  
The Right

Aspiration of foreign bodies of the lower respiratory tract is the most common cause of accidental death in children under 6 years of age in the United States. The aim of the study was to actualize the problem of foreign bodies in modern society, to determine the most common types of foreign body, who and why usually aspires foreign body, whether the incidence is changing, and to define principles for optimal prevention. During our five-year study, we had 166 cases of aspiration of foreign bodies of the lower respiratory tract. The incidence is highest in children under three years of age (54.8%). Cough (94.6%) and breathing difficulties (78.9%) were the dominated symptoms. The majority of aspirated objects were grain (peanuts, walnuts, sunflower seeds) - 29.5%. Localization of foreign bodies was mainly in the right and left main bronchus, and the most common complications were atelectasis and emphysema. All patients had undergone a rigid upper tracheobronchoscopy and foreign body was found in 80 patients (48%). There was no need to perform neither tracheotomy, nor any further surgical treatment, as for example thoracotomy, in any patient. Good education is the best prevention.

Foreign Bodies in the Lower Respiratory Tract

1967 ◽  
Vol 63 (sup224) ◽  
pp. 429-430 ◽  
Author(s):  
Erik Teig ◽  
Hans E. Grønås
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies

Respiratory disease in foreign body aspiration in children

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.

scholarly journals Occult Liver Abscess Following Clinically Unsuspected Ingestion of Foreign Bodies

1997 ◽  
Vol 11 (5) ◽  
pp. 445-448 ◽  
Author(s):  
Ban CH Tsui ◽  
J Mossey
Keyword(s):  
Foreign Body ◽  
Preoperative Diagnosis ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Computed Tomographic ◽  
Liver Abscesses ◽  
Computed Tomographic Scan ◽  
History Of ◽  
Variable Clinical Presentation

Two uncommon cases of foreign body (a wooden clothespin and a toothpick) perforation of the gut with associated pyogenic liver abscesses are presented. These cases illustrate the difficulties of preoperative diagnosis. The lack of history of ingestion of foreign bodies, variable clinical presentation of the conditions and radiolucent natures of the foreign bodies all play a role in impeding the diagnosis preoperatively. This report emphasizes the role of ultrasound and computed tomographic scan in evaluating similar cases. Any patient with known risk factors for ingestion of foreign body should arouse suspicion and be investigated further.

Removal of foreign bodies from the respiratory tract of young children: Treatment outcomes using newly developed foreign-body grasping forceps

2016 ◽  
Vol 51 (8) ◽  
pp. 1375-1379 ◽  
Author(s):  
Makoto Endoh ◽  
Hiroyuki Oizumi ◽  
Naoki Kanauchi ◽  
Hirohisa Kato ◽  
Hiroshi Ota ◽  
...  
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Respiratory Tract ◽  
Treatment Outcomes ◽  
Foreign Bodies

Foreign Bodies in the Lower Respiratory Tract: A Statistical Review

1967 ◽  
Vol 63 (sup224) ◽  
pp. 423-428 ◽  
Author(s):  
E. A. Vaheri ◽  
T. Tammisto ◽  
L. Tarkkanen
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Statistical Review

scholarly journals Foreign bodies in the lower respiratory tract

2015 ◽  
Vol 11 (3) ◽  
pp. 18
Author(s):  
T. Avramov ◽  
P. Perenovska ◽  
M. Tsekova-Chernopolska ◽  
E. Naseva ◽  
Tz. Tsolov
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies

scholarly journals Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

2019 ◽  
Vol 5 (6) ◽  
pp. 1552
Author(s):  
Kunzes Dolma ◽  
Anchal Gupta ◽  
Apurab Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Foreign Body ◽  
Clinical Examination ◽  
Foreign Bodies ◽  
Standard Procedure ◽  
Neck Surgery ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Delay In Diagnosis

<p class="abstract"><strong>Background:</strong> The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.</p><p class="abstract"><strong>Methods:</strong> The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied.  </p><p class="abstract"><strong>Results:</strong> The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.</p><p><strong>Conclusions:</strong> History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies. </p>

scholarly journals A Complicated Case of Foreign Body Oesophagus in an Infant

2015 ◽  
Vol 23 (1) ◽  
pp. 31-33
Author(s):  
Arvind Kumar Verma ◽  
Ruma Guha ◽  
Chiranjib Das ◽  
Saumendra Nath Bandopadhyay
Keyword(s):  
Foreign Body ◽  
Elderly People ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Technical Difficulty ◽  
Accidental Ingestion ◽  
Complicated Case ◽  
Delay In Diagnosis ◽  
One Year ◽  
Safety Pin

Ingestion of foreign bodies is common primarily in children, psychiatric patients, alcoholics and elderly people who use dentures. Selivanov et al. reported that, in most cases of foreign body ingestion, the most common foreign bodies ingested were coins, bones, food debris, safety pins and razor blades. Rarity, technical difficulty in removing the foreign body, complications associated with the delay in diagnosis and treatment, migration of the foreign body extraluminally, site, shape and position of the sharp end of a safety pin makes this case  interesting and worth reporting. We are reporting a case of a one year child presenting to us with accidental ingestion of a safety pin. The case was difficult because the protected end of the safety pin was broken which made both the ends of the foreign body sharp. Also, the ends of safety pin were wide apart and pointing upwards.

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