Beware of chicken bones: An uncommon presentation of a foreign body in the palate

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 115-117
Author(s):  
Dinesh Martin ◽  
Candy Naraynsingh
Keyword(s):  
Foreign Body ◽  
3D Imaging ◽  
Foreign Bodies ◽  
Diagnostic Challenge ◽  
Uncommon Presentation ◽  
Animal Bone ◽  
Atypical Clinical Presentation ◽  
Foreign Body Impaction ◽  
Odontogenic Lesion ◽  
Radiographic Presentation

This paper describes a case of an intra-osseous foreign body impaction in the hard palate, a chicken bone fragment, in an adult male. The presentation mimicked that of an odontogenic lesion. Though palatal soft tissue foreign bodies in toddlers are well reported, the literature is sparse on cases involving adults. The location of the foreign body, and radiographic presentation, resulted in a diagnostic challenge to the attending clinician. This appears to be the first reported case of an animal bone presenting in this way in an adult. CPD/Clinical Relevance: The case highlights the importance of credible history reporting, 3D imaging and developing accurate differentials in the diagnostic pathway when faced with an atypical clinical presentation.

scholarly journals Oesophagal foreign Bodies Ingestion: Experience of 109 Cases

2020 ◽  
Vol 11 (4) ◽  
pp. 7410-7416
Author(s):  
Firas Shaker Mahmoud Al-Faham ◽  
Samer Makki Mohamed Al-Hakkak ◽  
Laith Fathi F. Sharba
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Middle Part ◽  
Food Refusal ◽  
Surgical Department ◽  
Magill Forceps ◽  
Pediatric Age Group ◽  
Body Sensation ◽  
Medical City ◽  
Foreign Body Impaction

Esophageal foreign bodies ingestion is a worldwide surgical issue in pediatric age group while less likely in adults. We estimate endoscopic, clinical and therapeutic sides of this situation in the surgical department in Al-Hussein Teaching Hospital, Karbala city, Iraq and in Al-Sader Medical City, Najaf city, Iraq. The study made to revise our experience for all patients admitted to our hospitals with a diagnosis of oesophagal foreign bodies and their treatments and outcome. The medical registrations resolved concerning demographic information, symptoms presented, investigation and treatments. We revised 109 (61 males and 48 females) patients ranged from 4 months to 65 years with (median age of 2 years). Coins most repeatedly ingested objects (27.5%), miscellaneous metal objects (17.4%), batteries (13.8%) and food (9.2%). The clinical features we encountered vomiting (27.5%), dysphagia (22.9%), asymptomatic (15.6%), drooling and food refusal (12.8 %) and foreign body sensation (8.3%). Usually X-ray screen finding the foreign body in 89(81%) patients. Magill forceps and rigid oesophagoscope performed within six hours from admission under general anaesthesia and from 12-48 from time of ingestion. Foreign body Impaction in the hypopharynx and the upper part of the oesophagus (68.8%) middle part (23%) and the lower part (8.2 %).100(91.7%) patients recovered completely without any complications,9 (18.3%) patient get bleeding, mucosal ulceration and infection which treated successfully.

Foreign Body Nose: An Unusual Presentation

2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Alar Cartilage ◽  
Open Approach ◽  
Medial Canthus ◽  
History Of ◽  
Foreign Body Impaction ◽  
Nasal Bleed ◽  
High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals Denture Impaction Causing an Upper Esophageal Diverticulum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Barium Swallow ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Endoscopic Diverticulotomy ◽  
Tomography Scan ◽  
Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

scholarly journals Airway Complications from an Esophageal Foreign Body

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ismael Garcia ◽  
Joseph Varon ◽  
Salim Surani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Esophageal Foreign Body ◽  
Hypoxemic Respiratory Failure ◽  
Endoscopic Intervention ◽  
Foreign Body Impaction ◽  
Upper Gastrointestinal

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

scholarly journals Endoscopic Management of Foreign Body Impaction in the Upper Gastrointestinal Tract in a Tertiary Care Centre of Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 36-40
Author(s):  
A. Shrestha ◽  
R.B. Gurung ◽  
P. Sharma ◽  
R. Shrestha ◽  
P. Shrestha
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Upper Gastrointestinal Tract ◽  
Endoscopic Management ◽  
Tertiary Care Centre ◽  
Male Predominance ◽  
Foreign Body Impaction ◽  
Upper Gastrointestinal

Background Ingested foreign body impaction on upper gastrointestinal tract is common incidence among children, older age group, mentally challenged individuals, and people the influence of alcohol. In most cases, the foreign bodies pass spontaneously and uneventfully but when this does not occur; endoscopic management to ensure removal under direct visualization is required. Relief upon removal of foreign body and prevention of complications is essential. Objective To assess the endoscopic management and outcome of foreign body impacted in the upper gastrointestinal tract. Method This is a hospital based observational retrospective cross sectional study involving 165 patients at Endoscopy Department of Dhulikhel Hospital in Nepal between November 2015 and October 2019. The data regarding the demographic profile, clinical characteristics and endoscopic findings were retrieved and analyzed to determine endoscopic interventions performed, complications and outcomes. Result One hundred and sixty five patients presenting with history of ingestion of foreign body were included in the study. The mean age of the patients was 46.8 ± 19.1 years with male predominance (60%). The most common site of foreign body impaction was oesophagus (70%). The most common foreign body encountered was bone (62.2%) among which chicken bones (91.1%) were most frequent. For the retrieval of sharp-pointed foreign bodies, rat forceps and graspers (45.7%) were most commonly used. Total 14 cases required rigid oesophagoscopy as the foreign body could not be retrieved by flexible endoscopy. Conclusion Foreign body ingestion and its impaction in the upper gastrointestinal tract has been found to be common in endoscopic practise. Early detection and timely removal of foreign bodies is of utmost importance to avoid discomfort to the patient as well as to ensure successful removal without complications.

scholarly journals Unusual foreign bodies in nose and throat

2020 ◽  
Vol 7 (1) ◽  
pp. 159
Author(s):  
Gaveshani Mantri ◽  
Monalisa Patsani ◽  
Jayakrishnan Menon U. ◽  
Subrat Kumar Behera
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Review Of Literature ◽  
Unusual Foreign Body ◽  
First Case ◽  
Surgical Emergencies ◽  
Foreign Body Impaction ◽  
Nose And Throat

<p>Ear, nose and throat practice presents the surgeons with an amazing variety of foreign bodies to deal with, some of them are truly unusual.They may be inert, hygrophilic or corrosive. Foreign body impaction in ear,nose and throat is among the medical-surgical emergencies of otorhinolaryngological practice. Some foreign bodies have been well documented among the objects that normally get impacted in ear,nose and throat.</p><p>Here we present  two unusual  cases that happened to be managed in our institution. First case was of a patient who came with an unusual foreign body lodged in the nose and nasopharynx and the second  case  was of a migrating foreign body in throat. The main aim and objective of these case reports is to highlight on unusual foreign bodies  and their management .These foreign bodies were never found to have been reported previously in our review of literature.</p>

scholarly journals Endoscopic Removal of Sharp Foreign Bodies in Neck Using Image Intensified Television

2010 ◽  
Vol 1 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Arpit Sharma ◽  
Shawn T Joseph ◽  
Rahul C Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Intervertebral Disk ◽  
Management Decision ◽  
Surgical Removal ◽  
High Morbidity ◽  
Endoscopic Removal ◽  
Life Threatening ◽  
Foreign Body Impaction ◽  
Intervertebral Disk Space

Abstract Foreign body impaction in the neck poses life-threatening problems when it is deep and close to vital structures. We report two cases of sharp metallic foreign body impaction in the neck – one of them in the prevertebral space and the other in the intervertebral disk space. A neck exploration and surgical removal of these foreign bodies, as is usually practised in most centers, would have been life-threatening and associated with high morbidity. We removed these foreign bodies using rigid endoscope under image intensified television (IITV) guidance. The patients could be discharged the same day. We suggest that endoscopic removal under IITV fluoroscopy system should be the method of choice in the removal of foreign bodies located in these sites. We also propose a classification of neck into vertical segments which would be useful in the management decision of these cases.

scholarly journals An unusual wooden foreign body in the face: a case report

2017 ◽  
Vol 32 (1) ◽  
pp. 50
Author(s):  
Gilberto Leal Grade ◽  
Roberta Dalmolin Bergoli De Almeida ◽  
Leandro Calcagno Reinhardt ◽  
Marcos Antonio Torriani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Emergency Services ◽  
Anatomical Site ◽  
Initial Examination ◽  
Diagnostic Challenge ◽  
Maxillofacial Region ◽  
Level Of Consciousness ◽  
The Face ◽  
Wooden Foreign Body

Although injuries with the presence of foreign bodies in the maxillofacial region are relatively common in urgency and emergency services, they still pose a diagnostic challenge that is related to several factors, such as type of trauma, foreign body material, patient’s level of consciousness and anatomical site involved. A third of foreign bodies in the face are not detected upon initial examination and may remain in deep tissues until they are accidentally encountered by imaging tests for other purposes or until the patient shows symptoms such as pain or swelling. This article reports a case of a 9 cm piece of wood extracted from a patient’s middle third region of the left midface after 30 days of trauma occurrence, with associated infection suggesting a clinical picture of neoplasia.

The value of radiographic assessment for oropharyngeal foreign bodies

1995 ◽  
Vol 109 (5) ◽  
pp. 452-454 ◽  
Author(s):  
J. Marais ◽  
R. Mitchell ◽  
A. J. A. Wightman
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
False Positive ◽  
Foreign Bodies ◽  
Controlled Study ◽  
Radiographic Assessment ◽  
Double Blind ◽  
Foreign Body Impaction ◽  
Made In

AbstractA double-blind, controlled study to assess the accuracy of interpretation of lateral soft tissue radiographs of 60 patients with suspected foreign body impaction in the oro/hypopharynx was carried out by 18 respondents from three different specialities. All the patients had endoscopy carried out and foreign bodies were present in 25. Of these, foreign bodies were diagnosed on the radiograph in only 38.3 per cent. False-positive diagnoses were made in a mean of 26.3 per cent of those patients who did not have a foreign body.

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