Intrastromal Corneal Foreign Body – Case Series and Discussion on the Physics of Injury

Abstract We present a case of paediatric nasal foreign body removal using a flexible nasopharyngolaryngoscope, which is used both as an endoscope for visualization and as a hook for the rapid and complete removal of the nasal foreign body (“Visual Hook“).

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Conservative Management in Two Penetrating Fishbone Injuries: A Case Series and Literature Review

Journal of Clinical and Medical Research ◽

10.37191/mapsci-2582-4333-3(6)-094 ◽

2021 ◽

Keyword(s):

Foreign Body ◽

Literature Review ◽

Conservative Management ◽

Case Reports ◽

Case Series ◽

Foreign Body Ingestion ◽

Medical Referral

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.

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Foreign Body Reaction Associated With Artificial LARS Ligaments: A Retrieval Study

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967118811604 ◽

2018 ◽

Vol 6 (12) ◽

pp. 232596711881160 ◽

Cited By ~ 5

Author(s):

Zachary Paul Sinagra ◽

Alan Kop ◽

Moreica Pabbruwe ◽

Jeremy Parry ◽

Gavin Clark

Keyword(s):

Foreign Body ◽

Foreign Body Reaction ◽

Fibrous Tissue ◽

Case Series ◽

Significant Degree ◽

Level Of Evidence ◽

Tissue Ingrowth ◽

Artificial Ligaments ◽

Clinically Significant ◽

Improved Design

Background: Artificial ligaments have been developed and used in the treatment of ligamentous injuries since the 1970s. The early generation of artificial ligaments showed promising short-term results but resulted in high rates of rupture and inflammatory reaction in the surrounding tissues. Purpose: To determine whether the use of Ligament Augmentation and Reconstruction System (LARS) ligaments is associated with the development of intra-articular foreign body reaction. Study Design: Case series; Level of evidence, 4. Methods: LARS ligaments were explanted from 15 patients under 6 consultant orthopaedic surgeons at 8 surgical centers. Of these, 14 explanted samples were sent for macroscopic and histological analysis, with the 1 remaining sample sent for scanning electron microscopy, to assess for inflammatory change as well as the degree of fibrous tissue ingrowth. Results: We observed a foreign body reaction in 10 of 14 explanted LARS ligaments. Seven samples demonstrated fibrous tissue ingrowth, with 5 producing only focal or incomplete ingrowth. The 2 samples with extensive fibrous coverage were completely free of any foreign body reaction, while all 5 remaining samples with only focal or partial fibrous ingrowth were associated with at least some degree of harmful immune response. Conclusion: The LARS ligament is still associated with a clinically significant degree of foreign body reaction despite the LARS Company’s efforts to reduce complications through improved design. The development and completion of fibrous tissue ingrowth may work to reduce the occurrence of a foreign body reaction.

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Tracheo-bronchial foreign bodies: our experience at a tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20161848 ◽

2016 ◽

Author(s):

Shashidhar S. Suligavi ◽

Mallikarjun N. Patil ◽

S. S. Doddamani ◽

Chandrashekarayya S. Hiremath ◽

Afshan Fathima

Keyword(s):

Foreign Body ◽

Early Diagnosis ◽

Foreign Bodies ◽

Tertiary Care ◽

Case Series ◽

Team Work ◽

Care Hospital ◽

Retrospective Case ◽

Presenting Symptoms ◽

Case Series Study

Background:Tracheo- bronchial foreign bodies have always posed a challenge to the ENT surgeon as they present with varied symptomatology ranging from a simple cough and fever to more grave respiratory distress. It requires a strong suspicion, early diagnosis and timely intervention to reduce the overall morbidity and mortality .This study was undertaken to highlight our experiences in handling cases of tracheo- bronchial foreign bodies (FB) at our setup.Methods:It is a retrospective case series study conducted in S. Nijalingappa Medical College between January 2011 and January 2015. Results:Most commonly affected were children between 1year to 3years of age. Chronic cough and wheeze were the commonest presenting symptoms. Vegetative foreign body was found to be the commonest variety of foreign body. The mortality rate in our study was 4.7% (n=3).Conclusions:A good clinical acumen, team work, early diagnosis and timely intervention are all needed to reduce the overall mortality and morbidity associated with tracheo- bronchial foreign bodies.

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Intra-Appendicular Metallic Foreign Body: Case Report and Review of Literature

SAS Journal of Surgery ◽

10.36347/sasjs.2021.v07i04.009 ◽

2021 ◽

Vol 7 (4) ◽

pp. 193-195

Author(s):

Amine Hamdane ◽

Mohammed Amine Hamouchi ◽

Oleko Eddy ◽

Ouadii Mouaqit ◽

El Bachir Benjelloun ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Metallic Foreign Body ◽

Review Of Literature ◽

Body Case

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Ingestion and Pharyngeal Trauma Causing Secondary Retropharyngeal Abscess in Five Adult Patients

Case Reports in Emergency Medicine ◽

10.1155/2012/943090 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Sudhir B. Sharma ◽

Paul Hong

Keyword(s):

Emergency Medicine ◽

Foreign Body ◽

Clinical Features ◽

Case Series ◽

Adult Patients ◽

Retropharyngeal Abscess ◽

Emergency Medicine Physician ◽

Medicine Physician ◽

Local Trauma ◽

Pertinent Information

Retropharyngeal abscess most commonly occurs in children. When present in adults the clinical features may not be typical, and associated immunosuppression or local trauma can be part of the presentation. We present a case series of five adult patients who developed foreign body ingestion trauma associated retropharyngeal abscess. The unusual pearls of each case, along with their outcomes, are discussed. Pertinent information for the emergency medicine physician regarding retropharyngeal abscess is presented as well.

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Open-Globe Injury With Intraocular Foreign Body

Journal of VitreoRetinal Diseases ◽

10.1177/2474126420965033 ◽

2020 ◽

pp. 247412642096503

Author(s):

Filippos Vingopoulos ◽

Yvonne Wang ◽

Seanna Grob ◽

Chloe Yang Ling Li ◽

Dean Eliott ◽

...

Keyword(s):

Foreign Body ◽

Primary Repair ◽

Anterior Segment ◽

Case Series ◽

Visual Outcome ◽

Posterior Segment ◽

Open Globe ◽

Time From Injury

Purpose: To investigate characteristics of Open Globe Injuries (OGI) that presented with Intra-Ocular Foreign Body (IOFB), along with their long-term visual outcomes and complications. Methods: Retrospective interventional consecutive case series of OGIs with IOFBs that presented at Massachusetts Eye and Ear from 2010 to 2015. Data collected included time from injury to OGI repair, location of IOFB, retinal detachment (RD) rate, presenting and final visual acuity and subsequent surgeries. Results: Fifty-seven consecutive cases of OGIs with IOFBs were included. Mean follow-up was 28 months and median time from injury to OGI repair was 0 days. Overall, 38/57 (66.7%) eyes achieved final vision of 20/40 or better and 43/57 (75.4%) 20/150 or better. Thirty-three cases had IOFBs in the anterior segment only, 24 cases had posterior segment involvement. Thirty percent of cases (17/57) were complicated by an RD, 58.3% (14/24) in the posterior versus 9.1% (3/33) in the anterior IOFB group ( P = .01). There were no cases of endophthalmitis. Posterior IOFB and higher zone of injury were risk factors for RD both at presentation (both P < .001) and post-primary repair (both P < .001). Posterior IOFB was associated with higher vitrectomy rates both at presentation ( P < .001) and post-primary repair ( P = .002) and worse long-term visual outcome ( P = .01). Conclusions: OGIs with IOFB involving the posterior segment are associated with higher complication and re-operation rates and worse visual prognosis compared to those involving the anterior segment only.

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Airway Stenosis Related to Foreign Body Aspiration: An Under-recognized Long term Complication

Clinical Medicine Insights Case Reports ◽

10.1177/1179547619863816 ◽

2019 ◽

Vol 12 ◽

pp. 117954761986381 ◽

Cited By ~ 3

Author(s):

Ravindra M Mehta ◽

Nadakuditi Rashmi ◽

Pooja Bajaj ◽

Shyam Krishnan ◽

Lakshmipriya Srinivasan

Keyword(s):

Foreign Body ◽

Granulation Tissue ◽

Case Series ◽

Foreign Body Aspiration ◽

Areca Nut ◽

Tissue Formation ◽

Airway Patency ◽

Granulation Tissue Formation ◽

Airway Stenosis

Introduction: Sequelae of chronic foreign body aspiration include occlusive granulation tissue formation, which can cause delayed fixed airway stenosis. The aim of this study is to highlight this complication, which should be diagnosed early and treated proactively. Methods: We present a case series of areca nut aspiration, an organic foreign body commonly chewed in Southeast Asia, complicated by delayed airway stenosis and examine the peculiar nature of areca nut that predisposes to this complication. Results: Long-term sequelae of areca nut aspiration are granulation tissue formation, potentially complicated by airway stenosis due to the mechanical and chemical irritant nature of areca nut. Discussion: Organic impacted foreign bodies such as areca nut can cause delayed complications of airway stenosis. Both the sharp edges of the areca nut and chemical irritation caused by alkaloids released by the nut in constant contact with the airway mucosa can predispose to this long-term complication. Early diagnosis and appropriate therapeutic interventions such as balloon bronchoplasty can help restore airway patency and prevent lung damage.

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