scholarly journals A clinical study on paediatric aero digestive foreign body in emergency department

2018 ◽  
Vol 4 (3) ◽  
pp. 682
Author(s):  
Selvam D. K. ◽  
Nirmal Kumar J. ◽  
Anjan Kumar S. ◽  
Nagarajan P. S.
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Digestive Tract ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Paediatric Age ◽  
Madras Medical College ◽  
Careful Assessment

<p class="abstract"><strong>Background:</strong> Foreign body ingestion and aspiration is a common clinical condition among the paediatric population. The management of the aero digestive foreign body requires clinical acumen, coupled with the radiological diagnosis and the necessary infrastructure for their management, it demands skill and expertise for removal of a foreign body.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was carried in the department of Otorhinolaryngology, between December 2016- May 2017, at Institute of Child Health and Hospital for Children, Madras Medical College. 68 cases were analysis of the nature of the foreign body was done. All the patients reported to the emergency department and the ENT surgeon opinion sought with aim of maintaining airway. Clinical assessment, with history, radiographs were obtained to ascertain level and nature of the foreign body and prompt removal by oesophagoscopy/bronchoscopy/direct laryngoscopy under general anaesthesia.  </p><p class="abstract"><strong>Results:</strong> The study of 68 children who reported with history /suspicion of foreign body ingestion/aspiration. There were 32 boys and 36 females, 37 cases of foreign body ingestion and 31 cases of foreign body aspiration. The most common foreign body in digestive tract was coin in 26 cases and peanut in the airway.</p><p class="abstract"><strong>Conclusions:</strong> Foreign bodies in aero digestive tract in paediatric age group, is a common problem encountered by the otorhinolaryngologist. Careful assessment, clinical evaluation, radiological investigations with effective management in emergency department prompt removal of the foreign body in the aero digestive tract will lead to reduced mortality and morbidity.</p>

scholarly journals Diagnosis and management of radio opaque nasal foreign bodies in children

2018 ◽  
Vol 4 (2) ◽  
pp. 424
Author(s):  
Satish Kumar P. ◽  
Vikram V. J. ◽  
Mannarmannan N. ◽  
Bhavani R.
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Paediatric Population ◽  
Age Group ◽  
Septal Perforation ◽  
Case Record ◽  
Button Battery ◽  
Medical College ◽  
Foreign Body Impaction ◽  
Madras Medical College

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Nasal foreign body impaction is a common problem in paediatric population. Children are more affected because they have tendency to put anything in the nose or by their playmates. This study is about the various radio opaque nasal foreign bodies we encountered and their management. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A retrospective study between January 2013 - January 2015, at Institute of child health/Madras Medical College, Chennai, was done in paediatric patients, who have accidently inserted the radio opaque foreign body in their nostrils. The case record were analysed for the nature of radio opaque nasal foreign body, the symptoms, complications encountered.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 11 patients with radio opaque foreign body in our study. The most common age group was between 1 to 5 years 7 patients were in this age group. The type of foreign was button battery were 5 in number, safety pins 4, marble 1, bolt 1. All the patients were brought to hospital within 4 hours of insertion. We did not encounter any complications while removal of the nasal foreign bodies. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Nasal foreign bodies are a common problem among children’s. The foreign body retrieval can be posing a great challenge to the otorhinolaryngologists. The radio opaque foreign body especially button battery, if not removed may lead to serious complications like septal perforation.</span></p><p class="abstract"> </p>

Managing laryngotracheal trauma: 3 year experience at a tertiary hospital in North India

2020 ◽  
Vol 6 (3) ◽  
pp. 459
Author(s):  
Manish Munjal ◽  
Japneet Kaur ◽  
Porshia Rishi ◽  
Harjinder Singh ◽  
Nitika Tuli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Hospital ◽  
Aerodigestive Tract ◽  
North India ◽  
Common Finding ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Emergency Procedures ◽  
Acute Injuries ◽  
Life Threatening

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Laryngotracheal trauma includes life threatening injuries that are encountered by emergency care physicians, trauma surgeons and ENT surgeons. These injuries can occur in the most remote areas or in the busiest metropolitan setting. Earlier intervention is vital in order to reduce the mortality and morbidity associated with insult to the aerodigestive tract and surrounding structures.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>This is a retrospective study of 21 patients who presented to the emergency department of Dayanand Medical College and Hospital, Ludhiana, for management of injuries to aerodigestive tract over a period of 3 years from January 2016 to December 2019.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Twenty-one patients were seen with acute injuries to the airway in the emergency department. There were 12 males and 9 female patients out of which there were 10 men and 5 women, 3 girls and 2 boys ranging in age from 9 to 60 years. Although most of these injuries occurred as a result of blunt trauma, 6 were due to penetrating injuries out of which 2 were due to homicidal assault. Stridor was the most common finding followed by surgical emphysema. Twelve patients were in acute respiratory distress requiring emergency procedures to secure the airway. All patients underwent successful repair of the injuries. All patients except 1 had a good airway.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Laryngotracheal injury is rare but very crucial and life-threatening surgical emergency. Timely intervention is crucial in the management of laryngotracheal trauma in order to prevent complications.</p>

scholarly journals The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head

2020 ◽  
Vol 4 (3) ◽  
pp. 283-284
Author(s):  
Matthewq Hysell ◽  
Jennifer Finch ◽  
David McClendon
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Foreign Body ◽  
Foreign Body Ingestion ◽  
High Threshold ◽  
Case Presentation ◽  
Sprinkler Head

Case Presentation: A 37-year-old man presented from jail reporting foreign body ingestion of a sprinkler head. While initial radiography did not reveal the foreign body, subsequent imaging with computed tomography demonstrated the sprinkler head. When confronted with this discrepancy the patient admitted to having the sprinkler head in his possession and choosing to swallow it after his initial radiography. Discussion: This case demonstrates the importance of maintaining a high threshold for real illness in situations where there is suspected malingering, a situation not infrequently encountered in the emergency department.

scholarly journals Variation in volumes and characteristics of ENT emergency visits during COVID-19 pandemic. Where are the patients?

2020 ◽  
Author(s):  
Marilia Sapoutzi ◽  
Giorgos Sideris ◽  
Eleni Boumpa ◽  
Nikolaos Papadimitriou ◽  
Thomas Nikolopoulos ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Retrospective Analysis ◽  
Emergency Departments ◽  
Age Groups ◽  
Descriptive Study ◽  
Registry Data ◽  
Foreign Body Ingestion ◽  
Emergency Visits ◽  
Near Future

Abstract Purpose: The aim of this study is to analyze patterns and volumes of patients visiting ENT emergency departments during periods of community lockdowns given the newness of this situation and to assess the variation in numbers of visits and examine whether their reduction equally affects all categories of visit causation or whether it is limited to diseases not considered as emergencies.Methods: A retrospective descriptive study was conducted on prospectively collected registry data on patients of all age groups visited the emergency ENT department during the period of nationwide lockdown. Patients were grouped in 9 categories, according to the cause of visit the ENT emergency department.Results: A total of 201 patients visited the ENT emergency department. The retrospective analysis of the data during the same period in the years 2013 to 2019 showed a reduction of 73% in total visits (mean total visits number between 2013 to 2019 was 745.29 ± 20.0143). A statistically significant reduction in visitation was found in all categories studied with the exception of foreign body ingestion – aspiration.Conclusion: Patients with General ENT symptoms, mild epistaxis cases, otology cases, vertigo cases, uncomplicated infectious cases showed a statistically significant reduction in numbers and were treated empirically. Swallowing foreign body cases did not show statistically significant reduction. Limitation of movement and the lockdown itself, led to reduction of trauma cases. Surprisingly, there was also a reduction in oncology cases and an increase in numbers of these cases can be expected in the near future.

scholarly journals INTESTINAL OBSTRUCTION IN PAEDIATRIC AGE GROUP DUE TO FOREIGN BODY INGESTION

2018 ◽  
Vol 7 (04) ◽  
pp. 548-549
Author(s):  
Pankaj Kumar Saunakiya ◽  
Satendra Rajput ◽  
Santosh Kumar Saroj ◽  
Santvir Singh ◽  
Rajkumar Verma
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Foreign Body Ingestion ◽  
Age Group ◽  
Paediatric Age

scholarly journals Foreign body ingestion by children: an analysis of age and types at a tertiary hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 299-304
Author(s):  
Tanvir Kabir Chowdhury ◽  
Durdana Sadab ◽  
Md Minhajuddin Sajid ◽  
Md Abdullah Al Farooq
Keyword(s):  
Foreign Body ◽  
Hospital Stay ◽  
Tertiary Hospital ◽  
Foreign Body Ingestion ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Sex Type ◽  
Different Types ◽  
Smooth Objects

Foreign body (FB) ingestion is common in children worldwide. Type of FB ingestion varies among cultures and countries. We retrospectively reviewed all patients of foreign body ingestion who were admitted in Department of Pediatric Surgery, Chittagong Medical College Hospital from January 2017 to December 2019 (total 3 years). Age, Sex, type of foreign body, hospital stay, management and outcome were analyzed. A total of 91 children were admitted with ingestion of FB during this period; male 61, female 30 (male to female ratio 2:1). Age ranged from 3 months to 12 years (median 3.5 ± 3.8 years). Fifty eight percent were less than 5 years old. Children ingested 21 different types of FB; however ingestion of coin was most common (24 patients, 26.37%) followed by different types of pins (19 patients, 20.88%), nail (6 patients, 6.59%), battery (5 patients, 5.49%), screw (5 patients, 5.49%), needle (4 patients, 4.40%), ring (4 patients, 4.40%) and others (18 patients). Sharp object ingestion is higher in older (>5 year) age group. Hospital stay ranged from 0 day to 19 days (mean 1.6 ± 2.1 day). Endoscopic removal needed in 4 patients (coin-2, chain 2), bronchoscopic removal in 1 (pin) and one patient needed laparotomy (open hair pin). There was no mortality. The pattern of FB ingestion is similar to many other countries. Small, smooth objects pass spontaneously. Endoscopic or surgical intervention is sometimes needed if significant symptoms develop or if the object fails to progress through the gastrointestinal tract. Asian J. Med. Biol. Res. June 2020, 6(2): 299-304

Emergency department consultations due to foreign body ingestion

2017 ◽  
Vol 86 (4) ◽  
pp. 182-187
Author(s):  
Ana Lobeiras ◽  
Amaia Zugazabeitia ◽  
Nerea Uribarri ◽  
Santiago Mintegi
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Body Ingestion

scholarly journals Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging

2019 ◽  
Vol 12 (5) ◽  
pp. e229418
Author(s):  
Sanika Sanjeev Agarwal ◽  
Devdas Sudhakar Shetty ◽  
Manisha Vishnu Joshi ◽  
Siddhant Uttam Manwar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Virtual Bronchoscopy ◽  
Severe Injuries ◽  
Button Battery ◽  
Non Invasive ◽  
Pass Through ◽  
Button Batteries

Foreign body ingestion in paediatric population is a very common problem. Usually the foreign bodies pass through the gastrointestinal tract without any complications; however, certain foreign bodies like button batteries might cause severe injuries like tracheo-oesophageal fistula (TOF), oesophago-aortic fistula, perforation and mediastinitis, vocal cord paralysis and stenosis after suspected perforation. In our case, an infant developed a TOF following ingestion of button battery which was diagnosed with the help of CT virtual bronchoscopy. It also contributed to the decision making regarding suitable operative techniques. Thus, CT virtual bronchoscopy can help in the diagnosis and detection of any complications due to foreign body ingestion with the added advantage of being non-invasive.

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