scholarly journals Endoscopic trans-nasal removal of impacted bullet in the sphenoid sinus: a case report

2020 ◽  
Vol 7 (1) ◽  
pp. 148
Author(s):  
Wijaya Juwarna ◽  
Delfitri Munir
Keyword(s):  
Foreign Body ◽  
Sphenoid Sinus ◽  
Foreign Bodies ◽  
Internal Carotid ◽  
Preoperative Planning ◽  
Rare Condition ◽  
Anatomical Variations ◽  
Adequate Knowledge ◽  
Dental Procedures ◽  
Life Threatening

<p>Foreign body of the sphenoid sinus is a rare condition and most of the documented cases are shrapnel wounds. The most cases of sinuses foreign bodies are in maxillary and frontal sinus. Very few cases have been reported of lodgment of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla.  A bullet impacted in the sphenoid sinus case in nineteen-year-old man was reported involving the anterior skull base. The bullet was safely removed with the trans-nasal endoscopic approach preserving the structures around the sphenoid sinus. Proximity of the sphenoid sinus to vital structures such as the optic nerve and internal carotid artery may render life-threatening complications. Adequate knowledge of the anatomical variations with regard to the sphenoid sinus and good preoperative planning are essential to ensure safe removal of foreign bodies, thereby avoiding catastrophic complications.</p>

scholarly journals Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience

2021 ◽  
Author(s):  
Darwin Kaushal ◽  
Amit Goyal ◽  
Kapil Soni ◽  
Bikram Choudhury ◽  
Nithin Prakasan Nair ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Preoperative Planning ◽  
Rigid Bronchoscopy ◽  
Delayed Presentation ◽  
Betel Nut ◽  
Key Factors ◽  
Tracheobronchial Foreign Body ◽  
Institutional Experience ◽  
Definitive Management

Abstract Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies. Objective In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation. Methods A retrospective hospital record-based analysis of patients who presented to us with tracheobronchial foreign bodies from January 2017 to February 2020 was performed. All patients until the age of 16 years old were included in the present study. We assessed the demographics, preoperative, intraoperative and postoperative data of the patients. Results Seventeen patients were analyzed in the study. Among these, 44.4% of the patients had delayed presentation (> 1 month). The majority of the patients had an organic foreign body (Supari or betel nut). All patients underwent rigid bronchoscopy, followed by optical forceps-assisted removal of the foreign body. A total of 82% of the patients had granulations around the foreign body. Conclusion Management of delayed presentation tracheobronchial foreign body is a big challenge for Otorhinolaryngologists. The key factors for preventing complications in the definitive management of tracheobronchial foreign bodies are preoperative planning, multi-discipline teamwork, surgeon expertise and technique.

scholarly journals Extraluminal Migration of Foreign Body: A Report of Two Cases

2013 ◽  
Vol 4 (2) ◽  
pp. 98-101 ◽  
Author(s):  
K Ramachandran ◽  
GM Divya ◽  
A Shahul Hameed ◽  
KV Vinayak
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Vascular Complications ◽  
Neck Exploration ◽  
Upper Digestive Tract ◽  
Life Threatening ◽  
Ingested Foreign Body ◽  
Head Neck

ABSTRACT Ingested foreign body is one of the most frequently encountered emergencies in otolaryngology practice. Many of these foreign bodies get lodged in the upper digestive tract and can be removed endoscopically. Few of these foreign bodies can perforate the upper digestive tract and an even smaller number of these can migrate extraluminally. Although, a migrating foreign body can remain quiescent, they can cause life-threatening suppurative or vascular complications; hence, location and removal is essential. Here we report two cases of extraluminal migration of foreign body which was removed by neck exploration. How to cite this article Divya GM, Hameed AS, Ramachandran K, Vinayak KV. Extraluminal Migration of Foreign Body: A Report of Two Cases. Int J Head Neck Surg 2013;4(2):98-101.

scholarly journals Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Monay Mahmoud ◽  
Syed Imam ◽  
Hetalben Patel ◽  
Matthew King
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neuromuscular Diseases ◽  
Foreign Body Aspiration ◽  
Main Stem Bronchus ◽  
Life Threatening ◽  
Left Main Stem Bronchus ◽  
Successful Retrieval ◽  
Prompt Diagnosis ◽  
Life Threatening Event

Aspiration of tracheobronchial foreign bodies is a life-threatening event that occurs mainly in children. Occurrence in adults is rare and usually has a subtle presentation as most adults are unaware of aspiration of any foreign material. Decreased levels of consciousness, sedation, and neuromuscular diseases are major risk factors for foreign body aspiration in adults. Prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. Retrieval procedure is risky, and sudden decompensation of the patient can occur anytime. We are presenting an adult who accidentally aspirated his dental prosthesis during sleep and underwent successful retrieval of the dental bridge using flexible bronchoscopy.

scholarly journals Capsular dissection technique for reducing recurrent laryngeal neuropraxia and temporary hypoparathyroidism after thyroidectomy: a single center experience

2021 ◽  
Vol 7 (7) ◽  
pp. 1111
Author(s):  
Dimple Sahni ◽  
Rajwant Kaur ◽  
Gagandeep Kaur ◽  
Sangeeta Aggarwal ◽  
Sanjeev Bhagat
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Single Center ◽  
Single Center Experience ◽  
Clinical Presentations ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
A Prospective Study ◽  
Dissection Technique ◽  
Nose And Throat

<p class="abstract"><strong>Background:</strong> Foreign bodies in aerodigestive tract is common, frequent, and sometime life threatening emergency for otorhinolaryngologists mainly in the paediatric group. The aims of the present study was to find the incidence of foreign bodies, in relation to demographic factors, type and sites of foreign bodies its clinical presentations and its management.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted on 100 cases coming to the ear, nose and throat (ENT) emergency and outpatient department (OPD). After thorough history, clinical examination, routine blood and urine investigations and urine done. Radiological examination was done to visualize the radio-opaque foreign body, and if the foreign body was not radio-opaque then computed tomography (CT) scan was done.  </p><p class="abstract"><strong>Results:</strong> Incidence of foreign was 67% in male than 33% in female. Mostly foreign bodies were in nose (49%), followed by oesophageal (31%), abdominal (14%), and bronchus (6%) respectively. 33% were totally asymptomatic, 25% with mucupurulent discharge from nose, dysphagia (16%), nasal obstruction (15%), and odynophagia (11%) respectively. Most of the foreign bodies were inorganic in nature, coin (42%), pearls (8.16%), and battery (6.45%). Among organic foreign bodies peanut was most common (33.33%), grains (10%). All foreign bodies were removed successfully with minimal morbidity and zero mortality.</p><p class="abstract"><strong>Conclusions:</strong> Present study suggested incidence was very common among male children, in rural background, with common asymptomatic presentation. With high index of suspicion, and proper and timely intervention all 100 cases were managed successfully. But still educating the parents about keeping such things away from kids prevent these incident.</p>

scholarly journals STOMACH FISH BONE PERFORATION.CLINICAL CASE

2020 ◽  
Vol 46 (3) ◽  
pp. 64
Author(s):  
N.V. Rudik ◽  
A. S. Sementsov ◽  
D. B. Fedchuk
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Observation ◽  
Fish Bone ◽  
Specific Location ◽  
Fish Bones ◽  
Life Threatening ◽  
Wall Perforation ◽  
Tomography Data

Abstract Stomach foreign bodies take second place after foreign bodies of the esophagus and can be both harmless as well as life-threatening. The shape, size, and time of the swallowed foreign body to get deposited in the specific location determine the type of treatment. The article presents a clinical observation – the stomach wall perforation of fish bones, principles of examination of the patient, computed tomography data and surgical treatment. Keywords: stomach, foreign body, perforation, computed tomography, treatment.

scholarly journals Hidden Foreign Body in the Orbit and Cavernous Sinus Masquerading Strabismus

2012 ◽  
Vol 1 (1) ◽  
pp. 41-44
Author(s):  
RK Rauniyar ◽  
B Badhu ◽  
U Sharma ◽  
A Panda
Keyword(s):  
Foreign Body ◽  
Cavernous Sinus ◽  
Foreign Bodies ◽  
Ocular Trauma ◽  
Present Report ◽  
Intracranial Extension ◽  
History Taking ◽  
Radiological Evaluation ◽  
Radiological Study ◽  
Life Threatening

Intraorbital foreign bodies with intracranial extension can produce both visual and life threatening problems. The present report highlights a 9 year old patient who sustained an ocular trauma following a fall from a height, but refused to admit the same and reported to the ophthalmologist late when complicated symptoms such as deviation of eye ball with mild proptosis appeared. The authors described the value of accurate history taking and complete radiological evaluation for these traumatised eyes. Clinical examination and routine radiological study may not be sufficient to detect these foreign bodies. DOI: http://dx.doi.org/10.3126/njr.v1i1.6323 Nepalese Journal of Radiology Vol.1(1): 41-44

scholarly journals Hoarseness of Voice: Presentation of Neglected Denture Esophagus

2013 ◽  
Vol 3 (1) ◽  
pp. 30-32
Author(s):  
Sunil Kumar ◽  
Devendra Bahadur Singh
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Adult Population ◽  
Life Threatening ◽  
Pass Through ◽  
Esophageal Foreign Bodies

ABSTRACT Aspiration or ingestion of a foreign body is well-known in the pediatric as well as in the adult population. The majority of esophageal foreign bodies pass through the gastrointestinal tract without causing complications. However, large sharp foreign bodies like dentures and meat bones can get deeply embedded in the wall leading to life-threatening complications. We report a case of a neglected denture in a 55-year-old patient who presented with an unusual complaint as hoarseness of voice and was removed with the help of rigid esophagoscope. How to cite this article Kumar S, Singh DB. Hoarseness of Voice: Presentation of Neglected Denture Esophagus. Int J Prosthodont Restor Dent 2013;3(1):30-32.

scholarly journals Ingestion of razor blades, a rare event: a case report in a psychiatric patient

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Jhony Alejandro Delgado Salazar ◽  
Natalia Carolina Naveda Pacheco ◽  
Paola Alexandra Palacios Jaramillo ◽  
Santiago Danilo Garzón Yépez ◽  
Victor Rafael Medina Loza ◽  
...  
Keyword(s):  
Foreign Body ◽  
Psychiatric Patient ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Rare Event ◽  
Rare Condition ◽  
Foreign Body Ingestion ◽  
Medical Attention ◽  
Close Monitoring ◽  
Sharp Foreign Body

Abstract Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

Course variations of the internal carotid artery and their significance in pharyngeal surgery

2021 ◽  
Vol 70 (4) ◽  
pp. 234-238
Author(s):  
Peter Kántor ◽  
Václav Procházka ◽  
Pavel Komínek
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Cervical Vertebra ◽  
Anatomical Variations ◽  
Safe Distance ◽  
Pharyngeal Wall ◽  
Risk Of Injury ◽  
Life Threatening ◽  
The Common

The internal carotid artery is one of the major vessels of the neck. It usually originates from the common carotid artery at the level of the 3rd–4th cervical vertebra and continues perpendicularly to the skull base in the neurovascular bundle. During common surgical procedures in the pharynx, such as adenoidectomy or tonsillectomy, the artery is usually in a safe distance from the pharyngeal wall and the risk of injury is low. However, several anatomical variations have been described that may cause medialization of the vessel closer to the pharyngeal wall, which significantly increases the risk of injury and occurrence of life-threatening haemorrhage. Keywords: internal carotid artery – tonsillectomy – haemorrhage – adenoidectomy – vascular anomalies

Republished: Endovascular retrieval of dental needle retained in the internal carotid artery

2017 ◽  
Vol 9 (7) ◽  
pp. e26-e26
Author(s):  
Kenneth Moore ◽  
Nickalus R Khan ◽  
L Madison Michael ◽  
Adam S Arthur ◽  
Daniel Hoit
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Oral Mucosa ◽  
Foreign Bodies ◽  
Internal Carotid ◽  
Endovascular Techniques ◽  
First Report ◽  
Dental Procedures

Intravascular foreign bodies are a known complication of medical and dental procedures. Dental anesthetic needles may be broken off and retained in the oropharynx. These needles have occasionally been reported to migrate through the oral mucosa in to deeper structures. Here we present the case of a 57-year-old man who had a retained dental needle that had migrated into his internal carotid artery. The needle was removed using endovascular techniques. To our knowledge, this is the first report of a retained dental needle being retrieved using this method. We review the literature on intravascular foreign bodies, retained dental needles, and endovascular techniques for retrieval of such foreign bodies.

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