scholarly journals Unusual foreign bodies in nose and throat

Author(s):  
Gaveshani Mantri ◽  
Monalisa Patsani ◽  
Jayakrishnan Menon U. ◽  
Subrat Kumar Behera

<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>

2015 ◽  
Vol 27 (4) ◽  
pp. 463-465 ◽  
Author(s):  
Rajendra Prasad Ray ◽  
Bastab Ghosh ◽  
Dilip Kumar Pal

Abstract The presence of a foreign body in the urethra is uncommon. A wide variety of foreign bodies have been described in urethras, but they are often missed in physical examinations as the patient tries to hide the fact. We report two unusual cases of foreign bodies in the urethra in two adolescent boys suffering from psychiatric disorders. In the first case, a 12-year-old boy presented with introduction of sewing needle into the urethra 3 days back. The patient in that case suffered from a delusional disorder. In the second case, a 19 year old man introduced a metallic screw into his urethra for sexual gratification several times in the preceding 4 years. That patient suffered from schizophrenia. Although psychiatric illness is associated with urethral foreign body, such underlying psychiatric disorders are very rare.


2020 ◽  
Vol 7 (11) ◽  
pp. 5130-5134
Author(s):  
E.E. Afiadigwe ◽  
E.N. Chime ◽  
G. Obasikene ◽  
B C Ezeanolue

ABSTRACT Foreign body impaction in the airway poses a great challenge of management to any Laryngology facility. Prompt localization of the foreign body and its endoscopic removal are the panacea for the successful extraction of the foreign body Tracheobronchial foreign bodies depending on their size and site of initial impaction can migrate to other locations in the tracheobronchial tree making their identification and subsequent extraction more challenging for the endoscopist. We present here and review the literature on three cases that throw up such challenges that were successfully managed by the authors to highlight this.  Serial radiograph can be useful in the management of such cases especially if delay occurred in its extraction after initial radiograph assessment.


2014 ◽  
Vol 42 (1) ◽  
pp. 31-33
Author(s):  
ML Aich ◽  
ABMK Alam ◽  
M Abdullah ◽  
AR Sardar

Penetrating neck wounds are potentially dangerous and require emergency management because of the presence of vital structures in the neck. Organic foreign bodies further carry a risk of wound infection. Three interesting penetrating neck injury with foreign bodies are presented of which two are metallic, one with bamboo stick penetrating the neck tissue without damaging any vital structures except facial nerve injury. Mod e of entry, the peculiarity of the foreign body, the management protocol and the outcomes of neck injury are evaluated in the three cases of this case report. Review of literature revealed that few such cases have been reported. DOI: http://dx.doi.org/10.3329/bmj.v42i1.18978 Bangladesh Med J. 2013 Jan; 42 (1): 31-33


Author(s):  
Waseem Qadir Dar ◽  
Jasif Nisar ◽  
Qurat Ul Ain Batool ◽  
Sajad M. Qazi

<p class="abstract">Foreign bodies of submandibular duct are rarely but consistently reported in literature. They usually present as obstructive submandibular sialadenitis. The diagnosis can be challenging because of rarity of such an event, and inability of traditional diagnostic methods to detect the foreign body. We sought to assemble the previous published literature to delineate the presentation, investigation and management of submandibular gland foreign bodies. We performed a comprehensive systematic literature review of PubMed, and Google Scholar, databases from 1960 to 2019, and analyzed the case reports and research articles proclaiming detection of foreign body in the submandibular gland or its duct. We also included a case found in our hospital in the review. A total of 28 articles full filled our criteria. The earliest article found was from year 1962 and latest in 2019, amounting to 28 research articles on this topic in last 58 years. The age ranged from 9 years to 78 years, with average age of 38.7 year. The left Submandibular gland was involved in 18 cases (75%), and right in 6 cases (25%). There was a varied array of foreign bodies retrieved. Patients underwent sialadenectomy, duct excision, intervention by milking, probing or with a forceps or more recently interventional sialendoscopy. To approach an early diagnosis, a patient history needs to be believed. High resolution oral ultrasonography with interventional sialendoscopy can become the hallmark of a future approach to submandibular duct foreign bodies.</p>


2019 ◽  
Author(s):  
Waheed Atilade Adegbiji ◽  
Shuaib Kayode Aremu ◽  
AbdulAkeem Adebayo Aluko

BACKGROUND Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. OBJECTIVE This study aimed at determining prevalence, sociodemographic features, aetiology, clinical features, Complications and sources ofreferral of geriatric otorhinolaryngological, head and neck emergency in our center. METHODS This was a prospective hospital based study of geriatric otorhinolaryngology emergency in the Ear, Nose and Throat Department of Ekiti State University Teaching Hospital. The study was carried out between October 2016 and September 2018. Data were obtained by using pretested interviewers questionnaire.All data were collated and analyzed using SPSS version 18.0. The data were expressed by frequency table, percentage, bar charts and pie charts. RESULTS Geriatric otorhinolaryngology, head and neck emergency accounted for 5.3%. Major prevalence age group was 43.9% in the age group (60-64). There were 38.6% males with male to female ratio of 1:1.5. The main aetiology of geriatric otorhinolaryngology emergency was 29.5% trauma/road traffic accident/foreign body impaction and 25.8% tumour. Main anatomical distribution of geriatric otorhinolaryngology emergency were 38.6% throat diseases and 31.1% ear diseases. The most frequent clinical features were pain in 27.3%, hearing loss in 21.2%, tinnitus in 15.9%, bleeding in 14.4%, difficulty breathing in 12.9% and discharge in 11.4%. Common diagnosis in this study were 15.9% sinonasal tumour, 14.4% upper aerodigestive foreign body impaction, 10.6% earwax impaction and 19.8% otitis externa. Acute presentation (<13 weeks) occurred in 1 week in 74.2% and 2-13 weeks In 19.7%. Commonest time of presentation was daytime in 65.9%. Major sources of referral were 43.2% general practitioner and 31.1% casualty officers. Presentation of geriatric otorhinolaryngology emergency were mainly ear, nose and throat clinic in 59.8% with accident and emergency in 28.8%. Commonest associated comorbid illnesses among the geriatric patients were 18.2% hypertension, 14.4% arthritis and 9.8% diabetes mellitus. CONCLUSIONS Geriatric otorhinolaryngological emergency are common pathology with associated with comorbid illnesses. Detailed clinical assessment are mandatory for effective management outcome.


Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>


2020 ◽  
Vol 11 (4) ◽  
pp. 7410-7416
Author(s):  
Firas Shaker Mahmoud Al-Faham ◽  
Samer Makki Mohamed Al-Hakkak ◽  
Laith Fathi F. Sharba

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.


2012 ◽  
Vol 1 (1) ◽  
pp. 41-42
Author(s):  
Deb Prosad Paul ◽  
Debasish Das ◽  
Kazi Sohel Iqbal

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42


2018 ◽  
Vol 20 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Umberto G Rossi ◽  
Gian Andrea Rollandi ◽  
Anna Maria Ierardi ◽  
Alessandro Valdata ◽  
Francesco Pinna ◽  
...  

The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations.


2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta

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.


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