Overlooked nasal foreign body with a 48-year latent period

Foreign bodies of the nose are relatively frequent in pediatric population, while in the adults, they are usually seen in disturbed persons. Overlooked nasal foreign bodies may be singled out as a special entity. They become rhinolites over time with latent period of several decades. Our paper illustrates an overlooked foreign body in the nose - i.e. encrusted plastic bead which, after the asymptomatic period of 48 years, induced the unilateral mucopurulent and ichorous secretion from the nose. Rhinolite should be suspected if radiological diagnostics detected calcified mass in the nose together with unilateral nasal symptomatology. Surgical removal of rhinolite results in complete management of such problem. This case indicates the significance of medical history data and examination of nasal cavity in any adult patient with unilateral nasal symptomatology which is refractory to conservative treatment. Computerized tomography of paranasal sinuses is an important adjunct diagnostic tool in indefinite cases. Nevertheless, it often happens that only the extraction of rhinolite indicates the diagnosis that is not usually suspected in adult persons.

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Foreign Body Aspiration: Potential Cause of Coughing and Wheezing

Pediatrics in Review ◽

10.1542/pir.10.2.59 ◽

1988 ◽

Vol 10 (2) ◽

pp. 59-63

Author(s):

H. James Holroyd

Keyword(s):

Foreign Body ◽

Respiratory Symptoms ◽

Foreign Bodies ◽

Pediatric Population ◽

Congenital Defects ◽

Natural Tendency ◽

History Of ◽

Possible Cause ◽

Cardiopulmonary System ◽

Infants And Young Children

As many as half of routine ill-patient visits in pediatrics practice involve respiratory symptoms. It is not surprising that we see so much coughing and wheezing when we consider that children are still developing immunologically and are, therefore, more susceptible to infection. In early life, most of these infectious diseases occur in the respiratory and gastrointestinal tracts. In addition, the gradual exposure of the constitutionally allergic child to environmental allergens pre-disposes to the development of respiratory symptoms. Childhood is also a time for congenital defects of the cardiopulmonary system to become apparent. A sometimes overlooked cause of respiratory symptoms in infants and young children—and one that can become rapidly and severely complicated if misdiagnosed—is the aspiration of foreign bodies. Aspiration or ingestion of foreign bodies remains a significant cause of morbidity and mortality in the pediatric population. Children between 8 months and 4 years of age are at highest risk. Not all cases of aspiration are of the acute, obstructive variety, and pediatricians should consider a foreign body as a possible cause of coughing and wheezing even when no definite history of aspiration is obtained. Children of course are curious and their natural tendency is to reach out and explore new objects. Bringing objects to their mouths to taste and to test textures is common.

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Materials and techniques for percutaneous retrieval of intravascular foreign bodies

The Journal of Vascular Access ◽

10.1177/1129729818785051 ◽

2018 ◽

Vol 20 (1) ◽

pp. 87-94 ◽

Cited By ~ 3

Author(s):

Umberto G Rossi ◽

Gian Andrea Rollandi ◽

Anna Maria Ierardi ◽

Alessandro Valdata ◽

Francesco Pinna ◽

...

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Case Reports ◽

Surgical Removal ◽

First Line ◽

Percutaneous Approach ◽

Percutaneous Retrieval ◽

The Past ◽

Intravascular Foreign Body ◽

Common Intervention

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.

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Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.202814 ◽

2017 ◽

Vol 08 (01) ◽

pp. 17-23

Author(s):

Avinash Bhat Balekuduru ◽

Bhuvan Shetty ◽

Amit Dutta ◽

Satyaprakash Bonthala Subbaraj

Keyword(s):

Foreign Body ◽

Pediatric Population ◽

Flexible Endoscopy ◽

Endoscopic Management ◽

Surgical Removal ◽

Safe Procedure ◽

Endoscopic Removal ◽

Endoscopic Techniques ◽

Nonsurgical Management ◽

Gastrointestinal Emergency

Abstract Background: Foreign body (FB) ingestion is a frequent gastrointestinal emergency in pediatric population. Improvement in endoscopic techniques and equipment enables nonsurgical management in most situations. Recent data from India on pediatric FB ingestion have been lacking. Aim: The aim of this study was to assess the profile and outcome after endoscopic management of patients <18 years of age presenting with FB ingestion. Patients and Methods: Records of all the children with FB ingestion who had undergone endoscopic removal at our institution during 5 years (2011–2016) were assessed retrospectively. The nature of FB ingested, and success and complication of endoscopic therapy were analyzed. Results: There were 150 pediatric endoscopies during the study period. Of this, 120 (80%) were for removal of ingested FB. Most common (MC) FB was coin (69%). The retrieved FBs were 83 coins, 13 batteries, 5 pins, 4 clips, 2 each of anklets, keys, marbles, and seeds, one each of spoon, blade, spanner, peanut, toe ring, and a pencil. One had trichobezoar. Esophagus was the MC site of location of FB (85/120). FB removal was successful by flexible endoscopy in 97.1%. Four (0.03%) cases were referred for rigid endoscopic/surgical removal by otolaryngologists/ pediatric surgeon. Except for one child developed bronchopneumonia, there was no morbidity or mortality in the study. Conclusion: Endoscopic removal of FB is a safe procedure with excellent outcomes in a specialized gastroenterology unit.

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Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17134700 ◽

2020 ◽

Vol 17 (13) ◽

pp. 4700

Author(s):

Angelo Montana ◽

Monica Salerno ◽

Alessandro Feola ◽

Alessio Asmundo ◽

Nunzio Di Nunno ◽

...

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Pediatric Population ◽

Foreign Body Aspiration ◽

Health Concern ◽

Upper Airways ◽

Significant Public Health Concern ◽

Correct Execution ◽

Significant Public Health ◽

Free Environment

(1) Background: Foreign body aspiration (FBA) is a significant public health concern among the pediatric population, and fatalities are dramatic for families. It typically involves organic foreign bodies (mainly food) aspirated by children under three years old, usually at home or school. This review aimed to focus on the preventive measures around four actual cases of fatal foreign body aspiration, emphasizing the correct execution of the Heimlich maneuver and cardiopulmonary resuscitation, supervised mealtimes, and high-risk foods. (2) Methods: Four fatal cases of foreign body aspiration in children are presented here. The children were in a free environment, such as school, home, and the countryside, and were in the presence of teachers, parents, and a grandmother who did not supervise the children adequately. A literature review was performed via the MEDLINE database using the key terms: “foreign body aspiration,” “infant choking, 1.5 to 3 years,” “food and foreign body aspiration,” “common household,” “prevention of foreign body aspiration,” “guidelines,” “recommendations,” “training of caregivers (parents, educators),” “resuscitation,” “Heimlich maneuver,” and “disengagement of the upper airways.” We focused on the prevention of foreign body aspiration. (3) Results: a complete postmortem examination was performed. In three cases, the foreign bodies were food (mozzarella cheese, pear, or raw bean), while in one case, the foreign body was a pebble. (4) Conclusions: This review aimed to discuss recent scientific literature and provide a perspective on the benefits of a dedicated approach to the management of fatal foreign body aspiration in children by caregivers who usually have no experience with the best ways of supervising children in a safe environment, especially regarding the correct execution of resuscitation maneuvers, such as the Heimlich maneuver. Recommendation updates could improve healthcare quality in a pediatric setting and reduce medico-legal implications.

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Blade of Grass as an Unusual Cause of Recurrent Facial Cutaneous Sinus Tract: A Clinical Case

Case Reports in Dentistry ◽

10.1155/2016/4639693 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5

Author(s):

Resmije Ademi-Abdyli ◽

Feriall Perjuci ◽

Teuta Bicaj ◽

Yll Abdyli

Keyword(s):

Foreign Body ◽

Surgical Procedures ◽

Foreign Bodies ◽

Plain Radiograph ◽

Sinus Tract ◽

Surgical Removal ◽

Facial Soft Tissue ◽

Careful Clinical Examination ◽

Orofacial Region ◽

Cutaneous Sinus

The presence of an embedded foreign body in the oral and maxillofacial region is not unusual, but the impaction of a foreign body with vegetative nature is rare. Prompt diagnosis and surgical removal of these foreign bodies will minimize their associated complications. This case report presents a patient with recurrent submandibular abscess and persistent facial cutaneous sinus tract caused by a retained blade of grass inside the facial soft tissue. The fact that the plain radiograph misdiagnosed the presence of a foreign body meant that the pathology persisted for about three months, and the patient underwent hospitalization, surgical procedures, and antibiotic regimens; however all of these failed until the foreign body was detected and removed.Conclusion. To avoid misdiagnosis of foreign body presence in the orofacial region, notably suspected foreign bodies with low radiopacity, the clinician must perform careful clinical examination and use the ultrasonography. Also, in the uncertain cases where the pathology persists, despite having undertaken surgical procedures and antibiotic regimens, the clinician should pay more attention to the patient’s history which may suggest the presence of the foreign body.

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Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree

The Journal of Laryngology & Otology ◽

10.1017/s0022215114002837 ◽

2014 ◽

Vol 128 (12) ◽

pp. 1078-1083 ◽

Cited By ~ 15

Author(s):

G Behera ◽

N Tripathy ◽

Y K Maru ◽

R K Mundra ◽

Y Gupta ◽

...

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Multidetector Computed Tomography ◽

Diagnostic Tool ◽

Foreign Bodies ◽

Three Dimensional ◽

Tracheobronchial Tree ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Virtual Bronchoscopy

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

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Metal Foreign Bodies Have Been in the Lungs for Five Years: a Case Report

10.21203/rs.3.rs-554998/v1 ◽

2021 ◽

Author(s):

Yuan Li ◽

Zhong Li ◽

Jun-Cai Liu

Keyword(s):

Foreign Body ◽

Pulmonary Artery ◽

Foreign Bodies ◽

Treatment Plan ◽

High Density ◽

Surgical Removal ◽

Metallic Foreign Body ◽

Case Presentation ◽

Appropriate Treatment ◽

Limb Trauma

Abstract Background: Metallic foreign body migration into the pulmonary artery after limb trauma is extremely rare. If not treated in time, the patient may die. The metallic foreign body was implanted from the thigh into the pulmonary artery and remained for 5 years. It has never been reported in limb trauma.Case Presentation: The patient was a 51-year-old male who had a small metal foreign body embedded in the middle and lower left thigh due to trauma. The foreign body was not found during emergency debridement operation. During the operation, a full-body X-ray was used to reveal a high-density shadow in the left upper lung. The 3D-CT of the chest immediately confirmed that the high-density shadow was a small iron foreign body, and the iron fragment foreign body was present in the pulmonary artery branch, but no abnormal symptoms were observed. He was hospitalized for observation for 3 days without obvious discomfort and refused to open his chest. The patient then decided to leave the hospital voluntarily.Conclusion: Surgical removal of all foreign bodies traveling to the pulmonary artery is not necessary, and the most appropriate treatment plan should be made considering the location of the foreign body, the patient's wishes and the general condition.

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Unusual case of mobile phone simulation SIM card’s outer case ingestion: wedged at laryngeal surface of epiglottis

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20190789 ◽

2019 ◽

Vol 5 (2) ◽

pp. 514

Author(s):

Rachna Dhingra ◽

Jai Lal Davessar ◽

Shruti Sharma ◽

Kanwalpreet Kaur

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Mobile Phone ◽

Unusual Case ◽

Foreign Bodies ◽

Pediatric Population ◽

Title Page ◽

Common Occurrence ◽

Accidental Ingestion ◽

Emergency Department Attendance

<div class="page" title="Page 2"><div class="layoutArea"><div class="column"><p class="abstract">Accidental ingestion of foreign bodies in the pediatric population is usually small pieces from toys or other household objects and subsequent emergency department attendance is a common occurrence. Here we describe an unusual case of accidental swallowing where the foreign body is outer case of mobile phone simulation (SIM) card.</p></div></div></div>

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Removal of firearm projectile from the maxillary sinus: a case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720200002720180074 ◽

2020 ◽

Vol 68 ◽

Author(s):

Cristóvão Marcondes de Castro RODRIGUES ◽

Izabella SOL ◽

Daniela MENESES-SANTOS ◽

Larissa Gonçalves Cunha RIOS ◽

Jonas Dantas BATISTA ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Maxillary Sinus ◽

Local Anesthesia ◽

Paranasal Sinuses ◽

Foreign Bodies ◽

Soft Tissues ◽

Hard Tissues ◽

The Face ◽

Maxillary Sinuses

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.

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Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of ﬂexible bronchoscopy and urology stone retrieval basket in emergency setting

10.22514/sv.2021.014 ◽

2021 ◽

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Main Bronchus ◽

Pediatric Population ◽

Operation Time ◽

Operative Management ◽

Flexible Bronchoscopy ◽

Emergency Setting ◽

Flexible Bronchoscope ◽

Pediatric Airway

Objective: Tracheobronchial aspiration of foreign body in children is an emergency that can lead to major complications. In the last years flexible bronchoscopy has gained popularity for foreign bodies retrieval in the pediatric population, yet the small size of the pediatric airway and of the flexible bronchoscope channel limit the availability of instruments during the procedure. Aim of this paper is to describe our experience in treating foreign bodies tracheobronchial aspiration in children aged 2 years or less by means of flexible bronchoscope and an urology stone retrieval basket. Methods: A review of endoscopic foreign bodies removal by means of flexible bronchoscopy and urology stone retrieval basket has been carried out in children ≤ 2 years that presented at the Emergency Room of our hospital from 2005 to 2019. In the paper, we analyze characteristics of patients, timing of bronchoscopy, instruments and operative management. Results: There were 25 patients with a mean age of 20 ± 3.8 months. Organic material was the most frequent observed foreign body. Association of main bronchus and distal bronchi was the preferred site of the foreign body in 19 patients and the right side of the bronchial tree was involved in 17 cases. Complications occurred in one case. Mean operation time was 37 ± 20 minutes. Conclusions: The use of flexible bronchoscope can be helpful in handling endoscopic removal of tracheobronchial foreign bodies in toddlers. The use of the urology stone retrieval basket resulted very effective in all shapes of foreign bodies and/or when the object was located in the distal bronchi.

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