scholarly journals Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fachzi Fitri ◽  
Deni Amri

AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

2020 ◽  
Vol 4 (2) ◽  
pp. 21-22
Author(s):  
Sitaria Fransiska Siallagan ◽  
Herawati Napitu ◽  
Arni Diana Fitri ◽  
Nindya Dwi Utami ◽  
Soenarti D. Waspada ◽  
...  

A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Javeria Nasir ◽  
Anum Javed ◽  
Owais Arshad ◽  
Mohammad Hanif` Chatni

Ophthalmologists, including general practitioners definitely encounter ocular foreign bodies in their clinics. Theconjunctival fornices are potential sites of impaction. We report a case of a 9-month infant boy who was referred to us for a persistent lower lid swelling for one month. He had already been to an eye specialist before presenting to us. Upon examination, a round, pink coloured, toy cart-wheel came out of his lower eye lid of the right eye. Surprisingly, there was no associated conjunctival or adnexal damage. The authors wish to emphasize the importance of taking a thorough history and adequate general physical examination. A missing part of a toy, elucidated on history, should always raise the suspicion among parents and/or care givers for a probable foreign body in infants and children.


2013 ◽  
Vol 4 (2) ◽  
pp. 98-101 ◽  
Author(s):  
K Ramachandran ◽  
GM Divya ◽  
A Shahul Hameed ◽  
KV Vinayak

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.


2006 ◽  
Vol 6 ◽  
pp. 16-19 ◽  
Author(s):  
Jacob Urkin ◽  
Yair Bar-David

The ingestion or aspiration of a foreign body is a common, but preventable occurrence in childhood. Primary healthcare personnel should alert parents to the risk of swallowing a foreign object, the signs and the need for immediate medical attention. It should be emphasized that protecting children from access to objects that can be swallowed or aspirated is the best preventive measure. A case of an eight year old child, who had swallowed a marble ball is presented and the symptoms and intervention discussed. Medical staff should be aware of the symptomatic variation in ingested foreign body presentation and the importance of rapid diagnosis and management.


1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ismael Garcia ◽  
Joseph Varon ◽  
Salim Surani

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.


Author(s):  
A. G. Naveen Kumar

<p class="abstract"><strong>Background:</strong> Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.</p><p class="abstract"><strong>Methods:</strong> Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed.  </p><p class="abstract"><strong>Results:</strong> Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.</p><p class="abstract"><strong>Conclusions:</strong> The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.</p>


2018 ◽  
Vol 5 (3) ◽  
pp. 3625-3629
Author(s):  
Barro SD ◽  
Tankoano A I ◽  
Ouedraogo RW-L ◽  
Guibla I

Introduction : The inhalation of foreign body is a common cause of respiratory distress in children. Anesthesia for this endoscopy represents a challenge for the anesthesiologist. Objective : To assess the anesthetic management of foreign body extraction of the lower respiratory tracts in a context of limited resources. Patients and methods : This is a retrospective study in descriptive aim, over 3 years from 1st January 2014 to 31st December 2016. It involved patients admitted for foreign bodies of the lower respiratory tracts in Resuscitation service and ENT in Souro Sanou University Hospital Center in Bobo-Dioulasso . Results : A total of 46 patients were hospitalized for foreign bodies of the lower respiratory tracts during the study period. The mean age of the patients was 2.6 years ± 8.23. Patients were predominantly male with 27 cases (58.70 %), a sex ratio of 1.42. The foreign bodies were of organic type in 82.60% of the cases, against 17.4 % of non organic. The location of foreign bodies was laryngeal in 03 cases (06.52%), tracheal in 06 cases (13.04%) and bronchial in 37 cases (80.43%). The average consultation time was 3.12 days ± 4.7. The circumstances of discovery were a notion of penetration syndrome in 69.57%, respiratory dyspnea in 91.30%, a queasy cough in 56.52% of cases and a chance discovery in 2.17% of cases. . The foreign bodies were radio-opaque in 17.39% of cases. Extraction of foreign bodies was performed under general anesthesia. In intraoperative operating room, incidents / accidents were noted in 23.91 %. Operative follow-up was simple in 82.60% of cases and complications were recorded in 15.21% of cases. Conclusion : Foreign bodies of the lower respiratory tracts remain a topical issue for the child. The therapeutic treatment is based on the realization of a Laryngo-tracheo-bronchial endoscopy, under general anesthesia by an experienced crew.


2021 ◽  
Vol 6 (1) ◽  
pp. 1281-1286
Author(s):  
Puspa Zuleika

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.


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