Extraocular Myoplasty: Surgical Remedy For Intraocular Implant Exposure

Background: Evisceration and nucleation are commonly performed ophthalmic surgeries for painful blind eye, disfiguring blind eye, endophthalmitis etc. After both these surgeries it is important to replace the lost volume in the orbit with implant. Implant is associated with many complications such as major discharge, exposure with discharge and implant exposure. The main surgical management of implant exposures basically primary revision or patch grafting with or without removal of the implant. Case: A 60 years old man presented to ophthalmic OPD with complaint of foreign body sensation and irritation in left eye. There was history of evisceration with silicon ball implant in left eye done one month back for painful blind eye at another hospital. On ophthalmic examination, there was a 3 × 4 mm of implant exposure most probably dueto tight closure. As per records the size of implant was 22mm. The patient was planned for extra-ocular myoplasty with buccal mucosal graft under general anesthesia. Observation: After sterile prepping and draping, 360˚ degrees peritomy was performed and care was taken to dissect between tenons and orbital implant. Medialand lateral recti were isolated and dissected upto 10-12mm from insertion site. Both the recti were secured with 6-0 vicryl suture and were detached from their respective insertions, advanced and approximated over the site of implant exposure. Thus the exposed implant was covered with a vascularized base which was reinforced with amucosal graft harvested from the buccal mucosa and secured with absorbable sutures. After 1 year of follow up patient was asymptomatic. Conclusion: Extraocular myoplasty with buccal mucosal graft is a good surgical remedy for orbital implant exposure implant.

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Lymphangiomatous Polyp Presenting as Tonsillar Mass

Case Reports in Otolaryngology ◽

10.1155/2017/9506260 ◽

2017 ◽

Vol 2017 ◽

pp. 1-2

Author(s):

Ashish Dhakal ◽

Sameer Karmacharya ◽

Sandhya Shrestha

Keyword(s):

Foreign Body ◽

Physical Examination ◽

General Anaesthesia ◽

Postoperative Period ◽

University Hospital ◽

Tonsillar Fossa ◽

Body Sensation ◽

History Of ◽

Left Tonsil

A 19-year-old female presented to ENT OPD of Dhulikhel Hospital, Kathmandu University Hospital, with history of foreign body sensation in throat for 2 weeks and mass in left tonsil for 1 week. There is no history of difficulty swallowing or recurrent throat infection. Physical examination revealed a pedunculated mass arising from upper pole of left tonsil. Bilateral tonsillectomy was done under general anaesthesia. Grossly, 2.5 × 1.5 × 1 cm polypoidal mass, soft in consistency, was found to be attached to left tonsil. Histopathology report was consistent with lymphangiomatous polyp of tonsil. Postoperative period was uneventful and she was normal during her follow-up at 1 month with bilateral healthy tonsillar fossa.

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A STUDY OF COMPARISON OF PURE TISSUE REPAIR (DESERDA) AND PROSTHETIC REPAIR (LICHTENSTEIN) METHODS FOR INGUINAL HERNIA REPAIR-A COMPARATIVE STUDY

10.36106/ijsr/9605824 ◽

2021 ◽

pp. 1-4

Author(s):

Harish Chauhan ◽

Daxesh Patel ◽

Nishan Gaudani

Keyword(s):

Chronic Pain ◽

Foreign Body ◽

Hernia Repair ◽

Operative Time ◽

Late Complication ◽

Normal Activity ◽

Foreign Body Sensation ◽

Prosthetic Repair ◽

Body Sensation

INTRODUCTION: An ideal hernia repair should be tension free, tissue based, with no potential damage to vital structures, no long term pain or complications and no recurrence. Although Lichtenstein's prosthetic repair is simple and safe, but it is also correlated with risk of infections, recurrence, chronic pain, testicular atrophy and infertility, foreign body sensations and chronic groin sepsis. Desarda hernia repair does not require mesh and provide more physiological support. It is simple, easy to learn. AIMS AND OBJECTIVES: a) To compare the operative time, postoperative stay and time required to return normal activity between two groups. b) To compare early complication rate and late complication rate between two groups. MATERIALAND METHODS: This observational study was conducted among patients admitted with the diagnosis of primary inguinal hernia in SMIMER, Surat. The patients were randomly allocated to either Lichtenstein or Desarda method of hernia repair. Operating time, post operative stay and duration of return to normal activity were recorded. Early complications were noted and the patients were followed up to 12 months for late complications (chronic pain, foreign body sensation, and recurrence). RESULTS: The mean operative time and postoperative stay did not show signicant differ for both groups. Patients operated by Desarda technique returned to normal activity signicantly early by 12.2 ± 2.54 days as compared to patients operated by Lichtenstein techniques (14.0 ± 2.76 days, p = 0.01). Most common early complication in both groups was pain (D group; 40.0%, Lgroup: 45.2%) followed by wound infection (D group; 8.0%, Lgroup: 6.5%) and seroma (D group; 0.0%, Lgroup: 3.2%). Occurrence of chronic pain was more in Lgroup (58.1%) as compared to D group (16.0%, p=0.001). None of the patients from D group had foreign body sensation. Foreign body sensation was observed only in ve patients of Lgroup (16.1%). Recurrence rate during one year in Lgroup (6.5%) was higher than D group (4.0%). CONCLUSION: Early return to work was potential benet of Desarda repair. Early complications were similar in both procedures. Desarda repair has lower incidence of chronic pain and foreign body sensation. However, there is no signicant difference for chronic pain in Desarda group when compared in same patients operated bilaterally with different technique. This study was conducted with small sample size with short follow up. Therefore, result of late complication in the present study may insufcient to conclude the probability of occurrence as longer follow up and larger sample size is required.

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Scleral Buckle Extrusion Associated with Phthisis

Case Reports in Ophthalmological Medicine ◽

10.1155/2011/942946 ◽

2011 ◽

Vol 2011 ◽

pp. 1-2

Author(s):

Tural Galbinur ◽

Itay Chowers

Keyword(s):

Foreign Body ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Rare Complication ◽

Foreign Body Sensation ◽

Scleral Buckle ◽

Patient History ◽

Body Sensation

Exposure of implanted episcleral element is a rare complication of buckling procedures. We describe a 40-year-old man who presented to our clinic complaining of foreign body sensation and irritation in his left eye which lasted several months. The patient history was positive for bilateral rhegmatogenous retinal detachment which was treated with sclera buckling. Upon presentation the left eye demonstrated phthisis and an exposed and infected sclera buckle and explant in the lower quadrants. The explant was removed, and the patient was treated with antibiotics. This case suggests that wide encircling sclera element might erode through the conjunctiva of eyes undergoing phthisis. Integrity of the conjunctiva overlying episcleral implant should be evaluated during routine follow-up exams to exclude exposure of the implant particularly in eyes undergoing phthisis.

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Giant tonsillolith: a case report and review of literature

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20150210 ◽

2015 ◽

Vol 1 (1) ◽

pp. 89

Author(s):

Hitesh Verma ◽

Arjun Dass ◽

Surinder K. Singhal ◽

Nitin Gupta

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Rare Clinical Entity ◽

Review Of Literature ◽

Tonsillar Fossa ◽

Body Sensation ◽

The World ◽

History Of ◽

One Year

We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. Keywords: Tonsillolith, Oral cavity

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Foreign body in urinary bladder: our experience and review of literature

International Surgery Journal ◽

10.18203/2349-2902.isj20195388 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4327 ◽

Cited By ~ 1

Author(s):

Mohd Hamid Shafique Ahmed ◽

Prakash W. Pawar ◽

Ajit S. Sawant ◽

Jitendra Sakharani ◽

Amandeep Arora ◽

...

Keyword(s):

Foreign Body ◽

Urinary Bladder ◽

Foreign Bodies ◽

Clinical Presentation ◽

Presentation Mode ◽

Medical College ◽

Urinary Tract Symptoms ◽

History Of ◽

Lower Urinary

Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.

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Allergic tonsillar polyp: an uncommon lesion

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204185 ◽

2020 ◽

Vol 6 (10) ◽

pp. 1837

Author(s):

Anil A. Vare ◽

Rena A. Vare ◽

Sanjana U. Nair

Keyword(s):

Foreign Body ◽

Histopathological Examination ◽

Operative Management ◽

Clinicopathological Features ◽

Age Group ◽

Inclusion Cyst ◽

Specific Diagnosis ◽

Body Sensation ◽

Clinicopathological Study

Background: Tonsils are not so commonly affected by allergic lesions or polyps. In this study we attempt to elucidate the nature of tonsillar polyps.Methods: The present study is a hospital based retrospective clinicopathological study in which a total of nine cases whose histopathological slides were reviewed and patient follow up was obtained. Results: There were 5 males and 4 females between the age group of 15 to 30 years. Most of the cases presented with complaints of repeated throat pain, difficulty swallowing, foreign body sensation in throat and dry irritating cough. On examination a pedunculated sessile mass in seen protruding from the surface of the palatine tonsil usually unilateral. The clinical differentials included were tonsillar lipoma, haemangioma, lymphangioma, inclusion cyst and neoplasm. Based on histopathological examination following tonsillectomy with polypectomy a conclusion of allergic polyp was made and clinical follow up information of patients were obtained post-operatively. In this series we examine the clinicopathological features of polypoidal lesions of tonsils whose specific diagnosis was obtained after histopathological examination.Conclusions: A histopathological examination must be obtained in all cases of tonsillar polyps for proper post-operative management.

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Desarda versus Lichenstein technique for primary inguinal hernia treatment: one year results of a randomised clinical trial

International Surgery Journal ◽

10.18203/2349-2902.isj20202578 ◽

2020 ◽

Vol 7 (7) ◽

pp. 2147

Author(s):

Pinak Pani Dhar ◽

Upasana Mohanty ◽

Raman Kumar Shankar

Keyword(s):

Chronic Pain ◽

Inguinal Hernia ◽

Foreign Body ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Operative Time ◽

Foreign Body Sensation ◽

Primary Inguinal Hernia ◽

Body Sensation

Background: The ideal operation to treat inguinal hernia is still far to define. The Shouldice method and other tissue-based techniques are still acknowledged to be acceptable for primary inguinal hernia repair according to European Hernia Society guidelines. Desarda’s technique, presented in 2001, is an original hernia repair method using an undetached strip of external oblique aponeurosis. This randomized trial compared outcomes after hernia repair with Desarda and mesh-based Lichtenstein techniques.Methods: A total of 42 participants (40 males and 2 females) were randomly assigned to the Desarda (group 1) and Lichtenstein (group 2), 19 vs 23 respectively. The primary outcomes measured were recurrence (for maximum follow up of 1 year and minimum of 5 months) and chronic pain. Additionally, operative time, early and late complications, foreign body sensation, and return to everyday activity were examined in hospital and at 7, 30 days, and 6, 12 months after surgery.Results: During the follow-up, one recurrence was observed in Desarda group after 10 months of surgery. Chronic pain was experienced by 10.5% and 8.7% of patients from groups Desarda and Lichtenstein respectively. Foreign body sensation and return to activity were comparable between the two groups. Operative time was less in Desarda group. There was significantly less seroma production in the Desarda group.Conclusions: The results of primary inguinal hernia repair with the Desarda and Lichtenstein techniques are comparable at the 1 year follow up. The technique may potentially increase the number of tissue-based methods available for treating groin hernias.

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External ophthalmomyiasis by sheep botfly – a report from Sirmaur hills

European Journal of Clinical and Experimental Medicine ◽

10.15584/ejcem.2020.1.14 ◽

2020 ◽

Vol 18 (1) ◽

pp. 64-66

Author(s):

Anubhav Chauhan ◽

◽

Neha Gautam ◽

Keyword(s):

Foreign Body ◽

Oestrus Ovis ◽

Human Tissues ◽

Slit Lamp ◽

Slit Lamp Examination ◽

Topical Antibiotics ◽

Body Sensation ◽

History Of ◽

Conjunctival Inflammation ◽

The Right

Introduction. Myiasis is caused by larvae of flies infesting animal or human tissues and organs. Aim. In this report we present 2 cases of external ophthalmomyiasis by sheep botfly. Description of the cases. We report a case of two patients who presented with a history of foreign body sensation in the left and the right eye respectively. Slit lamp examination revealed larvae of Oestrus ovis (sheep botfly). In both cases, there was no contact history with sheep or goats. Signs of conjunctival inflammation and corneal involvement were absent in both cases. In most of the previous reports, corneal and conjunctival inflammation was present. Conclusion. Treatment for external ophthalmomyiasis is based on larvae removal and application of topical antibiotics and steroids.

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Hypertrophic osteopathy associated with a bronchial foreign body (grass awn) in a dog: a case report

Veterinární Medicína ◽

10.17221/6470-vetmed ◽

2012 ◽

Vol 57 (No. 11) ◽

pp. 618-621 ◽

Cited By ~ 1

Author(s):

A. Palumbo Piccionello ◽

F. Dini ◽

AM Tambella ◽

M. Cerquetella ◽

C. Vullo

Keyword(s):

Foreign Body ◽

Bone Lesion ◽

Clinical Signs ◽

Bone Apposition ◽

Foreign Body Removal ◽

Clinically Normal ◽

History Of ◽

The Right ◽

Grass Awn

A five-year-old dog was referred with a five-month history of lethargy, decreased appetite, cough and intermittent forelimb lameness. Radiographs revealed an intra-thoracic lesion and a marked periosteal bone apposition of the second digit on the left forelimb. As it was palisading and circumferential, the latter appeared typical of hypertrophic osteopathy (HO). A grass awn in a sub-lobar ramification of the right caudal bronchus was identified and removed by bronchoscopy. At three months follow-up, the digit appeared clinically normal. On radiographs the periosteal bone reaction had decreased, indicative of resolving hypertrophic osteopathy. Thoracic radiographs showed no abnormalities five months after foreign body removal and the bone lesion on the digit had disappeared. Successful treatment of the pulmonary foreign body abscess led to spontaneous regression of HO and eventually to complete resolution of clinical signs. To the authors’ knowledge, this is the first reported case of HO secondary to a bronchial-pulmonary grass an abscess.

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An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2019.5.43027 ◽

2019 ◽

Vol 3 (3) ◽

pp. 314-315

Author(s):

Ryan McCreery ◽

Matthew Meigh

Keyword(s):

Foreign Body ◽

Acute Onset ◽

Inspiratory Stridor ◽

Case Presentation ◽

Body Sensation ◽

Esophageal Food Impaction ◽

History Of ◽

High Risk Populations ◽

Foreign Body Impaction ◽

Patient’S History

Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient’s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount.

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