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

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

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.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Monay Mahmoud ◽  
Syed Imam ◽  
Hetalben Patel ◽  
Matthew King

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.


Author(s):  
Dimple Sahni ◽  
Rajwant Kaur ◽  
Gagandeep Kaur ◽  
Sangeeta Aggarwal ◽  
Sanjeev Bhagat

<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>


2020 ◽  
Vol 46 (3) ◽  
pp. 64
Author(s):  
N.V. Rudik ◽  
A. S. Sementsov ◽  
D. B. Fedchuk

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.


Author(s):  
Sunil Kumar ◽  
Devendra Bahadur Singh

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.


2020 ◽  
pp. 155-160
Author(s):  
C. Anthoney Lim ◽  
Rachel Whitney ◽  
Jeremy M. Rose

The presentation of an airway foreign body can range from benign to truly life-threatening. Respiratory tract obstruction from an airway or esophageal foreign body is relatively rare but remains a leading cause of morbidity and mortality among children. This chapter discusses the evaluation and management for inhaled and aspirated foreign bodies in the upper aerodigestive and lower respiratory tracts. Using anatomical areas as a systematic approach, common presentations, physical findings, and diagnostic workup including imaging options are reviewed. Treatment modalities including emergent airway management and foreign body removal are discussed, with a focus on procedures that can be performed in an emergency department setting and indications for operative management.


2010 ◽  
Vol 1 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Arpit Sharma ◽  
Shawn T Joseph ◽  
Rahul C Gupta

Abstract Foreign body impaction in the neck poses life-threatening problems when it is deep and close to vital structures. We report two cases of sharp metallic foreign body impaction in the neck – one of them in the prevertebral space and the other in the intervertebral disk space. A neck exploration and surgical removal of these foreign bodies, as is usually practised in most centers, would have been life-threatening and associated with high morbidity. We removed these foreign bodies using rigid endoscope under image intensified television (IITV) guidance. The patients could be discharged the same day. We suggest that endoscopic removal under IITV fluoroscopy system should be the method of choice in the removal of foreign bodies located in these sites. We also propose a classification of neck into vertical segments which would be useful in the management decision of these cases.


Author(s):  
Wijaya Juwarna ◽  
Delfitri Munir

<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>


2004 ◽  
Vol 118 (3) ◽  
pp. 242-243 ◽  
Author(s):  
Alvin Kah Leong Tan ◽  
Peter Kuo Sun Lu

Migrated ingested foreign bodies from the upper digestive tract have the potential to cause life-threatening complications. Cases of spontaneous expulsion to the skin of the neck are very rare. We present an unusual case of an ingested foreign body that migrated out of the upper digestive tract and self-extruded via the skin of the neck. An approach to the safe management of such seemingly innocuous foreign bodies is discussed. This report highlights the message that unfound ingested foreign bodies should be treated seriously due to the possibility of migration and resulting complications.


2019 ◽  
Author(s):  
Wei Wu ◽  
Hua Jiang ◽  
Mao-Xiao Yan

Abstract Background: Any ocular trauma involving the orbit may involve the adjacent structures and resulting in both sight-threatening and life-threatening injuries. Here we present a unique case of a missed large hollow bamboo in orbit traversing the orbit and infratemporal fossa with minimal sequelae. Case presentation: The patient is a 31-year-old farmer suffered an injury to his right eye. Although the external wound existed, the intraorbital foreign body was mis-diagnosed by the initial physician. After being admitted to our emergency room, the patient was underwent CT scan. Due to the large and hollow object, an intraorbital foreign body traversing the orbit and infratemporal fossa was detected easily. Emergency operation was performed immediately and the object was removed totally without any complication. Conclusion: The physician during the initial evaluation of eye trauma patients should take the history and physical examination extraordinarily carefully, and a CT or MRI scan may be recommended to prevent missing such foreign bodies in orbit. Once the diagnosis of such orbital foreign body is established, the object should be removed in time. Keywords: Bamboo; intraorbital foreign body; computed tomography; minimal sequelae.


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