scholarly journals Retropharyngeal foreign body in a Down Syndrome girl

2019 ◽  
Vol 18 (3) ◽  
pp. 641-645
Author(s):  
Nurul Atikah Hamat ◽  
Afiza Izura Mohammad Sofi ◽  
Zulkiflee Salahuddin ◽  
Irfan Mohamad

Pharyngeal foreign bodies are quite common. The diagnosis is usually clinical. The risk of complications including retropharyngeal abscess and mediastinitis are very low depending on the nature of foreign body and the duration taken for intervention. We share a challenging case of retropharyngeal abscess secondary to embedded foreign body in a Down syndrome patient, who presented with the sole presentation of torticollis. Surgical intervention with difficulties was performed with favourable outcome. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.641-645

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>


2015 ◽  
Vol 8 ◽  
pp. A103
Author(s):  
Ana Paula Willy-Fabro ◽  
Ana Carolina Rozalem ◽  
Tatiane Pavan-Ramos ◽  
Cláudio Len ◽  
Juliana Themudo Lessa Mazzucchelli ◽  
...  

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Mubashir Alavi Jusabani ◽  
Sakina Mehboob Rashid ◽  
Honest Herman Massawe ◽  
William Patrick Howlett ◽  
Marieke Cornelia Johanna Dekker

2021 ◽  
Vol 11 (1) ◽  
pp. 128
Author(s):  
Mainul Haque ◽  
MohammadMonir Hossain ◽  
Md Ashrafuzzaman ◽  
Iffat Jahan ◽  
Nurun Naher ◽  
...  

2021 ◽  
Vol 28 (10) ◽  
pp. 1945
Author(s):  
Burak Ceran ◽  
Turan Derme ◽  
Mehmet Erkan ◽  
Seda Sahin ◽  
Dilek Gokcebay ◽  
...  

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
Ismail H. Dilogo ◽  
Jessica Fiolin

Recurrent hip dislocation in a Down Syndrome patient with dysplastic hip is a very challenging case to treat even for an expert orthopaedic hip surgeon. Least compliant patient and family, lowly educated with low socioeconomic status and the dysplastic hip forces limited option as a treatment. This is the first case world wide reporting 4 year follow up of dysplastic hip with Down Syndrome treated successfully with PAO technique. Methods: An eighteen years old female with history of Down Syndrome had multiple posterior hip dislocation episodes since 3 years prior. Several attempts of close reduction and hip spica applications were performed upon dislocation despite no successful retaining of reduction. Acetabular index of right hip were 550 and epiphyseal plate hasclosed. PatientwasperformedopenreductionusingSouthern-Mooreposteriorapproachand osteotomy of ischium, continued with capsulorrhaphy followed with Smith-Peterson anterior approach and osteotomy of superior ramus pubis and iliac bone. Then, derotation maneuver was performed under image intensifier to obtain adequate coveragefollowedwithbonegraftandfixationusing2cannulatedscrewandhipspica castapplication. Results: Within four years after surgery, the hip has never been dislocated again, patient could sit without pain and walk with full weight bearing although Harris Hip Score could not be performed due to Down Syndrome. Leg length discrepancy was negligible,fracture has fully united and acetabularin dex was300. Conclusions: Ganz periacetabular osteotomy, although a technically demanding surgery, is a preferable treatment in recurrent hip dislocation for Down Syndrome patient with good to excellent clinical and radiological ou tcome


1986 ◽  
Vol 16 (4) ◽  
pp. 168-172 ◽  
Author(s):  
Adebayo O Adeyemo ◽  
Olujinmi Odetoyinbo ◽  
Olayinka Akinola

In 90% of 213 patients, foreign bodies impacted in the oesophagus were removed during oesophago-scopy. Surgical intervention was necessary in the remainder. The complications recorded in 18 patients (8.5%) included bleeding, retropharyngeal abscess, paraoesophageal abscess, stricture, and mediastinitis. The mortality rate was 0.94%.


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