scholarly journals AN UNEXPECTED PRESENTAION OF FOREGIN BODY IN LARYNX

2017 ◽  
Vol VOLUME 5 (VOLUME 5 NUMBER 2 JULY 2017) ◽  
pp. 21-23
Author(s):  
Anshul Bansal

Foreign body aspiration is very common in paediatric age group specially 6 months to 4 years of age, but it is relatively unusual entity amongst adult population unless predisposing factor like alcohol or drug intoxication or psychiatric illness. We are reporting an interesting case of foreign body (sewing needle) aspiration which penetrated through thyrohyoid membrane anteriorly by its blunt end and presented as a subcutaneous midline neck swelling associated with pain on swallowing. KEY WORDS: Foreign body, Larynx, Penetrating, Sewing Needle

Author(s):  
M. U. Ibekwe ◽  
Paul Ni

Background: The paediatric age group has very peculiar anatomic and physiologic airways therefore, obstruction which commonly occurs in this population, can pose serious challenges in this age group. Aim: To study the pattern and aetiology of acute upper airway obstruction in the paediatric age group in University of Port Harcourt teaching hospital and to determine the place of tracheostomy in the management. Patients and Methods: It is a descriptive hospital based study of all paediatric patients; aged 0-15 years with upper airway obstruction that presented to the ear, nose and throat department and the children emergency ward of university of Port Harcourt teaching hospital within the period of January 2014 to December 2019. Data on demographics, clinical presentations, causes and management were obtained using a Proforma. The diagnosis of upper airway obstruction is made in a child with any degree of respiratory difficulty with or without associated stridor or stertor arising from lesions above the thoracic inlet. Children with respiratory difficulty other than that from an upper airway obstruction were excluded from the study. Data obtained were analyzed with the IBM statistical package for social sciences SPSS version 20. Results were presented in simple descriptive forms with tables. Results: One hundred and sixty paediatric patients with upper air way obstruction with age ranging from 0-15 years were studied. The prevalence of upper airway obstruction was 1.87%. There were more males than females; male to female ratio was 1.2:1. Age group 4-7 years were the most affected, 43.75%. Foreign body aspiration was the commonest cause. Majority of the patients had tracheostomy done, 48.75%. Mortality was n=1(0.625%). Conclusion: Upper air way obstruction among the paediatric age group is still common with foreign body aspiration as a very important cause in our setting. The very young are the most affected and tracheostomy appears to still be the main option of securing airway in these cases in our environment.


Author(s):  
Sudhakar Rao M. S. ◽  
Deepak Karade

<p class="abstract"><strong>Background:</strong> Foreign body ingestion is a common event in children and carries significant morbidity and mortality. Indian currency coins are found to be the common ingested foreign bodies hence, to be treated accordingly.</p><p class="abstract"><strong>Methods:</strong> A 7 years retrospective review of 133 children diagnosed, admitted and managed for “ingested Indian currency coin” between January 2011 to December 2017 in the Department of Oto-rhino-laryngology and Head and Neck surgery, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India. A plain radiograph of the relevant views of neck and chest were taken to identify the foreign body.  </p><p class="abstract"><strong>Results:</strong> There were 80 (60.2%) males and 53 (39.8%) females, ranging in age from 6 months to 15 years. Most of the patients 98 (73.7%) presented within 12 hours of the coin ingestion. 109 patients presented with one or more symptoms, common being vomiting 83 (62.4%). Coin was located mostly at the cricopharynx 111 (83.5%). Coin removal was possible using Macintosh laryngoscope and Magill’s forceps in 106 (79.7%) patients, and 27 (20.3%) patient’s required rigid oesophagoscope.</p><p class="abstract"><strong>Conclusions:</strong> Indian currency coin ingestion is commonly found in cricopharyngeal area of the oesophagus among preschool age group. The duration of retention of the foreign body, procedural time, hospital stay of the patient, diameter of the coin in both the genders have no impact on clinical outcome on retrieval of them.</p>


2021 ◽  
Vol 48 (1) ◽  
pp. 39-42
Author(s):  
Ahmad B Kumo ◽  
Manko Muhammad ◽  
Habib Balarabe

Ingestion of foreign body occurs commonly in the paediatric age group particularly between 6 months and 5 years of age.1 Most ingested foreign objects pass smoothly through the oesophagus, into the stomach and are expelled from the body without complications. However, 10% –20% will require endoscopic removal to avoid complications. We present the endoscopic removal of a peg pin in the duodenum of a four-year-old child.


2016 ◽  
Vol 7 (5) ◽  
pp. 35 ◽  
Author(s):  
Aditya Pratap Singh ◽  
Vinay Mathur ◽  
Ramesh Tanger ◽  
Arun Kumar Gupta ◽  
Ayush Kumar

Paediatric age group is most vulnerable for the accidental foreign body (FB) ingestion which may go unnoticed. These patients present with symptoms or complications as a result of FB and may mimic other conditions on various investigations. We describe a 9-month old infant who ingested crystal gel ball and presented with vomiting for a month. On radiological imaging it was interpreted as duplication cyst of the duodenum. At operation, crystal gel ball was retrieved. Our case vindicates importance of keeping various possibilities in mind as differential diagnoses during evaluation and management of surgical ailments such as the duplication cyst of duodenum.


2018 ◽  
Vol 7 (04) ◽  
pp. 548-549
Author(s):  
Pankaj Kumar Saunakiya ◽  
Satendra Rajput ◽  
Santosh Kumar Saroj ◽  
Santvir Singh ◽  
Rajkumar Verma

2017 ◽  
Vol 4 (4) ◽  
pp. 1543
Author(s):  
Manish Verma ◽  
Manish Tailor ◽  
Beena Thada

Tonsilloliths are calcified structures that form in the palantine tonsillar crypts. Tonsilloliths are uncommon in pediatric age group and usually present with pain, referred pain (ear), foreign body sensation, abscess and halitosis. This interesting case present with expulsion of mysterious ladyfinger seeds like structures from oral cavity. 


2020 ◽  
Vol 16 (3) ◽  
pp. 325-328
Author(s):  
Aranjit Singh Randhawa ◽  
◽  
Norhafiza Mat Lazim ◽  
Khairul Bariah Noh ◽  
Irfan Mohamad ◽  
...  

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.


2021 ◽  
Vol 5 (2) ◽  
pp. 17-19
Author(s):  
Kashif Bangash ◽  
Muhammad Naeem ◽  
Hassan Mumtaz ◽  
Aaliah Akhtar Hayat ◽  
Mubashar Mazhar ◽  
...  

Self-insertion of a foreign body in the urethra is an uncommon presentation clinically. The cases usually arise due to fulfillment of sexual desire, for recreation, play, or exploration, or the foreign body insertion may take place accidentally. We present a case of an adolescent boy with a foreign body urethra presenting to the emergency room with urinary retention, pain, and dysuria. Attending urologist suspected urethral stricture and ordered ultrasonography to investigate which turned out to be a sewing needle in his urethra. The patient was then enquired about the foreign body. He tried to self-dilate his urethra as he was experiencing lower urinary tract symptoms. The sewing needle was removed by endoscopy and he was administered with antibiotics and painkillers. The urethral foreign bodies may present with pain, dysuria, or urinary incontinence and these foreign bodies are mostly seen in the male population in the adolescent age group.


2021 ◽  
Vol 14 (3) ◽  
pp. e240707
Author(s):  
Sujayendra Davanagere Murali ◽  
Nikhil Hegde ◽  
Hitesh Shah

Though uncommon, fracture of neck of femur in children is a devastating injury due to the complications it may cause. Treatment depends on the age of the child, the displacement of the fracture and the type of fracture based on Delbet classification. Surgical treatment is indicated in displaced fractures. We report a case of an impacted fracture of neck of femur in a 12-year-old girl. The girl was managed non-operatively. The fracture united uneventfully. An impacted fracture of neck of femur is common in the adult population. To the best of our knowledge, this fracture pattern has not been reported in the paediatric age group.


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