Management of Laryngo-Tracheo-Bronchial foreign bodies in children at the Adolphe SICE General Hospital in Pointe-Noire, Congo

Background: The objectives of our study were to describe the epidemiological, diagnostic, therapeutic and evolutionary aspects of laryngotracheobronchial foreign bodies. Patients and methods: This was a descriptive and retrospective study carried out over a period of 12 years (2007-2019), in the ENT and cervico-facial surgery department of the General Hospital Adolphe SICE of Pointe-Noire (Congo). Results: During this period, we collected 20 files of patients whose age varied from 1 to 10 years with an average age of 5 years who were received for foreign body inhalation. The average age of our patients was 5 years with extremes ranging from 1 to 10 years. A male predominance was noted with a sex ratio of 1.62. The average consultation time was 3 days (2 hours and 30 days), 12 patients (60%) were seen within the first 24 hours. The penetration syndrome was the most common functional sign in 10 cases (50%). The standard cervico-thoracic radiograph was normal in 7 cases (35%). The foreign body was opaque in 10 cases (50%), and in 1 case atelectasis was noted. CT scan was performed in 2 cases (10%). The larynx was the most common location. Indeed, the glottis was affected in 8 cases (61.5%), followed by the supraglottis in 3 cases (23.07%) and the subglottis in 2 cases (15.3%). The plastic toys were found more in the glottis in 6 cases (30%). The evolution after endoscopy was favourable in 17 cases (85%), 2 cases required thoracic surgery, and one death was recorded. Conclusion: Laryngo-tracheo-bronchial foreign bodies are frequent, they pose a public health problem. Their management depends on the strength of the relationship between the ENT surgeon and the anaesthetist. Keywords: Child; Laryngo-Tracheo-Bronchial Foreign Bodies; Endoscopy

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Rectal Foreign Body in a 30 Year Old Male- A Case Report

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v9i1.37258 ◽

2018 ◽

Vol 9 (1) ◽

pp. 35-37

Author(s):

Md Monoarul Islam Talukdar ◽

Quamrul Akter ◽

Md Abdullah Al Mamun ◽

Abdullah Md Abu Ayub Ansary

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Young Male ◽

College Hospital ◽

Rectal Pain ◽

Medical College ◽

Post Operative Period ◽

Abdominal Radiographs ◽

Early Decision ◽

Surgery Department

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37

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Endoscopic Management of Foreign Body Impaction in the Upper Gastrointestinal Tract in a Tertiary Care Centre of Nepal

Kathmandu University Medical Journal ◽

10.3126/kumj.v18i2.33223 ◽

2020 ◽

Vol 18 (2) ◽

pp. 36-40

Author(s):

A. Shrestha ◽

R.B. Gurung ◽

P. Sharma ◽

R. Shrestha ◽

P. Shrestha

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Tertiary Care ◽

Upper Gastrointestinal Tract ◽

Endoscopic Management ◽

Tertiary Care Centre ◽

Male Predominance ◽

Foreign Body Impaction ◽

Upper Gastrointestinal

Background Ingested foreign body impaction on upper gastrointestinal tract is common incidence among children, older age group, mentally challenged individuals, and people the influence of alcohol. In most cases, the foreign bodies pass spontaneously and uneventfully but when this does not occur; endoscopic management to ensure removal under direct visualization is required. Relief upon removal of foreign body and prevention of complications is essential. Objective To assess the endoscopic management and outcome of foreign body impacted in the upper gastrointestinal tract. Method This is a hospital based observational retrospective cross sectional study involving 165 patients at Endoscopy Department of Dhulikhel Hospital in Nepal between November 2015 and October 2019. The data regarding the demographic profile, clinical characteristics and endoscopic findings were retrieved and analyzed to determine endoscopic interventions performed, complications and outcomes. Result One hundred and sixty five patients presenting with history of ingestion of foreign body were included in the study. The mean age of the patients was 46.8 ± 19.1 years with male predominance (60%). The most common site of foreign body impaction was oesophagus (70%). The most common foreign body encountered was bone (62.2%) among which chicken bones (91.1%) were most frequent. For the retrieval of sharp-pointed foreign bodies, rat forceps and graspers (45.7%) were most commonly used. Total 14 cases required rigid oesophagoscopy as the foreign body could not be retrieved by flexible endoscopy. Conclusion Foreign body ingestion and its impaction in the upper gastrointestinal tract has been found to be common in endoscopic practise. Early detection and timely removal of foreign bodies is of utmost importance to avoid discomfort to the patient as well as to ensure successful removal without complications.

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Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications

Medicina ◽

10.3390/medicina55100686 ◽

2019 ◽

Vol 55 (10) ◽

pp. 686 ◽

Cited By ~ 4

Author(s):

Khorana ◽

Tantivit ◽

Phiuphong ◽

Pattapong ◽

Siripan

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Foreign Body Ingestion ◽

Common Symptom ◽

Distribution Management ◽

Common Location ◽

Classification Of Diseases ◽

Icd 10 ◽

International Statistical Classification ◽

History Of

Background and Objectives: Foreign body (FB) ingestion is a common problem in children, causing serious complications. This study aimed to identify the distribution of types and locations of these foreign bodies and create Chiang Mai University (CMU) Guidelines. Materials and Methods: A retrospective descriptive study was conducted. All patients under 15 years old with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in CMU Hospital from January 2006 to December 2017 were included. The data were analyzed using descriptive statistics. The guidelines were created, which paralleled the standard guidelines. Results: In total, 194 episodes of FB ingestion were recorded. These included 53.6% males and 46.4% females with a median age of 43.5 months. A history of foreign body ingestion complaints occurred in 77.8% of cases. Presentation was divided into asymptomatic (44.3%) and symptomatic (55.7%). The most common symptom was vomiting (23.2%). In the majority of cases, foreign bodies were located in the esophagus (37%). The most common type of foreign body was a coin (41.2%). Management included spontaneous passing (60.3%), endoscopy (35.6%), and others (3.1%). Complications before treatment were recorded in 9.3% of cases and after treatment in 2.1% of cases. Conclusions: Foreign body ingestion is common among children younger than four years old. Coins are the most common foreign body found, and the esophagus is the most common location. We recommend our created CMU Guidelines for management.

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Analysis of Ear, Nose and Throat Foreign Bodies in Dhulikhel Hospital

Kathmandu University Medical Journal ◽

10.3126/kumj.v10i2.7334 ◽

2013 ◽

Vol 10 (2) ◽

pp. 4-8 ◽

Cited By ~ 6

Author(s):

Inku Shrestha ◽

BL Shrestha ◽

RCM Amatya

Keyword(s):

Foreign Body ◽

Primary Care Physicians ◽

Foreign Bodies ◽

Demographic Data ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Male Predominance ◽

Institutional Review ◽

Nose And Throat

Background Foreign body in ear nose and throat are commonly encountered by otolaryngologists, pediatricians and primary care physicians. Objective The aim of this study is to analyze different types of foreign bodies and socio-demographic correlates of self-inflicted foreign body insertion in ear–nose–throat. Method This was a two year hospital based cross sectional descriptive study performed in the Department of ear nose and throat (ENT), Dhulikhel Hospital - Kathmandu University from June 2009 to June 2011 after verification from the Institutional Review Committee. Using a predesigned questionnaire, socio-demographic data was collected prospectively by examining clinically all patients attending with foreign body and interviewing the caregivers of pediatric patients after removal of foreign body. The data collected from 312 patients was entered and analyzed by using descriptive and analytical statistical methods using SPSS version 16.0. Results The mean age was 21.26 years with majority between 0-10 years (50.6%). Male predominance was noted (58.97%). Most patients or caregivers were illiterate (35.1%) or literacy up to primary level(21.12%).Foreign body of the ear was found to be most frequent ( 47.4%) and mostly they were non-living (96.1%). Most patients presented late (80%) and had history of prior attempted removal (67%). Pearsons chi square test between education level and duration of time was significant (p value- 0.0000). One way ANOVA test between type of foreign body and age was significant (p value- 0.001). Conclusion Foreign bodies are common in adult and pediatric ear, nose and throat. They can potentially be associated with significant complications if not taken care of immediately. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 4-8 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7334

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Topical Anesthetic Misuse in Patients Admitted to Sabzevar Eye Clinic in Iran

Acta Facultatis Medicae Naissensis ◽

10.1515/afmnai-2016-0030 ◽

2016 ◽

Vol 33 (4) ◽

pp. 287-294 ◽

Cited By ~ 2

Author(s):

Ebrahim Shirzadeh ◽

Nematullah Shomoossi ◽

Hasan Abdolahzadeh

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Foreign Body Sensation ◽

Eye Drops ◽

Ocular Pain ◽

Topical Anesthetic ◽

Cross Sectional ◽

Common Location ◽

Body Sensation ◽

Eye Clinic

Abstract Topical anesthetic eye drops are used extensively for ophthalmic examinations but self-treatment and non-technical removal of foreign bodies using tetracaine drops can be hazardous. The present study intended to determine the inadmissible uses of anesthetic tetracaine eye drops, manner of drug obtaining and likelihood of the ocular complications in the patients. This cross-sectional study was conducted on 162 patients with ocular pain and foreign body sensation, red eye or lid edema admitted to the Eye clinic in Sabzevar, Iran. Variables included age, sex, chief compliant, job, site of foreign bodies, diagnosis of problem, use of tetracaine drops, drug provision, times patients referred to the eye clinic, and kinds of treatment. The most common chief complaint for admission to the Eye clinic was lacrimation (55.6%), followed by ocular pain, and foreign body sensation (35.8%). Some patients (30.9%) (mostly welders) inadmissibly used topical tetracaine eye drops; 21.6% of cases obtained tetracaine eye drops from drugstores without doctor’s prescription, and only 3.7% provided drugs by prescription. Corneal site (81.5%) was the most common location of foreign body; metallic foreign body (63%) was the most common. One patient was admitted in hospital for management. Topical inadmissible tetracaine (0.5%) is commonly used by welders, who obtain it from drugstores without prescriptions due to its simple usage and short acting pain relief. Supervision is required over drugstores for denying it if demanded without a prescription. Enhancing clients’ awareness is also suggested.

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Multiple Magnetic Foreign Bodies Causing Severe Digestive Tract Injuries in a Child

Case Reports in Gastroenterology ◽

10.1159/000450538 ◽

2016 ◽

Vol 10 (3) ◽

pp. 720-727 ◽

Cited By ~ 7

Author(s):

Xinmin Si ◽

Baofeng Du ◽

Lei Huang

Keyword(s):

Public Health ◽

Foreign Body ◽

Mortality Rate ◽

Health Problem ◽

Foreign Bodies ◽

Public Health Problem ◽

Gi Tract ◽

Accidental Ingestion ◽

Accidental Injury ◽

Magnetic Elements

Foreign body (FB) ingestion is a common emergency as well as a major cause of accidental injury and represents a severe public health problem in childhood, especially in infants. Most cases of FB ingestion reported in children aged between 6 months and 3 years depend primarily on the fact that young children are more likely to explore objects using their mouth and are not able to distinguish edible objects from nonedible ones, their teeth are physiologically lacking, and they have poor swallowing coordination. Although, sometimes it can cause serious complications, FB ingestion generally has a low mortality rate. However, accidental ingestion of magnetic toys, as a rare kind of FB mostly encountered in children, has now become more common due to the increased availability of objects and toys with magnetic elements. The majority of magnetic FB traverse the gastrointestinal (GI) system spontaneously without complication, but in rare cases may cause severe damages to the GI tract due to its special pathogenesis [Kay and Wyllie: Curr Gastroenterol Rep 2005;7: 212–218]. Ingestion of multiple magnets may be related to increased morbidity resulting in a delay of recognition of FB injury that can lead to serious complications and require surgical resolution.

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Ear, Nose, and Throat Foreign Bodies in Children: A Retrospective Study

Children ◽

10.3390/children9010063 ◽

2022 ◽

Vol 9 (1) ◽

pp. 63

Author(s):

Bin Kwon ◽

Yeso Choi ◽

Sung-Kyun Kim ◽

Seok-Jin Hong ◽

Yong-Bok Kim ◽

...

Keyword(s):

Early Childhood ◽

Retrospective Study ◽

Foreign Body ◽

Foreign Bodies ◽

Pediatric Patients ◽

Age Groups ◽

Common Location ◽

Number Of Patients ◽

Using Data ◽

Nose And Throat

Background: This study analyzed the presentation, characteristics, and management of foreign bodies in different age groups of pediatric patients with ear, nose, and throat foreign bodies. Methods: A retrospective study was performed using data from October 2012 to September 2020. A total of 1285 patients with ear, nose, and throat foreign bodies who were less than 12 years of age and who presented to the emergency room were included in this study. Their biographical data, clinical presentations, foreign body types and locations, and management outcomes were obtained from medical records and analyzed as three age groups (infancy: <2 years old; early childhood: 2–5 years old; and late childhood: 6–12 years old). Results: The early childhood group had the highest number of patients (n = 672; 52.2%). Throat was the most common location (59.2%), and bone was the most common type of foreign body. Among the children who visited our hospital, foreign bodies were actually found in only 657 patients (51.1%) and removed by an otolaryngologist in 625 (95.1%) cases. Conclusion: Our study could provide guidance for the diagnosis and management of pediatric patients who present to emergency departments with foreign bodies.

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Characteristics Of Patient With Foreign Body Ingestion In Palembang

BioScientia Medicina ◽

10.32539/bsm.v5i1.156 ◽

2020 ◽

Vol 5 (1) ◽

pp. 75-84

Author(s):

Adelien Adelien ◽

Abla Ghanie ◽

Puspa Zuleika ◽

Lisa Apri Yanti

Keyword(s):

Foreign Body ◽

General Hospital ◽

Study Design ◽

Foreign Bodies ◽

Foreign Body Ingestion ◽

Duration Of Stay ◽

Presenting Symptoms ◽

Globus Sensation ◽

Common Diagnosis ◽

In Infants And Children

Abstract Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang. Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017. Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients. Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.

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Study on prevalence of foreign bodies in ENT

Integrative Journal of Medical Sciences ◽

10.15342/ijms.7.219 ◽

2020 ◽

Vol 7 ◽

Author(s):

Shilpi Agrawal ◽

Haritosh K. Velankar

Keyword(s):

Foreign Body ◽

Emergency Room ◽

General Anaesthesia ◽

Foreign Bodies ◽

Tertiary Care ◽

Age Groups ◽

Care Hospital ◽

Cross Sectional ◽

Common Location ◽

Nose And Throat

Introduction- Foreign body is a substance that doesn’t belong to a location where it is found. Ear,nose and throat are common location for occurence of foreign bodies. It is a common problem encountered in both adults and children. Objective- 1) To analyse the different kinds of foreign bodies in ear ,nose and throat and their prevalence in different age groups. 2) To analyse the most prevalent site of foreign body among ear, nose and throat.Methods- A cross-sectional study was performed in our tertiary care hospital in Navi-mumbai. The study period was from august 2017 to august 2019. The study population were the patients who came to the out patient department and emergency room of this hospital.Result- A total of 100 patients as sample size with foreign bodies in ear, nose or throat were taken on first come basis. 62 were males and 38 were females. Of the 100 patients, 36 had foreign body in ear, 47 in nose and 17 in the throat. The foreign body was removed under local anaesthesia in 4% patients, with general anaesthesia in 30 % and with no anaesthesia at all in 66% patients. The most common age group affected was less than 10 years among both male and female patients.Conclusion- The most frequent site of foreign body occurrence was found to be nose. The most common site requiring general anaesthesia for foreign body removal was throat. Although most of the foreign bodies could be removed without any anaesthesia in the emergency room or outpatient department.

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Intestinal perforation by ingested foreign bodies

International Surgery ◽

10.9738/intsurg-d-15-00303.1 ◽

2017 ◽

Author(s):

Xinping Li ◽

Bujun Ge ◽

Hongmei Zhao ◽

Wei Jin ◽

Daojing Huang ◽

...

Keyword(s):

Foreign Body ◽

Intestinal Perforation ◽

Foreign Bodies ◽

Bowel Perforation ◽

Optimal Choice ◽

Diagnosis And Treatment ◽

Foreign Body Ingestion ◽

X Ray ◽

Common Location ◽

Background Data

Abstract Objective The aim of our manuscript is to study the incidence, diagnosis, and treatment of bowel perforation by foreign body ingestion. Summary of Background Data Bowel perforation, by foreign body ingestion, has been believed to be relatively rare, and most commonly caused by fish bones, chicken bones, and toothpicks. Our clinical experience,however, suggests such perforations may be more common than previously thought, and caused by various other objects as well. Methods Medical records of all patients diagnosed with foreign body-induced intestinal perforation, from the Department of General Surgery at Shanghai Tongji Hospital, from January 2000 to June 2015, were retrospectively analyzed. Results Among the 25 total patients, 4 ingested foreign bodies intentionally, while the other 21 cases were accidental.The foreign bodies were identified by plain X-ray film in 2 patients and by multidetector computed tomography (MDCT) in 11 patients, thus supporting the correct preoperative diagnosis (13 cases, 52%). The most common location of the perforation was the terminal ileum (n = 17).The offending objects were date stones (n=13), bones(n=7), and metallic objects (n=5). The most common treatment was removal ofthe foreign body and closure of the perforation with simple suture(n=22). Ten patients were treated laparoscopically. Conclusion The present study shows that the most common foreign bodies causing intestinal perforation are date stones and bones. Although about 50 percent of the foreign bodies could be identified by MDCT, definite diagnosis remained preoperatively difficult. Laparoscopy may be the optimal choice for diagnosis and treatment of bowel perforation by foreign bodies.

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