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Foreign body ingestions are common in children. They can pose a diagnostic problem if the foreign body is embedded in the soft tissues of pharynx. A 4 year old girl presented with halitosis for two years. A pharyngeal foreign body, a metallic ring, was seen on lateral radiographs of the neck. The foreign body was removed under general anaesthesia....
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Objective
The study's primary objective was to determine army medics' accuracy performing bedside ultrasound (US) to detect radiolucent foreign bodies (FBs) in a soft-tissue hand model. Secondary objectives included the assessment of US stand-off pad effects on soft-tissue FB detection rates and assess established FB detectable lower limit size of...
Citations
... 6,7 Radiography may be performed if the history is unreliable or a metallic object is suspected. 15 However, plain radiography is limited to radiopaque objects. 6,16,17 Endoscopic techniques are proven diagnostic tools to evaluate foreign body ingestion. ...
... 6,16,17 Endoscopic techniques are proven diagnostic tools to evaluate foreign body ingestion. 4,9,15 We performed bedside flexible laryngoscopy in our patient to rule out an ingested foreign body. This techniques provides better comfort and decisive upper airway evaluation especially in pediatric patients. ...
Introduction:
The incidence of foreign body ingestion in the upper gastrointestinal tract accounts for 75%-85% of foreign body ingestions in pediatric patients.
Case presentation:
An 8-month old boy presented with vomiting and was referred to the otorhinolaryngology team based on his mother's suspicion that her child might have ingested a foreign body. Flexible laryngoscopy revealed a phone screen protector at the vallecular region. The foreign body was removed in the operating theatre.
Conclusion:
Foreign body ingestion should always be suspected in young patients. Consideration of the patient's symptoms, level of lodgement, and type of foreign body will determine whether immediate intervention or a conservative approach is warranted.
ARTICLE INFO ABSTRACT Background/Aim: Foreign bodies (FBs) of the upper aero digestive tract often present as medical emergencies and it is common in children especially under the age of five years. The aim of this study was to present our experience with the management of Pharyngo-oesophageal FBs in two federal health institutions in Nigeria over a 10-years period. Methods: It was a retrospective study. Records of all the patients with pharygo-oesophageal foreign bodies who were seen and treated in the Accident and Emergency unit and ENT clinic was retrieved from the hospital medical record department. The information that was extracted include their demographic data, time of ingestion to presentation, presenting symptoms, type of FB ingested, treatment, length of hospital stay and outcome. X-ray soft tissue of the neck (anteroposterior and lateral views) of the patients was also reviewed. Results: A total of 57 patients have complete data for this study. There were 43 males and 14 females given a male to female ratio of 3:1. Their age range was 9 months to 86 years with a mean of 32.8 ± 23.4SD. Majority (38.6%) of the patients are in the age range of 0-20 years. At presentation, their major complaints were dysphagia (89.5%) and odynophagia (84.2%). More than half of the patients (57.9%) presented within 24 hours of ingestion of foreign body. The most common ingested foreign body was dentures, which were noted in 18(31.6%) patients. All patients except one had rigid endoscopy. More than half (61.4%) of the FB impaction was seen at the upper third of the oesophagus. Complications recorded are failed procedures in 3 (5.3%) patients, foreign bodies were not seen in 2(3.5%) patients and one (1.8%) had subcutaneous emphysema. Conclusion: Accidental foreign body ingestion of the oesophagus was still a major problem among children. Commonest foreign object recorded in this study was denture. Large percentages of FBs ingested were at home. Rigid oesophagoscopic removal is still the safest method of treatment. Health education as to its prevention and early presentation to health facility will prevent morbidity and mortality
Objective: Foreign body swallowing is a common pediatric problem. A foreign body in the pharynx is a medical emergency that requires urgent intervention. Evaluation and treatment of pharyngeal foreign bodies is much more difficult in children than in adults and sometimes requires hospitalization and removal of the foreign bodies under general anesthesia due to children’s lack of cooperation. Fish and chicken bones are the most common swallowed foreign bodies, but an interesting case of a piece of dishwashing steel wool stuck in a child’s pharynx is reported in this article.
Case Presentation: A 10-year old boy was presented with a history of dysphagia from five weeks ago. Oral examination did not reveal anything significant. In lateral neck radiographs of the patient, a metal wire was observed in the hypopharyngeal region opposite the 4th and 5th cervical vertebrae. Endoscopic attempts to remove the foreign body were not successful. Therefore, the foreign body was removed from the patient’s pharynx in the operating room under general anesthesia. No complications were observed.
Conclusion: Despite the prevalence of swallowing foreign bodies in children, ingestion of a piece of dishwashing steel wool not diagnosed for three weeks was considered interesting to report. Pharyngeal foreign bodies are medical emergencies; therefore, it is particularly important to suspect the presence of a foreign body and perform diagnostic procedures.
According to reports from various multidisciplinary breath odor clinics around the world, some 4–8% of breath odor cases are ear–nose–throat (ENT)-related conditions (Quirynen et al. 2009; Seemann et al. 2006). These include nasal and pharyngeal infections and conditions such as chronic sinusitis, chronic (caseous) tonsillitis, foreign bodies, and craniofacial anomalies (e.g., cleft palate). These are specified in Table 5.1.
Foreign body-related injuries to aerodigestive tract and large neck vessels are rare but can be catastrophic if not identified and treated in time. We report an infant with impacted foreign body (pen cap) in the pharynx which went unnoticed until it led to the formation of a fistula with the internal jugular vein (IJV) and massive hemorrhage. His course was complicated by ventilator-associated pneumonia, air leaks, shock, acute kidney injury, prolonged mechanical ventilation, and pharyngocutaneous fistula. The surgical removal of foreign body, ligation of IJV, closure of pharyngeal defect, and supportive treatment in pediatric intensive care unit led to a favorable outcome. This is the first case of pharyngojugular and pharyngocutaneous fistula following an impacted foreign body in the pharynx.
Background/Aim: Foreign bodies (FBs) of the upper aero digestive tract often present as medical
emergencies and it is common in children especially under the age of five years. The aim of this
study was to present our experience with the management of Pharyngo-oesophageal FBs in two
federal health institutions in Nigeria over a 10-years period.
Methods: It was a retrospective study. Records of all the patients with pharygo-oesophageal foreign
bodies who were seen and treated in the Accident and Emergency unit and ENT clinic was retrieved
from the hospital medical record department. The information that was extracted include their
demographic data, time of ingestion to presentation, presenting symptoms, type of FB ingested,
treatment, length of hospital stay and outcome. X-ray soft tissue of the neck (anteroposterior and
lateral views) of the patients was also reviewed.
Results: A total of 57 patients have complete data for this study. There were 43 males and 14
females given a male to female ratio of 3:1. Their age range was 9 months to 86 years with a mean
of 32.8 ± 23.4SD. Majority (38.6%) of the patients are in the age range of 0-20 years. At
presentation, their major complaints were dysphagia (89.5%) and odynophagia (84.2%). More than
half of the patients (57.9%) presented within 24 hours of ingestion of foreign body. The most
common ingested foreign body was dentures, which were noted in 18(31.6%) patients. All patients
except one had rigid endoscopy. More than half (61.4%) of the FB impaction was seen at the upper
third of the oesophagus. Complications recorded are failed procedures in 3 (5.3%) patients, foreign
bodies were not seen in 2(3.5%) patients and one (1.8%) had subcutaneous emphysema.
Conclusion: Accidental foreign body ingestion of the oesophagus was still a major problem among
children. Commonest foreign object recorded in this study was denture. Large percentages of FBs
ingested were at home. Rigid oesophagoscopic removal is still the safest method of treatment.
Health education as to its prevention and early presentation to health facility will prevent morbidity
and mortality
Key Words: Foreign bodies, Pharyngo-oesophageal, health institution, complications, Nigeria
A foreign body in the nose rarely causes halitosis in childhood. Some foreign bodies like metals can stay in the nose for years without any symptoms. We report a case of 14 year old male patient followed up because of JRA (Juvenile rheumatoid arthritis) for 2 years and he had a complaint of halitosis for 10 years. A disk battery was removed from the nose in an operation. The patient was investigated because of possible chronic lead poisoning.
According to reports from various multidisciplinary breath odor clinics around the world, some 4–8% of breath odor cases are ENT-related conditions (Quirynen et al. 2009; Seemann et al. 2006). These include nasal and pharyngeal infections and conditions such as: chronic sinusitis, chronic (caseous) tonsillitis, foreign bodies, and craniofacial anomalies (e.g., cleft palate). These are specified in Table 5.1.
Peritonsillar abscess is a localized accumulation of pus within the peritonsillar space and mostly results from suppurative infection of the tonsils or inadequately treated chronic tonsillitis but may also arise de novo without clinical evidence of tonsillar infection. Other proposed etiologies include infection of the Weber's glands or periodontal or dental infections. We report a case of right sided quinsy due to foreign body in tonsil (partial root of a carious molar). The case is discussed in view of its unusual etiology.
