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Foreign Body in the Pharynx

Foreign Body in Throat


Presentation

  • The aim is to present a case of an unusual impacted foreign body (ear ring), in the pharynx of a child,that was confirmed by plain radiographs.[ncbi.nlm.nih.gov]
  • The case of a 2-year-old patient with penetrating pharyngeal foreign body is described in the present report.[ncbi.nlm.nih.gov]
  • The various factors in the erroneous diagnosis in this case are examined and it is submitted that, although not all the signs of an aneurysm may be present, it should be possible to make a correct preoperative diagnosis of this complication given sufficient[ncbi.nlm.nih.gov]
  • The case illustrates a potential pitfall in the management of patients who are unable to communicate either verbally or in writing and who present with acute dysphagia.[ncbi.nlm.nih.gov]
  • CASE REPORT A 4 year old girl presented to our department with a history of halitosis. This complaint had been first noticed two years ago and had a gradual onset.[emj.bmj.com]
Fishing
  • Abstract A case of false aneurysm of the external carotid artery following impaction of a fish bone in the pharynx is reported. An incorrect preoperative diagnosis led to a near-fatal issue.[ncbi.nlm.nih.gov]
  • Next day we were able to identify the position of the fishbone from the position of the CT and, successufully removed the fish bone.[jstage.jst.go.jp]
  • Tsunoda K, Sakai Y, Watanabe T, Suzuki Y (2002) Pseudo vocal paralysis caused by a fish bone. Lancet 360: 907.[omicsonline.org]
  • If a foreign body was detected, such as fish bone, it was extracted using flexible grabbing forceps passed down the instrument channel and delivered through the nasal or oral cavity. The object was then inspected to ensure removal in its entirety.[ncbi.nlm.nih.gov]
  • BACKGROUND: Fish bone (FB) is one of the common causes of foreign body impaction in the pharynx and esophagus.[ncbi.nlm.nih.gov]
Foul Smelling Discharge
  • In the endoscopic examination of the pharynx, it was noted that above the sulcus terminalis, just in the midline, there was a slight reddish, granulated tumefaction with a foul smelling discharge on it. Other clinical examinations were unremarkable.[emj.bmj.com]
Odynophagia
  • The patient history revealed that she had previously been treated several times for odynophagia with cervical tumescence, with a history of accidental ingestion of a sharp pointed metallic foreign body 2 months earlier.[omicsonline.org]
  • ., along with dysphagia, odynophagia, and sensation of foreign body in throat, excessive salivation, pain in neck, vomiting and/or retrosternal pain.[ispub.com]
Osteophyte
  • Symptom scores (range, 0-3) and imaging characteristics such as the number (total spurs) and location (C level) of cervical osteophytes, interspace narrowing, spondylolisthesis, and retrolisthesis were compared between the two groups.[ncbi.nlm.nih.gov]
Withdrawn
  • The foreign body was withdrawn without any bleeding because of thrombosis of the internal jugular vein. The sternocleidomastoid muscle was sutured back, and the wound was closed in layers.[omicsonline.org]
  • Aspirated foreign bodies are too large or rigid to be withdrawn through the flexible bronchoscope and often also cannot be withdrawn through an endotracheal tube.[emedicine.medscape.com]

Treatment

  • Effort should be made by the attending physician to inquire into details of event relating to ingestion of foreign body in order to arrive at early and timely diagnosis and treatment so as to prevent complications.[ncbi.nlm.nih.gov]
  • Treatment of the thrombus was based on five days of heparin therapy followed by three months of aspirin.[omicsonline.org]
  • CONCLUSIONS: TNFLO represents an improvement in the diagnosis and subsequent treatment of a selected group of foreign bodies as compared with established methodologies.[ncbi.nlm.nih.gov]
  • Careful selection of the most appropriate instrument and technique by well trained medical or surgical endoscopists will result in safe and effective diagnosis and treatment. 2 For the patient presented here, the longstanding foreign body could only be[emj.bmj.com]
  • Treatment. Foreign bodies are removed with tweezers or forceps.[en.shram.kiev.ua]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Pathology Etiology There are many ways in which a foreign body can be introduced into various parts of the human body.[radiopaedia.org]

Epidemiology

  • Epidemiology Ages affected (typical range 1 to 4 years old) Age under 3 years old: 50% Age under 4 years old: 80% Age under 10 years old: 95% Increased Incidence at holiday time Known object aspiration in less than 40% of cases Choking deaths related[fpnotebook.com]
Sex distribution
Age distribution

Prevention

  • Effort should be made by the attending physician to inquire into details of event relating to ingestion of foreign body in order to arrive at early and timely diagnosis and treatment so as to prevent complications.[ncbi.nlm.nih.gov]
  • Generally, immediate localization and removal of all foreign bodies in the upper aerodigestive tract is imperative, particularly in cases of migrating sharp foreign bodies to prevent secondary complications of haemorrhage, haematoma, infection, neurovascular[omicsonline.org]
  • Loss of protective mechanism: Use of upper denture prevents tactile sensation and a foreign body is swallowed undetected Inadequate mastication Oesophageal stricture, spasm Psychotics.[specialist-ent.com]
  • Categories M.D.C MDC Category Not Assigned For This ICD Code T17.2 Medicare Severity-Diagnosis Related Groups MS-DRG MS-DRG Category Not Assigned For This ICD Code T17.2 Clinical Classifications Software CCS CCS Category Not Assigned For This ICD Code T17.2 Prevention[codelay.com]
  • "Severe esophageal damage due to button battery ingestion: can it be prevented?" (PDF). Pediatr. Surg. Int. 20 (7): 496–501. doi : 10.1007/s00383-004-1223-6. PMID 15221361. External links [ edit ][en.wikipedia.org]

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