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]
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]
Respiratoric
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Pharyngeal Spasm
The sensation of a lump in the throat, unrelated to swallowing food or drink, may be globus hystericus, which is related to crico- pharyngeal spasm and anxiety. The initial workup is the same as with any foreign body sensation in the throat. [ncemi.org]
Gastrointestinal
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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]
The typical patient with perforation has a good history of foreign body ingestion along with: Severe chest and/or neck pain Odynophagia Aphagia or drooling Tachycardia Tachypnoea Pyrexia Sometimes surgical emphysema, torticollis or trismus Imaging Plain [entsho.com]
along with dysphagia, odynophagia, and sensation of foreign body in throat, excessive salivation, pain in neck, vomiting and/or retrosternal pain. [ispub.com]
On the next day, she was brought to the emergency of a medical college with odynophagia, swelling on the left side of the neck and fever. As it was not a dental college, the patient was admitted under the Department of Otolaryngology. [jisponline.com]
Sometimes even a piece of bone within a meal can lead to perforation of the oesophagus and even injure the pericardium and myocardium. [ 3 ] If an object perforates the oesophagus, it tends to cause acute mediastinitis with chest pain, dyspnoea and severe odynophagia [patient.info]
Face, Head & Neck
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Neck Mass
Case Report We report the case of a 57-year old woman who was admitted to our ENT outpatient clinic with a cervical neck mass without other signs and symptoms. [omicsonline.org]
A pharyngeal foreign body presenting as a painful neck mass. Otolaryngology-Head and Neck Surgery, Vol. 143, Issue. 2, p. 315. CrossRef Google Scholar Malard, O. Wagner, R. and Beauvillain de Montreuil, C. 2009. [cambridge.org]
Workup
The initial workup is the same as with any foreign body sensation in the throat. [ncemi.org]
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]
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]
Further treatment is probably not required, but you should instruct the patient to seek followup if pain worsens, fever develops, breathing or swallowing is difficult, or if the foreign body sensation has not totally resolved in 2 days. [ncemi.org]
Prognosis
Prognosis On the whole, prognosis is good, especially with appropriate investigation, management and follow-up. [patient.info]
Etiology
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]
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]
Mortality Another report by Cheng and colleagues determined that between 2000 and 2009, US pediatric inpatients with airway foreign bodies had a weighted mortality rate of approximately 2.75%, with the rate staying relatively unchanged over that period. [4] Etiology [emedicine.medscape.com]
Epidemiology
Epidemiology Frequency Most airway foreign body aspirations occur in children younger than 15 years; children aged 1-3 years are the most susceptible. [emedicine.medscape.com]
Epidemiology The ingestion of foreign bodies is most commonly a problem in young children aged 6 months to 5 years. [patient.info]
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]
Pathophysiology
Pathophysiology After foreign body aspiration occurs, the foreign body can settle into 3 anatomic sites, the larynx, trachea, or bronchus. Of aspirated foreign bodies, 80-90% become lodged in the bronchi. [emedicine.medscape.com]
Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management, second edition. 1999, Philadelphia: W.B. Saunders Company, pp. 116-125. 5. Conners GP, Chamberlain JM, Ochsenschlager DW. [hawaii.edu]
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]
Prevention: The following can help prevent another foreign body from getting stuck in your child's pharynx: Be careful about foods you give children younger than 4. A child younger than 4 can easily choke on certain foods. [drugs.com]
Prevention It is difficult to prevent toddlers from examining things with their mouths. However, basic home-safety measures, such as cupboard catches and vigilance about not leaving objects within children's reach, are helpful. [patient.info]
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]