scholarly journals Foreign Bodies Simulating a Congenital Palatal Fistula and Vascular Anomaly

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mekonen Eshete ◽  
Fikre Abate ◽  
Taye Hailu ◽  
Mulualem Gessesse ◽  
Azeez Butali
Keyword(s):  
Foreign Body ◽  
Oral Cavity ◽  
Physical Examination ◽  
Hard Palate ◽  
Foreign Bodies ◽  
Vascular Anomaly ◽  
Definitive Diagnosis ◽  
Oral Lesions ◽  
Palatal Fistula ◽  
In Infants And Children

Foreign bodies embedded in the palate are uncommon findings and may occasionally mimic oral lesions. In the majority of the cases, foreign body embedment in the palate happens in infants and children who are unable to give history. Physical examination in the oral cavity of this group of patients in order to arrive at a definitive diagnosis is limited. We present two female infants with foreign bodies adherent to the hard palate. The first was ten months old and the second was 11 months old. In both cases the materials removed from the palate were plastic in nature (black or red in color and circular in shape). The first simulated a palatal fistula and the second a vascular anomaly.

scholarly journals Persistent Lower Lid Swelling in an Infant – Impacted Foreign Body!

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Javeria Nasir ◽  
Anum Javed ◽  
Owais Arshad ◽  
Mohammad Hanif` Chatni
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
General Practitioners ◽  
Foreign Bodies ◽  
General Physical Examination ◽  
Care Givers ◽  
Impacted Foreign Body ◽  
General Physical ◽  
The Right ◽  
In Infants And Children

Ophthalmologists, including general practitioners definitely encounter ocular foreign bodies in their clinics. Theconjunctival fornices are potential sites of impaction. We report a case of a 9-month infant boy who was referred to us for a persistent lower lid swelling for one month. He had already been to an eye specialist before presenting to us. Upon examination, a round, pink coloured, toy cart-wheel came out of his lower eye lid of the right eye. Surprisingly, there was no associated conjunctival or adnexal damage. The authors wish to emphasize the importance of taking a thorough history and adequate general physical examination. A missing part of a toy, elucidated on history, should always raise the suspicion among parents and/or care givers for a probable foreign body in infants and children.

Foreign Body in the Hard Palate

PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 484-485
Author(s):  
RICHARD H. SANDLER ◽  
ASHIR KUMAR ◽  
KURT A. RICHARDSON ◽  
ERIKOS CONSTANT
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
General Anesthesia ◽  
Hard Palate ◽  
Foreign Bodies ◽  
White Patch ◽  
True Nature

To the Editor.— We present the case of a foreign body of the hard palate in an infant. After mucosal molding to the edges of such objects, the true nature of these foreign bodies can be obscured, often resulting in unnecessary attempted biopsy under general anesthesia. Our patient was an 11-month-old infant with an asymptomatic white patch on the palate, noticed by the mother a few days earlier. Findings on physical examination were a comfortable-appearing infant, and an oral pharynx that appeared normal except for a white, hard, smooth, nonulcerative, well-demarkated, "punched-out" lesion of the hard palate, measuring about 1.5 cm in diameter.

Utility of Conventional Radiography in the Diagnosis and Management of Pediatric Airway Foreign Bodies

1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Operative Intervention ◽  
Radiographic Imaging ◽  
Pediatric Airway ◽  
Diagnosis And Management ◽  
Breath Sounds ◽  
Airway Foreign Body

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.

scholarly journals Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fachzi Fitri ◽  
Deni Amri
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Mental Disorder ◽  
Foreign Bodies ◽  
Radiological Finding ◽  
Esophageal Foreign Body ◽  
Direct Laryngoscope ◽  
Choice Of Treatment ◽  
Foreign Body Extraction ◽  
Ingested Foreign Body

AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

scholarly journals The foreign bodies in lower respiratory tract in pediatric patients treated in referral academic department of pediatric otolaryngology

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Irina Drogobytska ◽  
Maciej Pilch ◽  
Lidia Zawadzka-Głos
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Physical Examination ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Academic Department ◽  
Diagnostic Process ◽  
X Ray ◽  
Pediatric Otolaryngology

Introduction. Foreign bodies in lower respiratory tract for many years are big challenge for otolaryngologists. These objects could present variability of clinical symptoms. Increase of infection and mortality due to delay of accurate diagnosis. Interview is the most important part of examination of patient with suspected foreign body in airways. Any suspicion of aspiration is qualification to diagnostic bronchoscopy. Aim. This paper refers occurrence assessment, clinical course, diagnostic process and treatment of the pediatric patients with suspected foreign body in lower respiratory tract hospitalized in referral Academic Department of Pediatric Otolaryngology. Material and methods. Retrospective analysis of 74 patients with suspected foreign body in lower respiratory tract, who were hospitalized in Clinical Department of Pediatric Otolaryngology in Warsaw Medical University in 2016-2018. Analysis includes demographic data, occurrence frequency, localization and the type of foreign body, diagnostic process and treatment. Results. This study includes 42 boys (57%) and 32 girls (43%) in age of 8 months to 16-year-old. The episode of choking occurs in interview in 71 patients (96%). Foreign bodies in lower respiratory tract were confirmed and evacuated in bronchoscopy procedure in 44 cases (59.5%). In 30 cases (40.5%) there were any foreign body in airways. The most common group of patients admitted to Clinic with suspected foreign body in airways was children in age between 1 to 3-year-old, which accounted for 22 cases (50%). Coughing was the most commonly reported symptom (54.5%), wheezing (27.5%) and dyspnea (15.9%). Twenty-three patients were presenting wheezing and whirring in physical examination. Air trap found in thorax x-ray were in 22 patients (45%). The right main bronchus was the most common place of foreign body retention – 22 patients (50%). The organic foreign bodies were in 32 cases (72.7%) and non-organic in 12 (27.3%). The nuts were the most common foreign body aspirated to airways. Conclusions. Foreign body aspiration should be suspected in every patient, not only those with choking episode but also with patients who presents ambiguous change in physical examination and x-ray scan. In pediatric patient with suspected foreign body in lower respiratory tract, in every time the bronchoscopy is needed to be done, even in patients with no abnormalities in physical examination and x-ray scan.

scholarly journals The Management of Foreign Bodies in the Pharynx and Oesophagus Using Transnasal Flexible Laryngooesophagoscopy (TNFLO)

2008 ◽  
Vol 90 (1) ◽  
pp. 13-16 ◽  
Author(s):  
AMD Bennett ◽  
A Sharma ◽  
T Price ◽  
PQ Montgomery
Keyword(s):  
Foreign Body ◽  
Oral Cavity ◽  
Digital Video ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Subsequent Treatment ◽  
Local Analgesia

INTRODUCTION We describe our experience of the diagnosis and removal of foreign bodies from the pharynx and oesophagus using transnasal flexible laryngo-oesophagoscopy (TNFLO) under local analgesic. The advantages of this novel instrumentation and technique are discussed. PATIENTS AND METHODS Patients were examined with a Pentax 80K Series Digital Video Endoscope after local analgesia. The instrument was passed transnasally examining the oro- and hypopharynx, and then passed into the oesophagus. The presence, type and site of a foreign body could then be established. 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. RESULTS Five cases have been successfully managed using TNFLO. CONCLUSIONS TNFLO represents an improvement in the diagnosis and subsequent treatment of a selected group of foreign bodies as compared with established methodologies.

scholarly journals Impression Material Mass Retained in the Mucobuccal Fold

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
N. Karam Genno ◽  
A. Assaf
Keyword(s):  
Foreign Body ◽  
Oral Cavity ◽  
Case History ◽  
Foreign Bodies ◽  
Dental Materials ◽  
Spectrometric Analysis ◽  
Mucosal Tissue ◽  
Impression Material ◽  
Foreign Materials ◽  
Tissue Reactions

Trapped foreign bodies and tissue reactions to foreign materials are commonly encountered in the oral cavity. Traumatically introduced dental materials, instruments, or needles are the most common materials referred to in the dental literature. This paper describes an iatrogenic foreign body encapsulation in the oral mucosa, clinically appearing as5×10 mm tumor-like swelling with an intact overlying epithelium and diagnosed as a polymeric impression material. Detailed case history and, clinical and radiographic examinations including CBCT and spectrometric analysis of the retrieved sample were necessary to determine accurately the nature, size, and location of the foreign body. It is suggested that the origin of the material relates to an impression made 2 years ago, leaving a mass trapped in a traumatized mucosal tissue.

scholarly journals Lepromatous palate perforation and its surgical repair: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 422
Author(s):  
Amardeep Singh ◽  
Manjunath K. ◽  
Akash Aradhya S. ◽  
Manjunatha Rao S. V.
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Hard Palate ◽  
Surgical Repair ◽  
Anterior Part ◽  
Lepromatous Leprosy ◽  
Oral Lesions ◽  
Multidrug Therapy ◽  
Late Manifestation ◽  
Disease Free

<p class="abstract">Involvement of oral cavity in lepromatous leprosy has been observed in 19-60% cases and has been described as late manifestation of disease. About 75% of oral lesions have been observed in the anterior part of hard palate which may result in debilitating complications like perforation of hard palate. We present a case of lepromatous perforation of hard palate that was effectively treated by multidrug therapy for the primary disease. The patient was declared disease free by slit skin smear method and reparative surgery of perforation was done with good results.</p>

scholarly journals Esophageal Perforation Associated with a Foreign Body in a Dog

2019 ◽  
Vol 47 ◽  
Author(s):  
Saulo Romero Felix Gonçalves ◽  
Mariana Lumack De Monte Barretto ◽  
Elaine De Melo Silva Rodrigues ◽  
Elaine De Melo Silva Rodrigues ◽  
Jéssica Cristiane Mazer Bernardi ◽  
...  
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Esophageal Perforation ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Esophageal Obstruction ◽  
Food Object ◽  
Veterinary Clinic ◽  
Thoracic Inlet ◽  
Veterinary Hospital

Background: The esophagus is a tubular organ that connects the laryngopharynx to the stomach. This organ has three points of narrowing: the thoracic inlet, the base of the heart, and the diaphragmatic hiatus; these are common sites of obstruction by foreign bodies. Clinical signs of esophageal obstructions include sialorrhea, dysphagia, regurgitation, dehydration, and depression. The diagnosis is based on clinical examination, anamnesis, and complementary imaging. The treatment requires the removal of the foreign body. Herein, we report a case of esophageal perforation associated with a foreign body in a Spitz German treated at the Veterinary Hospital of the Federal Rural University of Pernambuco.Case: A 2-year-old female German Spitz was referred to the Veterinary Hospital of the Federal Rural University of Pernambuco (HV-UFRPE); she presented with recurrent drooling and emesis. According to the instructor, approximately five days after a party at the residence, the animal began to exhibit clinical signs. She was examined at a veterinary clinic, where she remained hospitalized for three days, without clinical improvement. She was then taken to the HV-UFRPE for further assessment. Upon physical examination, sialorrhea, hypercormed conjunctival mucosa, hyperthermia (41ºC), and regurgitation were observed. Imaging tests (simple radiography and ultrasonography), blood count, and a serum biochemistry panel (urea, creatinine, alanine aminotransferase, alkaline phosphatase, total protein, and albumin) were requested. The radiographic examination revealed a pulmonary interstitial pattern and pleural effusion. Analysis of the thoracic fluid yielded results consistent with a septic exudate. No significant changes were observed on total abdominal ultrasonography. The hemogram showed thrombocytosis, leukocytosis with absolute neutrophilia, as well as relative and absolute monocytosis. Esophagoscopy was offered, but the test was not performed and the patient died 24 h after its, being heading for necropsy. On necropsy, diffuse fibrinous pleuropneumonia filling the thorax was observed. The heart showed concentric hypertrophy of the left ventricle. The esophagus was obstructed by a food object, causing a necrotic, ulcerative esophagitis with perforation. In the abdominal cavity, hepatic and renal congestion were observed along with early-phase gestation (first trimester). Other organs lacked significant changes, and the cause of death was attributed to septic shock secondary to esophageal perforation. Tissue samples from the heart, lungs, and esophagus were obtained for histopathological examination. Diagnoses included cardiomyocyte hypertrophy and heart congestion, subacute interstitial pneumonia, diffuse chronic pulmonary edema, and necrotizing ulcerative esophagitis.Discussion: The presence of an esophageal foreign body is considered a veterinary emergency. Small-breed dogs are more often affected by foreign bodies, as are young animals with a depraved appetite and lack of selectivity with respect to food. The most common foreign bodies reported in literature are bones, as they are frequently offered to pets. In this report, a carrot caused esophageal obstruction. Current literature recommends that a complete anamnesis and physical examination, including cervical and thoracic radiography, be performed in animals with suspected foreign material in their esophagus. This case contextualizes a problem that requires full attention, directly related to a dog’s accessibility to and consumption of objects or foods that can result in esophageal obstruction. Therefore, education by the instructor is considered essential in the prevention of these conditions.

scholarly journals Characteristics Of Patient With Foreign Body Ingestion In Palembang

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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