Transnasal, laser‐assisted endoscopic removal of a metallic foreign body within the nasopharynx of a horse

Extraction of Airway Foreign Body in Adults

Extraction of Airway Foreign Body in Adults

TOOTH IN THE LUNG: CASE REPORT OF A TOOTH ASPIRATED DURING DENTAL EXTRACTION

Ocular injuries caused by intraocular or retrobulbar foreign bodies.

Objective To put forward the prevention advice on foreign body suction, and to discuss the efficacy, safety and application experience of flexible bronchoscopy in the diagnosis and treatment of tracheobronchial foreign bodies in children. Methods The treatment experience of 38 cases for airway foreign body removal with flexible bronchoscopy and granulation tissue proliferation in Argon plasma coagulation(APC)(argon knife) combining carbon dioxide(CO2) cryotherapy in Bayi Children's Hospital Affiliated to General Hospital of Beijing Military Command from January 2013 to December 2014 were reviewed, and the clinical data including age, gender, treatment time for inhaled foreign body, clinical and X-ray manifestations, location of the foreign body, treatment with bronchoscopy with APC and cryotherapy, complications and outcomes were analyzed. Results There were 38 cases of patients including 31 male(81.6%) and 7 female(18.4%), aged from 10 months to 14 years old, with mean age 28.5 months; among them there were 30 cases with definite history of foreign body, accounting for 78.9%; the most common clinical symptom was cough among the cases, accounting for 84.3%; X ray showed 15 cases with ipsilateral lung atelectasis, accounting for 39.5%, emphysema in 17 cases, accounting for 44.7%, pneumonia change in 6 cases, accounting for 15.8%, there were 11 cases who had lung computerized tomography examination when coming to the hospital, and only 1 case could be seen to have foreign body shadow; microscopic examination found that inhaled foreign body in the right bronchus accounted for 57.9%, and peanut was the main foreign body inhalation in this group; only 4 cases(10.5%) had definite diagnosis and foreign body removal within 24 h after foreign body aspiration, moreover, 34 cases(89.5%) with foreign body aspiration got the diagnosis and treatment after 24 h; crying was the primary inducement for inhaled foreign body.All the 38 cases of children with inhaled foreign body experienced removal under flexible bronchoscopy.There were 19 cases(50.0%) who had granulation tissue proliferation around the foreign body, among which 5 cases of foreign body was wrapped by the proliferation of granulation tissue, with APC dealing with the granulation tissue of foreign body surface to remove foreign body after exposure, then giving CO2 cryotherapy.Nevertheless, there were 9 cases of foreign body who had granulation tissue but was not wrapped, receiving CO2 cryotherapy directly after the foreign body removal.One case of this group had bradycardia during the surgery, and 2 cases had postoperative bleeding, but there was no death cases with foreign bodies removal. Conclusions Education is the key to prevent foreign body aspiration in infants under 3 years old.Flexible bronchoscopy is safe to remove foreign bodies from the respiratory tract and has fewer complications, so it is one of the alternative methods in diagnosis and treatment of foreign body inhalation. Key words: Flexible bronchoscopy; Tracheobronchial foreign body; Argon plasma coagulation; Freezing techniques; Granulation tissue; Child

Sonography was used to detect, localize, and guide removal of foreign bodies in the soft tissues of the extremities and neck. Twenty localization procedures were performed in 19 patients (12 children and seven adults) with 21 foreign bodies including wood, glass, stone, metal, and lead pencil. Localization was accomplished by using anatomic landmarks, ink marks on the skin, and needle and hemostat markers. Localization was facilitated by the use of small standoff pads that were cut for use on small surfaces. The foreign bodies were visualized as hyperechoic foci with acoustic shadows that were partial or complete depending on the angle of insonation and foreign body composition. Hyperechoic comet-tail artifacts (reverberation artifacts) were seen with six metallic foreign bodies and one glass fragment. Nine foreign bodies were surrounded by hypoechoic halos caused by edema, abscess, or granulation tissue. A slow meticulous scanning technique and high-frequency transducer helped in detection of small foreign bodies. Sonographically guided removal of the foreign body was successful in all four patients in whom it was attempted. Scanning with the ultrasound beam parallel to the long axis of the hemostat and the foreign body was the fastest way to guide the hemostat to the tip of a foreign body. The procedure was accomplished most easily and quickly when one physician performed sonography and hemostat removal of the foreign body simultaneously. Our experience with these cases indicates that sonography is a useful tool in the localization and removal of soft-tissue foreign bodies.

Video-assisted thoracoscopic surgery involving a bronchotomy in the removal of a bronchial foreign body: A novel case report

Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report

Objective To compare the effects of traditional foreign body removal and visual foreign body removal methods in the respiratory tract. Methods Eighty children with foreign body in respiratory tract in the First Affiliated Hospital of Zhengzhou Unirversity from 2015 to 2016 were divided into traditional foreign body removal group and visual foreign body removal group according to the way of foreign body removal. The foreign bodies were divided into tracheal foreign body and bronchial foreign body according to the location of foreign body. The time of forceps removal, the frequency of forceps removal, the probability of foreign body being pushed into the bronchus and the probability of second operation of the traditional foreign body removal group and visual foreign body removal group were recorded. Results There was no significant difference in the time of forceps removal, the number of forceps removal or the probability of foreign bodies being pushed into the bronchi between traditional and visual operations for tracheal foreign bodies(P>0.05). There were significant differences in the removal time, the number of forcep removal and the probability of second operation between the two methods (P<0.05). Conclusions For the removal of tracheal foreign body, due to the small number of samples, the data can not definitely support that visual surgery can shorten the operation time, reduce clamping numbers and the probability of pulling the foreign bodies into the bronchus. For the removal of bronchial foreign body, visual surgery can reduce the operation time, the clamp times, and improve the success rate of surgery. Key words: Visual operation; Traditional operation; Foreign body of respiratory tract

Summary. The aim. Comparison of clinical, clinical instrumental and morphological data to establish the most informative signs of extremity foreign bodies, the possibility of choosing surgical tactics and improving treatment results.&#x0D; Materials and methods. Removal of ferromagnetic metallic foreign bodies of various sizes was carried out under visual control using a magnetic search tool. Visual control of the removal of a foreign body allows you to assess the adequacy of its removal.&#x0D; Results and its discussion. Removal of a foreign body was carried out using general surgical instrumentation under tactile control using the surgeon's finger and a Billroth curved hemostatic clamp or a mosquito curved hemostatic clamp.&#x0D; Removal of foreign bodies of extremities under hardware control is possible both in continuous time (on line) and intermittent (step-by-step) mode - detection of foreign bodies, marking (leaving marks on the skin).&#x0D; Removal of a foreign body was also carried out under X-ray control. Most often, a step-by-step technique was used, in which the characteristics of a foreign body were first determined, then it was removed and, finally, a control X-ray study was performed with uncertainty about the completeness of removal.&#x0D; In cases where there were problems with the spatial perception of the location of foreign bodies, the removal of foreign bodies under visual, tactile and hardware control was difficult, we used a combination of these methods.&#x0D; Conclusions. As a result of using the proposed modern diagnostic technologies, the completeness of removal of extremities foreign bodies significantly increased from 6.2±0.1 to 1.4±0.1 (p&lt;0.005); the duration of their removal decreased from 30.4±1.8 to 11.2±1.3 minutes (p&lt;0.005); the number of surgical interventions decreased from 2.8±0.2 to 1.7±0.1 (p&lt;0.005); the expressiveness of the pain syndrome decreased from 7.3±0.2 to 5.2±0.4 points (p&lt;0.005); the duration of inpatient treatment decreased from 18.6±1.1 to 16.5±1.3 days.

Forgotten foreign bodies in bronchial tree in adult (A report of two cases and review of literature)

ObjectiveThis study aimed to determine the factors that affect successful esophageal foreign body (FB) removal using a Foley catheter and to identify methods to increase the success rate.MethodsIn this retrospective, cross-sectional study, we included pediatric patients who presented with esophageal FB impaction that was removed using a Foley catheter in the emergency departments of tertiary care and academic hospitals. We analyzed the effect of the patients’ age, sex, and symptoms; FB type, size, and location; Foley catheter size; complications during FB removal; duration between FB ingestion and removal; operator’s years of training; sedation; success rate of FB removal; endoscopy; and patient’s posture during FB removal on the success of Foley catheter-based FB removal.ResultsOf the 43 patients we enrolled, Foley catheter-based FB removal was successful in 81.4% (35/43) but failed in 18.6% (8/43) of patients; no FB-removal-related complications were reported. There was no significant association between the success rate of Foley catheter-based FB removal and any study variable. A higher number of years in training tended to increase the success rate of Foley catheter-based FB removal, although statistical significance was not achieved.ConclusionChildren’s esophageal FB removal is a practical challenge in the emergency rooms, and using a Foley catheter is associated with a high success rate of the removal and low occurrence of complications. In this study, no single variable was found correlated with the success rate of Foley catheter-based esophageal FB removal in pediatric patients, which may indicate multiple variables interacting with one another to affect the success rate.

Management of intravesical self-inflicted sharp objects in children: 10-year single-center experience

Foreign Body in the Tongue: A Novel Use for Emergency Department Ultrasonography

Introduction. The ongoing hostilities in Ukraine have led to a significant number of victims with gunshot wounds. A distinguishing characteristic of modern firearms and explosive weapons is the impact of projectiles that cause injuries in the form of fragments, bullets, secondary and tertiary shrapnel, and other foreign bodies (e.g., glass, plastic, soil, or clothing remnants) that remain embedded in the victim's tissues. Shrapnel wounds account for 56.7% of all combat injuries. The treatment of gunshot and bullet wounds focuses on the removal of foreign bodies and the restoration of the anatomical and physiological integrity of the affected tissues. However, there is currently no standardized approach to the removal of such foreign bodies. The objective of this study was to enhance outcomes in the removal of metallic foreign bodies by employing a combined method during repeated surgical wound treatment. Participants and methods. The study involved two research groups. The first group (Group I) consisted of 191 wounded individuals whose metal fragments were removed using the traditional method with magnetic instruments. The second group (Group II) included 173 patients whose foreign bodies were removed using a combination of a mobile X-ray unit and ultrasound guidance. Results. The findings demonstrated that the combined method for removing foreign bodies offers significant advantages over the traditional approach. The combined method increased the removal efficiency by 20.6%. Intraoperative complications were 5.2 times less frequent in Group II compared to Group I (1.7% vs. 8.9%). Postoperative pain levels, measured using the Visual Analog Scale (VAS), were significantly lower in Group II (4.5 ± 0.32) compared to Group I (7.5 ± 0.3). Additionally, the combined method effectively minimized the risk of inflammatory processes and reduced the incidence of postoperative complications. These results highlight the combined method as a superior approach for the removal of metallic foreign bodies, improving both surgical outcomes and patient recovery.