Foreign Bodies In Aerodigestive Tract Research Articles

An unusual impacted foreign body oesophagus in an infant

Although foreign bodies in aerodigestive tract are quite common in children, but presence of an impacted, sharp foreign body which needed removal by trans-cervical oesophagotomy is quite rare and is thus being reported.

Unusual foreign body in the nasopharynx and ethmoidal sinus

Foreign bodies in the upper aero-digestive tract are a common presentation in the E.N.T. Department of any hospital. Their management calls for the skills of an E.N.T. Surgeon to be put to test. Though usually non problematic, one can encounter serious difficulties in the removal of such F.B.

경부 관통상에 의한 이물 2례

Foreign bodies in aerodigestive tract are one of the most frequently observed accidental cases in otolaryngological fields. Almost all foreign bodies are either ingested or inhaled. Authors experienced two unusual cases of foreign bodies that were not ingested or inhaled. One of them was lodged in the right lower bronchus after penetration through a wound in the neck. The other was found in the hypopharynx after penetration through a wound in the neck. Both foreign bodies were successfully removed with the endoscope. So, we present these cases with literature review. (J Clinical Otolaryngol 1999;10:100-104)

Pitfalls in the diagnosis of aerodigestive tract foreign bodies.

In the young child, particularly those between the ages of 1 and 3 years, aerodigestive tract foreign bodies continue to be a significant problem. Early diagnosis and treatment can decrease morbidity and length of hospital stay in these children. Three cases of delayed diagnosis in children with bronchial (2) and esophageal (1) foreign bodies are presented. In dealing with young children it is important to maintain a high clinical suspicion of a foreign body and to perform a detailed history and physical examination. Options in radiographic analysis of the patient with a suspected foreign body, probable locations of the foreign body, and the likelihood of definitive radiographic findings are discussed. Importantly, a negative radiographic analysis does not rule out the presence of an aerodigestive tract foreign body. Two flow charts for the evaluation of patients who have possibly ingested or inhaled a foreign body are presented to aid the primary care physician in diagnosis.

Foreign bodies of the upper aerodigestive tract.

Foreign bodies of the upper aerodigestive tract in the pediatric population are a common occurrence. However, despite significant advances in prevention, first aid and endoscopic technology, they remain a diagnostic and therapeutic challenge. Early diagnosis is the key to successful and uncomplicated management of these accidents. An orderly and systematic approach to these patients including a careful history, physical exam and radiographic studies is detailed in this review.

Aerodigestive tract foreign bodies

Aerodigestive tract foreign bodies

Aerodigestive Tract Foreign Bodies in the Older Child and Adolescent

This study was undertaken in order to establish the incidence of aerodigestive tract foreign body accidents among older children and adolescents, and to investigate the circumstances surrounding these events. A review of patients treated over a 5-year period identified 367 children from whom aerodigestive tract foreign bodies were removed. Seventeen percent of these patients were 5 years of age or older. Among these children, 88% aspirated nonfood items, half of which were school supplies; 78% of the group 5 years old and under aspirated food items. Among older children with esophageal foreign bodies, 31% had food impactions, compared with 7% in the younger group; 70% of these children had a history of some anatomic abnormality of the esophagus. These data suggest that older children and adolescents represent a distinct group of patients at risk for foreign body accidents. Pediatricians and parents of children in this age group should discourage the practice of using the oral cavity as a repository for school supplies, and should stress the need for adequate preparation and mastication of food, particularly among children with esophageal abnormalities.

Foreign body (coin) trachea “A rare case”

Occurance of foreign bodies in aerodigestive tract are very common in children and people of all age groups but a case of coins or coin like objects in trachea of an adult, is reported for its rareness. In the present study an Indian 50 paisa coin in trachea in adult human male is being reported due to rareness.

후두이물 3례

Laryngeal foreign bodies are not common among the foreign bodies of aerodigestive tract. And it is relatively easy to diagnose in the acute phase of entry because of a readily-available history of intake, and signs or symptoms referable to the foreign body in the highly sensitive air passage. But on occasion, sudden death by respiratory failure occurs due to complete obstruction of airway. Therefore, it is common and safe to remove the laryngeal foreign bodies by direct laryngoscopy under general anesthesia after tracheotomy at operating room. Recently, the authors experienced 3 cases of laryngeal foreign bodies removed by direct laryngoscopy under local anesthesia without any life threatening complication.

Management of Sharp and Penetrating Foreign Bodies of the Upper Aerodigestive Tract

The aspiration or ingestion of a foreign body into the upper aerodigestive tract is a common accident that befalls children and adults alike. Sharp and pointed objects pose special problems. The basic principles of their extraction were meticulously developed by Chevalier Jackson, whose concepts of the mechanical problems encountered and demonstrations of their solutions are responsible for keeping morbidity and mortality figures at a minimum. The principles of evaluation and management of sharp and penetrating foreign bodies of the upper digestive tract are described.

Foreign bodies in aerodigestive tract

An infinite variety of foreign bodies (F.B.) may be inhaled or swallowed. The severity of the symptoms depends upon the site, size, composition and period for which the foreign body has been present and it can be life threatening. This needs an early and prompt management. Present paper deals with our experience of F. B. in aerodigestive tract as seen in a rural based hospital.