Foreign Bodies In Aerodigestive Tract Research Articles

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Objective: This study aims to describe the clinicodemographic profile of patients with foreign bodies in the upper aerodigestive tract and their treatment outcomes. Methods: Design: Retrospective review of records Setting: Tertiary Government Training Hospital Participants: Records of 304 patients diagnosed with aerodigestive foreign bodies Results: Three hundred-four (304) patients were included. The median age was 5.26 years in the pediatric age group and 42.53 years in the adult age group, with a male-to female ratio = 1.97:1. Foreign bodies were ingested in 291 (96%) patients while aspiration occurred in 13 (4%). Overall, 211 (69%) of cases involved the pediatric population (<19 years) and 93 (31%) the adult population. The most common foreign bodies reported were coins (63.5%), food (18.1%), and dentures (11.5%). Most esophageal foreign bodies (244/291; 83%) were seen at the cricopharyngeal level in all age groups. The foreign body was removed successfully in 288/291 (98%) of ingestion cases. All 13 cases of foreign body aspiration were successfully removed by bronchoscopy. All patients were discharged improved. Conclusion: Most upper aerodigestive tract foreign bodies involved the pediatric age group. Predisposing conditions were mainly due to accidental ingestion and aspiration while playing in the pediatric population and negligence in eating among adults. Almost all ingestion cases were successfully treated with esophagoscopy, while all aspirations were treated successfully with bronchoscopy. Most intraoperative and postoperative complications who were managed conservatively by observation, although some cases required referral to other surgical departments and were treated surgically. All patients were discharged improved

Unusual foreign bodies in upper aero digestive tract – Our experience at tertiary care centre

Foreign bodies ingestion is especially common in the pediatric age group, whereas in adults occur accidently or among those with psychiatric disorders, mental retardation, prisoners and alcoholics, Preexisting GI tract abnormalities, such as previous surgery, strictures, or functional abnormalities, increases the risk of a swallowed foreign body becoming lodged at the site of the abnormality.This retrospective study was conducted in 32 patients with upper aero digestive tract unusual foreign bodies presenting to our department on emergency basis in a duration of one year. This Study was conducted in ENT department tertiary care Centre in duration of 2021-2022, 32 patients presented with unusual FB in upper aero digestive tract were treated in our department on an emergency basis. There were 14 male (43.75%) and 18 female (56.25%) ranging in age from 2 to 62 years. The main symptoms patients complained were difficulty in swallowing and pain. Detailed history with examination of nasal cavity, oral cavity and pharynx by indirect laryngoscopy and finally X-ray or CT scan were the diagnostic tools as required. The location of the FB was in the esophagus, Pyriform sinus, hypopharynx in decreasing order.The treatment consisted of rigid endoscopy and foreign body removal under general anesthesia or sedation. No major complications occurred in procedure except one in with iatrogenic esophageal perforation that was managed conservatively. Endoscopy is a reliable method in the treatment of upper aero digestive tract foreign body (FB) impaction.

RARE PRESENTATION OF NEGLECTED FOREIGN BODY NASOPHARYNX WITH PALATAL PERFORATION: CASE REPORT

INTRODUCTION Ingested foreign (FB) body to get lodged in the nasopharynx is a rare entity as the direction of mo v eme n t i s a g a i n s t g r a v i t y [ 1 ] . U p p e r aerodigestive tract may harbour foreign bodies due to accidental insertion, inhalation or ingestion. These objects may go undetected for days, weeks or months with minor or no symptoms. MATERIAL AND METHOD We report an unusual case of a nasopharyngeal foreign body in a 3 year old girl which was visualized through a perforation in the soft palate with a history of coin ingestion 6 months back, on X- ray it was confirmed to be in nasopharynx (Fig.1) and was removed immediately. CONCLUSION we come to the conclusion that examination of nasopharynx and radiological evaluation is necessary in cases of missing suspected foreign bodies in aero digestive tract. Immediate removal is indicated, because if ignored for long duration might lead to complications. Ke y w o r d s : n a s o p h a r y n x , f o r e i g n b o d y, aerodigestive tract.

A Prospective Clinical Study of Foreign Bodies in Ear, Nose and Upper Aerodigestive Tract - Our Experience.

A foreign body is an object foreign to location where it found. Foreign body (FB) in ear, nose and aerodigestive tract are common problem seen in children and adults. This study aims to know foreign bodies in terms of type, age, site, gender distribution and method of removal. This prospective study was performed in tertiary care centre from 2020-2022. A total 185 patients with foreign bodies in ear, nose and aero digestive tract who were presented to casualty and OPD were included in study. Their demographic data, age of presentation, clinical presentation, foreign bodies types, site of lodgement and management were included in study. Out of 185 patients, 99 were male [53.51%], 86 were female [46.48%]. FB were found to be maximum in ear (44.32%) followed by nose (37.29%), aerodigestive tract (18.37%). The foreign bodies were removed with or without local anaesthesia in 155 patients and under general anaesthesia in only 30 patients. In some patient foreign bodies like coin, small ear ring was expelled out spontaneously. Left Ear FB (51.21%) was seen most commonly than right ear [45.12%] & both ears (3.67%). Right Side of nasal cavity was frequently involved (69.56%) than left nasal cavity [28.99%] & in both nasal cavities (1.45%). In aerodigestive tract, FB most commonly seen at cricopharynx level [38.23%]. The early childhood group had highest number of patients. Foreign bodies in ENT can be easy as well as difficult at times. Thorough and timely clinical and radiological examination helps in diagnosing and subsequent timely intervention.

Management of Traumatic Foreign Bodies of the Upper Aerodigestive Tract in Children with Limited Diagnostic Resources at the Pediatric University Hospital of Central African Republic of Bangui

Management of Traumatic Foreign Bodies of the Upper Aerodigestive Tract in Children with Limited Diagnostic Resources at the Pediatric University Hospital of Central African Republic of Bangui

A Prospective Study of Foreign Bodies in Aero-Digestive Tract at a Tertiary Care Center in Eastern Nepal

Background Aero-digestive tract foreign body (FB) is a common emergency dealt by the otolaryngologists. Airways FB have been a major cause of morbidity and mortality. Management of FB depends on the site of impaction and types of it. The study aimed to find out the incidence, types and complications of FB encountered in aerodigestive tract. Methods A hospital-based prospective study was conducted among the patients with aero digestive FB presented and managed at the department of ENT and HNS from August 2015 to July 2017. A self-designed proforma was used to collect the relevant data. A descriptive analysis was made of the frequency distribution of qualitative variables. The findings were presented as tables and graphs. Results A total of 276 patients were treated for FB in aero-digestive tract and 158 (57.25%) patients were male. 90 (32.6%) cases of FB occurred in age group of 1-10 years. Ninety six cases of foreign body (34.78%) were chicken bone followed by other bone (20.65%) and coin (18.12%). All cases of coin were seen in children <13 years old and disc Battery in children <10 years old. Out of 276 cases of foreign bodies, 254 (92.03%) were in upper digestive tract and 22 (7.97%) in airways. About 140 (50.72%) were in cricopharynx, 103 (37.32%) in esophagus and 11 (3.99%) in other sites in intestine.Complications were seen in 10 (3.62%) cases and retropharyngeal abscess was the most common (60%). Conclusion Cricopharynx was the most common site of FB lodgment in the digestive tract. Right main bronchus was the commonest site of lodgment of inhaled FB. Seeds, nuts, whistles, small toys were commonly seen obstructing the airway in children. They need to be trained not to keep these things in the mouth.

FOREIGN BODY IN AERO-DIGESTIVE TRACT: A DESCRIPTIVE ANALYSIS AT TERTIARY CARE TEACHING HOSPITAL

Objectives: The objectives of the study were to analyze some of the key issues about the presentation, types, complications, and management arising about foreign body in the upper aero-digestive tract. Methods: All the patients presenting with or without history of swallowing or inhaling foreign bodies with symptoms such as dysphagia, drooling of saliva, stridor, and acute respiratory distress were included in study. Extraction of foreign body in airway tract was done by bronchoscopy and in digestive tract by esophagoscopy. Patient’s demographic details, types, symptoms and nature, size, and location of the inhaled foreign bodies were analyzed. Results: Patients aged more than 10 years constituted maximum number 14 (28%) in digestive tract. Patient aged 1–2 and 2–3 years accounted for most of the cases 10 (50%) in airway. Sensation dysphagia (100%) and foreign body sensation including cough (100%) were the most common symptom of digestive tract and airway tract, respectively. Currency coins (64%) were the most common type of foreign body in case of digestive tract ground nut (30%) was the most common type of airway foreign body. Conclusions: This study concluded that symptoms of foreign bodies in the aerodigestive tract are mainly nonspecific and needs high degree of suspicion, experience, and clinical acumen to diagnose and manage these patients.

A study of upper aerodigestive tract in foreign bodies in a tertiary care hospital

Background : While foreign body ingestion and aspiration can happen to anybody at any age, children under the age of five make up the great majority of these mishaps. Foreign bodies in the airway, pharynx, and oesophagus continue to be a diagnostic and therapeutic challenge for practising otolaryngologists .Objectives:To find out the aetiology and prevalence of upper aerodigestive tract foreign bodies. Materials and Methods : The present prospective study was done by the Department of ENT at Chamarajanagara institute of Medical Sciences, Chamarajanagara from July 2021 to December 2021. All the patients with complains of upper Aero digestive tract foreign body during the study period were included in the study . A total of 175 study subjects were enrolled in the study during the study period. Results : In the present study the location of the foreign body was found to be in the Airway tract in 46.8% of the subjects and 53.2% of them in the digestive tract. In the digestive tract 63.4% was at the cricopharynx, 19.4% in oropharynx, 8.6% in mid and lower oesophagus,7.5% in posterior pharyngeal wall .

Device Failure During Injection Medialization Laryngoplasty

Injection medialization laryngoplasty is a commonly performed procedure for the management of glottic insufficiency. Among complications of this procedure is device failure, for which the literature is scarce. Our goal was to determine the prevalence of needle failure during injection laryngoplasty among members of the American Bronchoesophagological Association (ABEA). A questionnaire was designed and subsequently sent to members of ABEA via electronic mail. Responses were analyzed using descriptive statistics. Twenty-four members (6.7%) completed the survey. Eighty three percent reported experience with needle failure; 59% of these were needle clogging, 22% needle twisting, and 19% needle tip fracture. Fifty-four percent of respondents reported needle failure during a percutaneous approach, and 48% reported using calcium hydroxyapatite during device failure. Twenty percent reported having to abort the procedure due to device failure. Twenty five percent of respondents experienced needle tip fracture that led to an airway or esophageal foreign body. Needle failure during injection laryngoplasty was reported by most respondents. Most commonly this was due to clogging or twisting which was managed by replacing the needle but in 25% of cases was due to a broken tip that results in an aerodigestive tract foreign body and aborting of the procedure in most cases.

Consultations for Foreign Bodies in Aerodigestive Tract: Assessment of Diagnostic Modalities.

To evaluate test characteristics of various diagnostic modalities in the workup of foreign body (FB) sensation in the aerodigestive tract. Database containing all inpatient otolaryngology consultations between 2008 and 2020 was used. Cases of FB sensation were identified by documented encounter diagnosis or hospital problem of FB or globus sensation. Variables including basic patient demographics, clinical presentations, diagnostic imaging modalities, procedures, and outpatient follow-up were collected. One hundred and six patients were included in the study. A FB was visualized in 55 patients (52%) and removed in 52 patients (49%); 3 patients had a FB that was visualized initially but not found in the operating room. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were found to be 41%, 50%, 58%, and 33%, respectively, for X-ray (XR); 91%, 61%, 70%, and 87%, respectively, for computed tomography (CT). Sensitivity and NPV were 25% and 57%, respectively, for flexible fiberoptic laryngoscopy (FFL). Seventy-one of 106 patients (67%) underwent invasive interventions during their workup for FBs. Ten out of 11 (91%) chicken bones were found in the digestive tract compared to 7 out of 19 (37%) fishbones (p=0.0046). In patients with history of FB ingestion, CT may be more beneficial than XR as a screening tool for locating foreign bodies and guiding further management. FFL alone is inadequate for ruling out a FB in the aerodigestive tract given FB's high likelihood of being in the esophagus or buried in soft tissue or mucosa. 3 Laryngoscope, 133:1361-1366, 2023.

Coin retained in the upper esophagus for more than 4 years: A case report and literature review.

Coins are among the most common foreign bodies ingested by children, especially those below 5years of age. Early endoscopic retrieval of esophageal coins minimizes the risk of serious complications. However, significant morbidity and mortality are reported when coins are retained in the gastrointestinal tract for prolonged periods of time. We report a case in which a coin was retained in the upper esophagus for 4years and presented a distinctive clinical course. An esophageal coin retained for a prolonged period may place the patient at a risk of complications such as tracheoesophageal fistulas. The management of patients with complicated aerodigestive tract foreign bodies is challenging. To avoid a delayed diagnosis and to improve the patients' safety, the quality of medical care in rural areas should be monitored by implementing continuous educational programs for primary physicians.

Expert consensus on diagnosis, management and endoscopic treatment of aerodigestive tract foreign bodies in Chinese children

消化道异物是儿科常见的急症之一，发病率逐渐上升。由于异物的种类、大小、性质和滞留部位不同，临床症状各异。如果没有得到及时诊断和规范处理，消化道异物可能会造成严重并发症，甚至危及生命。中华医学会儿科学分会消化学组及中华儿科杂志编辑委员会组织相关专家制定了本共识，旨在更好地指导临床实践，提高对儿童消化道异物的诊治水平。.

Study of Foreign Bodies in Aerodigestive Tract in Tertiary Care Hospital

Study of Foreign Bodies in Aerodigestive Tract in Tertiary Care Hospital

Migrated and Impacted Foreign Body of Retropharyngeal Space: A Case Report.

Foreign body upper aerodigestive tract is a common presentation but foreign body migrating into retropharyngeal space is not only uncommon, but its management also differs and is challenging too. Here we present a case of a foreign body migrating into the retropharyngeal space which was removed intraorally. A 28- year old male patient presented with complaints of pain while swallowing following consumption of sausage and pork two days earlier to the onset of symptoms. X-Ray Neck AP and lateral view were done which revealed a thin metallic foreign body at the level of the T4 vertebra. Upper gastrointestinal endoscopy and rigid esophagoscopy were done in which a foreign body was not visualized in the esophageal lumen. NCCT neck was done which gave precise location and was removed intraorally with the patient in Rose position. A repeat x-ray was done on the 5th day which revealed no foreign body, the patient was discharged on the 7th day. Although the upper aerodigestive tract foreign body is common, foreign body migrating to the posterior pharyngeal wall or into the retropharyngeal space is not common and it is difficult to remove a migrated foreign body many cases requiring open procedures, thoracoscopy, thoracotomy.

Unexpected Extremely Rare Upper Aerodigestive Tract Foreign Body

Unexpected Extremely Rare Upper Aerodigestive Tract Foreign Body

Learning Curve of Upper Aerodigestive Tract Foreign Body Management for Otorhinolaryngology Residents

Introduction: Foreign body ingestion is the most common reason for otolaryngology specialist consultations in emergency departments. Among the different types of foreign bodies, fish bones are the most common, particularly in Asian populations. In Taiwan, upper aerodigestive tract foreign bodies (UADT-FBs) are mostly managed by residents in the otorhinolaryngology (ORL) department. Considering the learning curve required for all procedures, different management types between residents, and possible resulting safety issues, this study explored the outcomes of UADT-FB management by residents in different years of ORL training. Materials and Methods: The medical records of 2,283 patients who visited Kaohsiung Veterans General Hospital’s Emergency Department for UADT-FB during June 2013–August 2019 were retrospectively reviewed. The reviewed data included the demographic data of enrolled patients, outcomes of foreign body management, and follow-up chart records of the patients. Results: Among the 2,283 patients, 1,324 (58%) were found to be negative for foreign bodies, and foreign bodies in 951 (41.7%) were removed immediately. In the negative finding (NF) group, 2 (4.9%) patients were later found to be positive for foreign bodies during follow-up in the outpatient department. One (2.4%) patient developed a deep neck infection and esophageal perforation. The percentage of NFs decreased from 62.58% in residents in the first half of their first year (R1a) to 54% for third-year residents (R3). Comparing R1a with R3, the number needed to harm for retained UADT-FBs after patients visited the emergency department was 12.2. Discussion/Conclusion: This study provides data from 1 referral center regarding the management of UADT-FBs. With increasing resident training, the percentage of NFs declined from 62.58 to 54%. Young residents, especially those in the first 6 months of their training, should have senior residents perform a second examination if UADT-FBs are not found in suspected cases.

Capsular dissection technique for reducing recurrent laryngeal neuropraxia and temporary hypoparathyroidism after thyroidectomy: a single center experience

<p class="abstract"><strong>Background:</strong> Foreign bodies in aerodigestive tract is common, frequent, and sometime life threatening emergency for otorhinolaryngologists mainly in the paediatric group. The aims of the present study was to find the incidence of foreign bodies, in relation to demographic factors, type and sites of foreign bodies its clinical presentations and its management.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted on 100 cases coming to the ear, nose and throat (ENT) emergency and outpatient department (OPD). After thorough history, clinical examination, routine blood and urine investigations and urine done. Radiological examination was done to visualize the radio-opaque foreign body, and if the foreign body was not radio-opaque then computed tomography (CT) scan was done. </p><p class="abstract"><strong>Results:</strong> Incidence of foreign was 67% in male than 33% in female. Mostly foreign bodies were in nose (49%), followed by oesophageal (31%), abdominal (14%), and bronchus (6%) respectively. 33% were totally asymptomatic, 25% with mucupurulent discharge from nose, dysphagia (16%), nasal obstruction (15%), and odynophagia (11%) respectively. Most of the foreign bodies were inorganic in nature, coin (42%), pearls (8.16%), and battery (6.45%). Among organic foreign bodies peanut was most common (33.33%), grains (10%). All foreign bodies were removed successfully with minimal morbidity and zero mortality.</p><p class="abstract"><strong>Conclusions:</strong> Present study suggested incidence was very common among male children, in rural background, with common asymptomatic presentation. With high index of suspicion, and proper and timely intervention all 100 cases were managed successfully. But still educating the parents about keeping such things away from kids prevent these incident.</p>

Clinical presentation, diagnosis and management of aerodigestive tract foreign bodies in the adult population: Part 1.

In the adult population, foreign bodies may be accidentally or intentionally ingested or even inserted into a body cavity. The majority of accidentally ingested foreign bodies pass through the alimentary tract without any complications and rarely require intervention. Accidentally ingested foreign bodies are usually fish bones, bones of other animals, and dentures. Oesophageal food impaction is the commonest cause of oesophageal foreign bodies in the Western hemisphere. Intentionally ingested foreign bodies may be organic or inorganic, and often require intervention; these patients have either underlying psychological or mental disease or are involved in illegal activities such as body packing, which involves trafficking narcotics. Imaging plays a crucial role in not only identifying the type, number and location of the foreign body but also in excluding any complications. In this comprehensive pictorial review, we provide an overview of the spectrum of foreign bodies ingested in adults, emphasising the role of various imaging modalities, their limitations and common foreign body mimickers on imaging.

Clinical presentation, diagnosis and management of aerodigestive tract foreign bodies in the paediatric population: Part 2.

Children, especially toddlers, because of their behaviour, physiology and anatomical characteristics such as oral exploration of their surroundings, have a tendency to place objects in their mouth. Therefore, ingestion or aspiration of foreign bodies (FBs) in children is a potentially life-threatening and common problem seen across the world. In this second part of our pictorial review on ingested and aspirated FBs, we focus on the paediatric population, reviewing the current literature and examining the epidemiology, clinical presentation, anatomic considerations, appropriate imaging modalities, key imaging characteristics associated with clinically relevant FBs in the emergency department (ED) and current management protocols.

Perioperative Management of Button Battery Foreign Bodies in the Paediatric Aerodigestive Tract- A Case Series and Review of Literature

The use of Button Battery (BB) has increased rapidly now-a-days. Children are prone to inadvertent ingestion, aspiration or insertion of BBs while playing with toys. It poses a serious health hazard as it is corrosive. Hence, early diagnosis and quick treatment are essential to prevent its fatal complications. A thorough evaluation of each case is necessary based on a detailed history taking, physical examination, blood and radiological investigation, and diagnostic endoscopy. General anaesthesia is usually preferred during endoscopic examination and removal of BB foreign bodies. The complications depend on the duration and site of impaction. This is a case series of three children with different presentations of BB foreign bodies and author’s experience in the diagnosis and management.