Oral Foreign Body Research Articles

Coin-cidence? Have cashless payments reduced the incidence of upper aerodigestive foreign body insertion? A study of UK Hospital Episode Statistics.

Insertions of nasal and oral foreign bodies (FB) are common presentations in the emergency department, with coins frequently implicated among paediatric populations. Contactless payments were first introduced in the UK in 2007, and cash payments significantly declined from 2012. This study aims to explore the potential implications of increasing contactless payments on FB ingestion. UK Hospital Episode Statistics (HES) were reviewed between 2000 and 2022. All FB retrieval procedures involving the alimentary tract, respiratory tract and nasal cavity were included. Regression analysis was performed to assess trends in the incidence of FB ingestion before and following the transition to cashless payments in 2012. Following the decline in cash payments in 2012, the frequency of alimentary tract FB removal procedures decreased significantly by 27.78 procedures per year (p < 0.001). Similarly, respiratory FB removal procedure decreased by 4.83 per year (p = 0.009) and nasal cavity FB removal procedures decreased by 52.82 per year (p < 0.001). This study suggests a statistically significant decline in the number of procedures for removal of FB performed in the UK from 2012. Although this relationship is multifactorial, our data suggest an association between the introduction of contactless payments and a reduction in the number of FB retrieval procedures from the of upper aerodigestive tract.

Oral foreign body

This datasheet on oral foreign body covers Identity, Hosts/Species Affected, Diagnosis.

Differential diagnosis of dysphagia in the elderly

Dysphagia is a disorder of the swallowing. The causes of dysphagia are inflammatory processes in the oral cavity, pharynx, esophagus, larynx, mediastinum, foreign bodies, cicatricial strictures and tumors, diffuse esophageal spasm, antipsychotic therapy, and some nervous diseases. It is manifested by difficulties or inability to swallow, pain during swallowing, food or liquid getting into the nose, larynx, trachea. Treatment for dysphagia consists in elimination of the underlying cause of dysphagia.

Analysis of nine cases of oral foreign body granuloma related to biomaterials

Foreign bodies can penetrate the interior of soft and, sometimes, hard, tissues in various ways, including through open wounds, lacerations and traumatic accidents. However over the years, evidence of links between the use of dental materials and lately, significant involvement of aesthetic filler materials as foreign bodies in the oral and perioral region have been reported. Foreign body granulomas (FBGs) may develop from this exogenous material, histopathologically characterized by the presence of chronic inflammation and a high amount of macrophages. This study presents nine FBG cases affecting the oral and perioral regions, and carries out a literature review on the main clinical, histopathological and material characteristics used in dental and dermatological procedures related to the appearance of this type of granuloma.

Tongue Entrapment in a Plastic Bottleneck

Introduction&#x0D; Oral foreign bodies and perioral injuries are common occurrence among paediatric population. These may range from benign occurrences to those that may threaten the airway. One such injury is tongue entrapment into objects like plastic bottle neck. Tongue entrapment in bottle neck is rare with very few cases reported in literature.&#x0D; Case Report&#x0D; A case of a 9-year old mentally retarded male child with tongue haemangioma who got his tongue tightly entrapped inside a plastic bottle neck is presented. Since such cases are very rare, treatment often requires creative and novel approach to ensure safe removal of constricting object without causing any injury to surrounding structures. When conventional methods using Mayo’s scissors failed to cut open the bottle neck, we used Gigli saw wire in a safe manner to cut it open. It took a few minutes to relieve the entrapment of tongue without traumatising the surrounding structure.&#x0D; Discussion&#x0D; This case highlights the result of careless and often dangerous play and misadventures of children and the challenge of management. It calls for vigilance and close supervision of children by caregivers at home and at school. Early presentation, immediate intervention and treatment can prevent grave consequences.

A Child With an Unusual Retained Oral Foreign Body

BackgroundPediatric foreign-body ingestions are common. Oral foreign bodies are rare but can be life-threatening. Management of their extraction requires knowledge and careful consideration of removal techniques, pharmacology, and potential complications. Case ReportA 5-year-old boy presented to the emergency department with a wooden block retained in his mouth after a fall. The block was lodged behind the patient's primary central incisors without causing apparent oral or dental trauma. Initial manipulation was unsuccessful given patient apprehension and muscle spasm. The patient was given i.v. diazepam for anxiolysis and muscle relaxation, and a tenaculum was used to extract the object. He was observed for a period of time and had no complications. Why Should an Emergency Physician Be Aware of This?Retained oral foreign bodies in children require a careful approach and understanding of pharmacologic anxiolysis, as patients may not be candidates for moderate sedation. Emergency physicians must be aware of potential complications of oral foreign bodies, including palatal injury, temporomandibular joint dislocation, epiglottitis, and retained foreign bodies.

Foreign body in nasopharynx – case report

Patients with foreign bodies in various locations often present to ENT emergency units. In the oropharynx, fishbone is the most common foreign body. In most cases, the foreign body cannot be found despite pain reported by the patient. The pain is due to injury to the oral mucosa and foreign body transition towards the gastrointestinal tract. If the foreign body is localized in an unusual location, diagnosis can be delayed. In such situations, diagnostic workup should be extended, which may include surgery.

Nasopharyngeal foreign bodies: Need for awareness to avoid digital manipulation in an oral foreign body

Foreign bodies in the nasopharyngeal area are rare. Cases of two infants while playing with siblings accidently put hair clip in the mouth which got pushed in the nasopharynx by digital manipulation by their mother are being presented. Diagnosis of both the patients was confirmed by radiological examination. Fortunately both the foreign bodies were retrieved without any complication. With the experience of two such cases we strongly recommend the need for awareness regarding avoidance of manipulation by parents/guardians of the oral/pharyngeal foreign bodies.

Hair Tourniquet of the Circumvallate Papillae

Oral foreign bodies and hair-thread tourniquets are fairly common findings. The combination of the two, however, is rarer. In this article, we present a case involving a hair-thread tourniquet of a circumvallate papillae (more commonly known as a "taste bud"). We discuss methods for removal of hair-thread tourniquets as well as techniques for examining children for oral foreign bodies.

Oral lesions associated with injected hydroxyapatite cosmetic filler

The purpose of the study was to present the clinical and microscopic features of oral foreign body granulomas associated with the injectable dermal filler Radiesse, and to increase awareness of this potential complication as the use of dermal fillers by the aging Baby Boom generation increases. Demographic and clinical data of 8 patients with foreign body granulomas containing the characteristic microscopic appearance of hydroxyapatite microspheres were studied. Analysis of the microspheres of 1 case was carried out by energy dispersive x-ray microanalysis to confirm the calcium and phosphorus content. The clinical and microscopic appearance of Radiesse-induced foreign body granulomas is illustrated and discussed. Foreign body granulomas containing hydroxyapatite microspheres in patients receiving treatment with the cosmetic filler Radiesse have a characteristic microscopic appearance. Oral Radiesse-induced nodules occur more often in older women, most commonly in the lips and the mandibular labial vestibule.

Oral granuloma formation after injection of cosmetic filler

The increased use of orofacial fillers in cosmetic procedures has led to new diagnostic challenges for dentists and oral pathologists. Here, we describe a case with multiple oral foreign body granulomas, which were formed after a polymethylmetacrylate injection for cosmetic purposes.

Tongue Entrapment in Metal Drinking Bottle

Oral foreign bodies are involved in a wide range of pediatric cases, from benign occurrences to those that threaten the airway. Included are cases of tongue entrapment leading to pain, edema, and ischemia. Cases in the literature report tongue entrapment in glass bottles, 1-3 aluminum cans, 4,5 and pieces of balloon. 6 Because such cases are sufficiently sparse, treatment often requires a creative and novel approach to ensure safe removal of the constricting object without exacerbating or causing injury to the patient. The otolaryngologist also must be prepared to provide airway management after foreign-body removal. We report, to our knowledge, the first case of a tongue trapped in a metal water bottle, subsequent removal of the bottle and management of the tongue, and a review of the literature for airway edema associated with tongue entrapment. The Duke University Medical Center Institutional Review Board reviewed this study and granted it exempt status.

Oral foreign body granuloma: unusual presentation of a rare adverse reaction to permanent injectable cosmetic filler

A variety of injectable permanent fillers have been used in orofacial tissues for cosmetic purposes. Most of these substances seem to be well tolerated but adverse reactions have been reported. Foreign body granulomas are a rare adverse reaction to injectable permanent fillers. The authors report the unusual case of a 56-year-old woman with a foreign body granuloma located exclusively in the oral cavity that was due to injection of a permanent filler.

Common Things are Common: A Case Series of Oral Foreign Bodies in Paediatric Patients

Reports of foreign bodies in the oral cavity are few in number. Three cases of children of varying ages, presenting with oral foreign bodies, and their subsequent diagnosis and management, are described. The importance of considering foreign bodies, as part of a differential diagnosis in paediatric patients, where aetiology is uncertain and clinical appearance is unusual, is highlighted.

Experimental oral foreign body reactions: Vegetable materials

Foreign bodies and tissue reactions to foreign materials are commonly encountered in the oral cavity. Exogenous materials most commonly causing foreign body reactions are metallic in origin (usually amalgam). Of the nonmetallic materials seen during biopsies, suture materials and vegetable matter are most often observed. Since many foodstuff foreign materials are unidentifiable histologically, common vegetables were experimentally implanted subcutaneously in rats to assess local host responses and to characterize the nature of these materials microscopically. The histologic characteristics of these vegetable foreign body reactions are detailed herein. The implanted materials correspond to reactions seen in human subjects.

Experimental oral foreign body reactions: Commonly employed dental materials

Foreign bodies and tissue reactions to foreign materials are commonly encountered in the oral cavity. The more common lesions include apical deposition of endodontic materials, mucosal amalgam and graphite tattoos, myospherulosis, oil granulomas, and traumatically introduced dental materials and instruments. Since many foreign materials are unidentifiable histologically, commonly used dental materials were experimentally implanted subcutaneously in rats to assess local host responses and characterize the nature of these materials microscopically. The histologic characteristics of these foreign body reactions are detailed herein. The implanted materials corresponded to reactions seen in human subjects.

Experimental foreign body reactions to toothpaste abrasives.

Some clinical oral foreign body reactions have been reviewed. The testing of the foreign body potential of substances used as abrasives in toothpastes has shown a number to be capable of this. The clinical implications are briefly discussed. The initial studies were conducted when the author was on the faculty of the School of Dentistry, University of Birmingham, England.