Sharp Foreign Body Research Articles

Foreign Body Trapped in the Oropharynx Requiring Emergency Tonsillectomy in a Case at Nianankoro Fomba Hospital in Ségou

Introduction: Pharyngeal foreign bodies, particularly in oropharyngeal locations, should raise concerns about the presence of an associated wound. They constitute a common pathology. Their diagnosis is most often easy, but difficult in the case of an unknown foreign body. We report a foreign body embedded in the lateral wall of the oropharynx which required emergency tonsillectomy. Observation: This is a 6-year-old child received urgently at the Nianankoro Fomba Hospital in Ségou 6 hours after the introduction of the foreign body (wheel spoke) into the tonsillar compartment. On admission to the ENT and head and neck surgery department, the child's general condition was poor, consciousness remained and the conjunctivas were normal-colored. On oropharyngeal examination, we note a sharp metallic foreign body measuring 30 cm and 2 mm in diameter located at the level of the posterior fold of the right amygdala. Furthermore, there is hypersialorrhea with blood streaking. Faced with the failure of an extraction attempt; we decided to take him to the operating room after a minimum assessment. The immediate postoperative course was unremarkable. The evolution was very favorable on the 10th day of the intervention. Conclusion: Pharyngeal foreign bodies constitute a vital emergency due to their appearance or location. Their management requires rapid intervention with suitable equipment. Prevention remains the best solution.

359. INNOVATIVE USE OF WEERDA DIVERTICULOSCOPE FOR REMOVAL OF AN IMPACTED SHARP FOREIGN BODY IN THE CERVICAL OESOPHAGUS MIMICKING MALIGNANCY

Abstract Background Chronically impacted sharp foreign bodies (FB) of the cervical or upper thoracic oesophagus can present a diagnostic dilemma. Fifty percent of sharp objects tend to lodge in the upper oesophagus and frequently cause perforation. A multidisciplinary approach is warranted. Eventually, surgery by cervical oesophagotomy/thoracotomy may be required. The Weerda diverticuloscope offers excellent endoscopic visibility and access to the lumen of the upper oesophagus allowing for removal of FBs and mitigating risks of a major surgical procedure. Methods We report an interesting case of a 27 year old gentleman being investigated for dysphagia. The patient notes were obtained from the electronic patient records. The radiological images were sourced from the picture archiving and communication system (PACS) and endoscopy from stored images. The patient was radiologically diagnosed as having T4 malignancy but consecutive biopsies suggested Actinomycosis. Patient thereafter recollected having a fist fight and losing his dentures. This triggered the use of the Weerda diverticuloscope, a bivalved rigid diverticuloscope (Karl Storz, Tuttlingen, Germany). It has a distal fibreoptic illumination that is designed for trans-oral stapling of pharyngeal pouches Results Under general anaesthesia, the Weerda diverticuloscope was introduced into the cervical oesophagus. The tips of the jaws positioned just proximal to the embedded dental prosthesis. The diverticuloscope was suspended for stabilisation in the same manner as for endoscopic stapling of a pharyngeal pouch and the jaws were distracted to allow endoscopic access. A 5mm rigid telescope was passed alongside a pair of heavy endoscopic scissors and the prosthesis was divided into 3 parts. The central intraluminal component was removed first using endoscopic forceps, followed by gentle disimpaction and extraction of the remaining two components embedded in the oesophageal wall. Conclusion Foreign bodies in the oesophagus rarely can mimic cancer or chronic granulomatous diseases. A multidisciplinary approach is occassionally recommended in their management. There have been a few published reports of the use of the Weerda diverticuloscope to remove upper oesophageal FBs successfully. It’s use, however, is not often considered routinely. We recommend the use of this technique at centres where expertise in endoscopic management of Zenker’s diverticula is available and when endoscopic retrieval has failed.

Cardiac biomarkers as tools in the prediction and diagnosis of traumatic pericarditis and traumatic reticuloperitonitis in cattle and buffaloes

BackgroundIn the livestock industry, Foreign Body Syndrome is a devastating disease condition. Feeding management, lacking of food discrimination, and eating chopped food increase the risk of swallowing sharp foreign bodies in bovine species. In addition to the honeycomb cells shape of the reticulum, the contractions of the reticular wall, gravid uterine pressure, and parturition efforts, foreign bodies can penetrate the reticular wall, causing cascade of problems including traumatic reticulitis, traumatic reticuloperitonitis, and traumatic pericarditis. The present study was carried out to evaluate the diagnostic significance of cardiac troponin I rapid test cassette and other cardiac biomarkers including serum cardiac troponin I (cTn I), creatine kinase-myocardial band (CK-MB), lactate dehydrogenase (LDH), and aspartate aminotransferase enzyme (AST), in confirmed cases of traumatic pericarditis (TP) and/or traumatic reticuleoperitonitis (TRP) in cattle and buffaloes.MethodsA total number of 30 animals (22 cattle and 8 buffaloes) with different signs such as anorexia, jugular distension, brisket edema, and signs of pain (reluctance to move, arching back, and abduction of the forelimbs) were included in the present study. Based on case history, clinical signs, ferroscopic, pericardiocentesis, radiographic and ultrasonographic examinations, TP were confirmed in cattle (n = 10) and buffaloes (n = 8) while TRP were confirmed only in cattle (n = 12). Additionally, 20 clinically healthy animals (n = 10 cattle and 10 buffaloes) were used as a control group. Blood samples were collected for determination of blood level of Tn-I, and activity of CK-MB, LDH, and AST.ResultsThe obtained results revealed a highly significant increase in serum cTn I in diseased cattle with TP and TRP (P = 0.00), while buffaloes with TP showed no significant changes in serum cTn I (P = 0.111). Both diseased cattle and buffaloes showed increased serum activities of CK-MB, AST, and LDH enzyme. On the other hand, cardiac troponin I rapid test cassette failed to detect cTn I in diseased animals.ConclusionThe study concluded that the cardiac troponin I rapid test cassette did not have a diagnostic significance and could not be used as a point-of-care under field condition for diagnosis of TP and TRP in large ruminants. However, the serum troponin I level is helpful in diagnosis of TP and TRP in cattle. Although cardiac biomarkers have some diagnostic values in TP and TRP, the traditional diagnostic methods (clinical, radiography and ultrasonography examinations) are crucial for thorough evaluation of TP/TRP cases in bovine.

Stab wounds of the neck in children

BACKGROUND: Stab wounds in children are very rare and are described as isolated cases. Sharp metal foreign bodies in the neck pose a real threat to trachea, esophagus, large vessels and nerves. The risk of damage is still present when specialists try to remove foreign bodies, especially if they are fixed. CLINICAL CASES DESCRIPTION: The aim of the study is to demonstrate outcomes after treating patients with neck injuries. We have two observations of stab wounds in the neck (with a knitting needle and a sewing needle) in children. To put diagnosis, we used clinical, laboratory, radiation and endoscopic methods. Surgery was done under general anesthesia, and the knitting needle and the sewing needle were removed from deep structures of the neck. Patients were discharged from the hospital in satisfactory state. CONCLUSION: The described observations may be of interest to specialists because we could remove foreign bodies penetrated into the neck without damage to internal organs, vessels and nerves. To prevent complications, foreign bodies in the neck have to be removed by experienced specialists in an operating room under general anesthesia with artificial ventilation. In case of complications, radical surgery is indicated.

Small Bowel Perforation by a Toothpick: A Case Report and Literature Review

Abstract This case report and literature review present a rare case of small bowel perforation caused by an accidental ingestion of a toothpick. The patient’s subtle presentation with nonspecific symptoms posed diagnostic challenges, emphasizing the need for a high index of suspicion for foreign body ingestion in similar clinical scenarios. A 17-year-old male presented to the emergency department with a long history of abdominal pain, which had worsened over the past three days and localized to the right iliac fossa. The initial suspicion was acute appendicitis; however, an abdominal CT scan revealed a toothpick penetrating the small bowel wall. The patient underwent a diagnostic laparoscopy, during which the toothpick was removed and the perforated segment of the bowel was sutured intracorporeally. The patient had an uneventful postoperative recovery course and was discharged on the third postoperative day. Toothpick perforation poses diagnostic challenges due to its subtle presentation and lack of recollection of ingestion. Imaging plays a crucial role in identifying the foreign body and guiding appropriate treatment. Prompt surgical management involving removal of the foreign body and repair of the perforation is recommended, as nonoperative approaches generally have poor outcomes. Laparotomy or diagnostic laparoscopy is the most common and effective treatment depending on surgical experience and availability. Resection of the affected bowel segment may be required in cases of significant inflammation or large perforations. Overall prognosis is good with early diagnosis and intervention. This case emphasizes the importance of maintaining a high index of suspicion for perforations caused by sharp foreign bodies in patients with cryptogenic intra-abdominal pathology. A thorough history, physical examination, imaging studies, and timely surgery are crucial in preventing morbidity and mortality. Increased awareness of this rare but dangerous complication can lead to improved patient outcomes.

Colorectal and Anorectal Foreign Bodies

Foreign bodies (FBs) in the colon, rectum and anal canal are not unusual. Colorectal Foreign Bodies (CRFBs), whether administered per-anally or swallowed orally, intentionally or unintentionally, bring management challenges to the attending physicians and surgeons. CRFBs are usually seen in the adult patients with perverted sexual or erotic or psychosis, or mental retardation, or in drug smugglers or prisoners, and anorectal FBs (ARFBs) are sometimes seen on accidental or careless swallowing with or without food, or per-anal administration in all age groups. Careless elderly patients with or without visual problems, with or without using artificial dentures are also not unusual victims. Self-administration per-anally to attempt relief from constipation has also been described, especially in adults and elderly people. Many of these FBs can pass with intestinal contents and may be thus removed with stool without complications. The sharp FBs can penetrate the bowel wall leading to serious consequences, and a relatively large FB can get impacted causing bowel obstruction. The presentation may be straightforward and sometimes may be exquisitely concealing. The objective of this review article is to understand and share the management strategies which would be very much helpful to all concerned. KYAMC Journal Volume: 14, No: 04, January 2024: 240-245.

ANESTHETIC MANAGEMENT FOR RETROPHARYNGEAL FOREIGN BODY REMOVAL IN AN ADULT WITH ANTICIPATED DIFFICULT AIRWAY VIA NASOTRACHEAL INTUBATION

Foreign body aspiration is relatively rare in adults compared to children. Cases involving foreign bodies fully embedded in the retropharyngeal space are exceptionally uncommon in clinical practice, posing significant challenges for both surgeons and anesthesiologists. A shared airway between these specialists, coupled with the difficulty of visualizing and extracting the foreign object, presents notable concerns. Here, we present a case detailing the successful removal of a sharp foreign body, a chicken bone, lodged in the retropharyngeal space of an adult male patient with restricted mouth opening and an anticipated difficult airway, achieved under general anesthesia with nasotracheal intubation.

Oral ingestion of foreign body in neonates and infants: A review

Foreign body (FB) ingestion in adult and children population is not uncommon but accidental. Same is rare in neonates and infants. Many of FB ingestion go unnoticed or unexpressed if baby is preverbal. Most of the foreign bodies pass spontaneously per anal. Only the larger size or sharp FBs get stuck in places of gastro intestinal tract and presented on emergency Department. Similarly corrosive and toxic FB also invites immediate attention. Literature on the clinical aspects of the foreign body ingestion among neonates and infants was searched electronically through PubMed and individual study. Relevant articles were reviewed thoroughly and summarized. Instances of foreign body ingestion (FBI) in neonate and adult are in ascending trend over last several years. Imaging and identification of radiolucent FBs become challenging for surgeons. Conservative treatment for spontaneous evacuation, endoscopic retrieval and surgical removal are the modalities for FBI management. Two relevant rare reports are appended as the case study. Where the reported FBs are gold fingering and sharp open safety pin in infants. One was managed conservatively for per anal evacuation and other needed endoscopic retrieval with general anesthesia.

Endoscopic Removal of Gastric Foreign Bodies with a Bottle Liner in 12 Dogs (2020-2023).

Endoscopy is widely used to remove gastric foreign bodies using grasping forceps and loop snares to manipulate and retrieve the foreign material. However, as not all foreign bodies can be removed using conventional endoscopic techniques, this case series describes the use of bottle liners for the removal of gastric foreign bodies in 12 dogs between 2020 and 2023. A 4 oz bottle liner (Drop-Ins) was placed at the end of the endoscope and pushed into the stomach. With the help of forceps introduced into the operating channel, the foreign body was pushed into the bottle liner. The bottle liner containing the foreign body was then extracted with the help of traction threads. The technique was used as the initial retrieval method in 5 dogs because of smooth (i.e., difficult to grasp) or sharp (i.e., that may damage the digestive tract mucosa during removal) foreign bodies and as a rescue procedure in 7 dogs. Foreign body retrieval was successful in all 12 dogs, with minor complications reported in 5 dogs (erosions and bleeding of the gastroesophageal sphincter). The use of a bottle liner represents an affordable alternative to gastrotomy when foreign bodies cannot be grasped with forceps or snares.

Perforating Ocular Sickle Knife Trauma: a Case report

Introduction : Perforating ocular injury can lead to disability or even mortality. Most individuals sustaining eye injuries are male in young age. This is a report of an extreme case when a sickle knife stabbed in the right eye of a young male cause perforating of the eyeball.
 Case Illustration : Seventeen years old young male presented to Emergency Room of Sukabumi Regional Public Hospital with pain and bleeding in his right eye an hour before. He had been hacked during a brawls. There was a wound in the right supraorbita area and a big sickle knife stuck in the head and tear the eye ball. Visual acuity was no light perception in his right eye. Anterior segment examination of the right eye revealed perforated sclera and cornea. X-ray examination showed fracture of the roof of the right orbit and a metal object had stuck into the Orbits. The sickle knife extraction, enucleation and superior orbit reconstruction of the right eye was done.
 Discussion : Identification of wounds caused by sharp metal foreign body is very important for the subsequent treatment of injuries. If the eyeball cannot be preserved, then enucleation can't be avoided. In this case, hard impact of sharp object around of the eye are also cause fracture of superior orbital rim. Reconstruction of the orbital roof using titanium and micro screws given the most stable and effective results.
 Conclusion : Removing a metal foreign body and anatomical defect management is important for a good outcome.

Factors Influencing the Fasting Time in Adult Patients After the Endoscopic Management of Sharp Esophageal Foreign Bodies.

Sharp esophageal foreign body (SEFB) impaction can cause varying degrees of damage to the esophagus. There are few studies analyzing the postoperative fasting time in SEFB patients. We retrospectively collected 835 SEFB patients. According to the fasting time after the endoscopic removal (ER) of SEFBs, the patients were divided into two groups: short fasting time (SFT, fasted ≤24 h) and long fasting time (LFT, fasted >24 h). There were 216 and 619 patients in the SFT and LFT group, respectively. The average age of the SFT group (52.97 years) was younger than that of the LFT group (55.96 years) (p = 0.025). The LFT group had lower proportion of duration of impaction (DOI) within 12 hours (14.2% vs 22.2%, p = 0.006) and erosion rates (89.0% vs 94.0%, p = 0.034) as well as higher proportion of esophageal perforation (19.5 vs 6.5%, p = 0.010) and patients who got intravenous anesthesia (63.78% vs 31.9%, p = 0.000) than the SFT group. The longest diameter of the foreign body (Lmax) in the LFT group (2.60 ± 1.01 cm) was greater than that in the SFT group (2.41 ± 0.83 cm; p = 0.01). Multivariate regression analysis found that age (OR = 1.726[1.208-2.465], p = 0.003), DOI (OR = 1.793[1.175-2.737], p = 0.007), Lmax (OR = 1.477[1.033-2.111], p = 0.032), perforation (OR = 3.698[2.038-6.710]; p < 0.01) and intravenous anesthesia (OR = 3.734[2.642-5.278]; p < 0.01) were the independent factors that prolonged fasting time in patients with SEFBs, while esophageal mucosal erosion (OR = 0.433[0.229-0.820]; p = 0.01) was the influencing factor leading to shortened fasting time. For the first time, we analyzed factors influencing the fasting time after ER in SEFB patients. Age, DOI, Lmax, perforation and intravenous anesthesia were risk factors for a prolonged postoperative fasting time.

Under the Covers: A Sharp Foreign Body Buried Within the Lumen.

Under the Covers: A Sharp Foreign Body Buried Within the Lumen.

An interesting case of extraluminal migrating fish bone

Hypopharyngeal and oesophageal foreign bodies are usually intraluminal but sharp foreign bodies can get impacted submucosally or extraluminally due to inadvertent attempt of removal by patient. Foreign body impaction is a common condition in Asian populations, with fish bone being the most common, often migrating to the lateral neck space or related organs. This case report emphasizes the significance of proper history and awareness among clinicians about the migration of fish bones, aiming to prevent diagnosis delays and potential complications. The present case depicts an unusual presentation of fish bone in case of 71 year old male patient farmer by occupation presented with chief complains of difficulty in deglutition, right side diffuse neck swelling associated with foreign body sensation in throat. The patient underwent clinical and radiological examination, which was diagnostically confirmed that fish bone present in retropharyngeal space. In management we had done tracheotomy followed by endoscopic examination and SOS removal but foreign body not found intraluminally. Patient started on higher antibiotics to decrease septic foci. Patient improved drastically and managed the patient conservatively. To our knowledge such a case has not been reported in literature.

The drop of a pin: Accidental ingestion of a sharp foreign body.

The drop of a pin: Accidental ingestion of a sharp foreign body.

An alarming case of metallic sharp foreign body ingestion in an infant

Foreign body ingestion is a frequent challenge in the emergency room, with potential morbidity affecting around 1% of patients, often stemming from unintentional incidents. Accidents of this nature can result in severe complications leading to fatalities. Common complications involve lacerations, punctures, abscess formation, perforation, pneumomediastinum, mediastinitis, pneumothorax, pericarditis, tamponade, fistulas, and even vascular injuries to the aorta. The risk escalates significantly when the ingested object is sharp and narrow. Presenting an intriguing case, we report an instance of an infant ingesting a metallic, sharp foreign body. This particular case raises unique challenges given the vulnerability of the infant and the potential for severe complications associated with sharp objects. Immediate and precise medical intervention becomes paramount in such scenarios to prevent adverse outcomes. Vigilance in the emergency room is crucial, as the nature of foreign body ingestion can lead to diverse complications, emphasizing the need for a comprehensive understanding and swift response in managing these cases, particularly when involving infants who are at a heightened risk.

OGBN P19 Innovative use of Weerda diverticuloscope for removal of an impacted sharp foreign body mimicking malignancy in the cervical oesophagus

Abstract Background Chronically impacted sharp foreign bodies (FB) of the cervical or upper thoracic oesophagus can present a diagnostic dilemma .Fifty percent of sharp objects tend to lodge in the upper oesophagus and frequently cause perforation.A multidisciplinary approach is warranted. Eventually, surgery by cervical oesophagotomy/thoracotomy may be required. The Weerda diverticuloscope offers excellent endoscopic visibility and access to the lumen of the upper oesophagus allowing for removal of FBs and mitigating risks of a major surgical procedure. Methods We report an interesting case of a 27 year old gentleman being investigated for dysphagia. The patient was radiologically diagnosed as having T4 malignancy but consecutive biopsies suggested Actinomycosis. Patient interestingly recollected having lost his dentures after a fist fight. This triggered the use of the Weerda diverticuloscope, a bivalved rigid diverticuloscope ( Karl Storz, Tuttlingen, Germany). It has a distal fibreoptic illumination that is designed for trans-oral stapling of pharyngeal pouches.The patient notes were obtained from the electronic patient records. The radiological images were sourced from the picture archiving and communication system (PACS) and endoscopy from stored images. Results Under general anaesthesia, the Weerda diverticuloscope was introduced into the cervical oesophagus .The tips of the jaws positioned just proximal to the embedded dental prosthesis. The diverticuloscope was suspended for stabilisation in the same manner as for endoscopic stapling of a pharyngeal pouch and the jaws were distracted to allow endoscopic access. A 5mm rigid telescope was passed alongside a pair of heavy endoscopic scissors and the prosthesis was divided into 3 parts. The central intraluminal component was removed first using endoscopic forceps, followed by gentle disimpaction and extraction of the remaining two components embedded in the oesophageal wall. Conclusions Chronically impacted FBs in the oesophagus can rarely mimic cancer or chronic granulomatous diseases. A multidisciplinary approach is occassionally recommended in their management. There have been a few published reports of the use of the Weerda diverticuloscope to remove upper oesophageal FBs successfully. It’s use, however,is not often considered routinely. We recommend the use of this technique at centres where expertise in endoscopic management of Zenker’s diverticula is available and when endoscopic retrieval has failed.

Ingestion of a row of artificial dentures in an adult: A case report and review of the literature.

Foreign body (FB) ingestion is a common clinical emergency, although in most cases, the FB can pass safely through the entire gastrointestinal tract without causing any damage. However, ingestion of large dentures is very rare and alarming, as it can threaten the intestinal mucosa and cause perforation of the gastrointestinal tract, among other complications. A 64-year-old Chinese male was referred to our hospital for removal of a FB, which was a large denture. Clinical symptoms included chest and upper abdominal pain. He had no cough or dyspnea. Medical history included a recent cerebral infarction, craniocerebral surgery, and being bedridden for a long term. We initially suspected a single and smooth denture, complicated by pharyngeal and esophageal mucosal injury. Radiographic examination however showed a 70-mm long opaque object located in the middle and upper esophagus, close to the trachea and aorta. Multiple dentures and metal hooks were removed via endoscopy using a net, grasping forceps, and rubber jacket. The patient recovered well and experienced no postoperative complications. The patient was discharged 5 days after endoscopic therapy. Our case showed that endoscopy was effective for the retrieval of an esophageal FB. For sharp FBs, the use of a net and rubber jacket is a good choice. However, we advocate for appropriate surgery in patients in whom endoscopy is not possible after an accurate diagnosis or those with severe complications.

Child abuse with multiple sharp foreign bodies penetrating the chest wall causing hemothorax and cardiac tamponade in two separate occasions: Case report.

We present a case of repeated child abuse causing left-sided hemothorax and cardiac tamponade on two separate occasions. A 14-year-old cerebral palsy male presented with left-sided hemothorax and multiple metallic foreign bodies in the chest wall managed by small limited incision, removal of the foreign bodies and chest tube. One week later, he came to our emergency department (ER) with multiple chest wall foreign bodies and tamponade managed by median sternotomy, removal of the foreign bodies, one of them was in the LAD. He had a smooth postoperative course and the case is under investigation.

Role of Colonoscopy in Foreign Body (Needle) Ingestion in Children: A Case Report and Literature Review

Abstract: Foreign body (FB) ingestion is one of the most complex and serious emergency conditions for diagnosis that often occurs in children. Most ingested FBs, intentionally or unintentionally, pass through the gastrointestinal tract without complications, and only a small proportion require surgical intervention inter alia colonoscopy. However, if the patient complains of abdominal pain, complications may occur, especially perforation with peritonitis, and in this case a laparotomy is needed. We reported a case of a 13-year-old girl with the chief complaint of needle ingestion two weeks ago. Patient complained of abdominal pain and was unable to defecate. Plain abdominal radiographs showed needle-shaped metal density in the lower intestinal; therefore, the patient was referred to Prof. Dr. R. D. Kandou Hospital for further treatment. An endoscopy was initially performed but no foreign body was found because they might had been in the intestine. Colonoscopy revealed a foreign body in the proximal ascending colon, transverse position. Extraction of the foreign body, along with pulling the scope and evaluating the transverse, descending, sigmoid and rectum colon which were within normal limits was carried out. Monitoring after removal of the foreign body for two days found no complaints of abdominal pain and bowel movements were normal, therefore, the patient was discharged from the hospital. In conclusion, since a sharp foreign body (a needle) was still in the proximal ascending colon, a colonoscopy was performed with successful removal of the needle. Keywords: foreign body; needle; endoscopy; colonoscopy

Unusual presentation and management of a penetrating foreign body in the pyriform fossa: a case report

Foreign body impaction in the upper aerodigestive tract is considered an emergency that necessitates extraction within 24 hours to prevent adverse events. Rigid oesophagoscopy is crucial in managing sharp, penetrating, and large foreign bodies lodged in the pharynx or at the cricopharyngeus muscle level. In this case report, a 15-year-old male patient presented with throat pain after consuming a chicken meal. He experienced dysphagia and odynophagia but no vomiting, drooling, or hematemesis. Initial video direct laryngoscopy did not reveal any foreign body, and subsequent rigid oesophagoscopy under general anaesthesia was inconclusive. However, a post-operative X-ray of the neck confirmed the presence of a foreign body. A contrast-enhanced computed tomography scan showed the foreign body penetrating the right pyriform fossa. With the assistance of a medical gastroenterologist, a flexible upper gastrointestinal endoscopy was performed, and the foreign body was successfully removed from the right pyriform fossa. Prompt endoscopic removal under conditions of minimal trauma and maximum safety is the preferred treatment approach for foreign bodies in the upper aerodigestive tract, necessitating a multidisciplinary team involving radiologists, otorhinolaryngologists, medical gastroenterologists, and anesthesiologists to develop tailored treatment plans for each patient.