Stapler Pin Research Articles

Varied Manifestations of Sharp Penetrating Foreign Bodies in the Aerodigestive Tract: Our Experience.

Introduction Foreign bodyingestion or aspiration is an emergency dealt by otorhinolaryngologists. It is most common among children and the geriatric population. It paves the way for critical morbidity when prompt treatment is not initiated. Therefore, in the absence of strong evidence to guide decision-making, all suspicious presentations of the ingested sharp foreign body needto be kept in mind while making a diagnosis. Hence, our study is aimed to document the varied manifestations of sharp penetrating foreign bodies in the aerodigestive tract. Materials and methods The medical records of 40 patients who presented with sharp foreign body ingestion/aspiration in the department of otorhinolaryngologyin our centre from September 2012 to September 2022were reviewed retrospectively. Results In all 40 patients, we were able to retrieve the foreign body as such without crushing or breaking it.In our study, the most common foreign body retrieved among middle-aged and elderly were chicken bone (22.5%) or fish bone (25%), and the most common foreign body following accidental ingestion in children were stapler pins (20%). Conclusion The findings of our study concluded thatrelevant clinical history, atypical presentation, and radiological imaging of sharp penetrating foreign bodies in the neck should be addressed with the utmost caution, as foreign bodies migrate to deep neck space and bronchus and can result in untoward complications. Hence, we need to be suspicious of the varied manifestation of aerodigestive tract foreign bodiesfor early diagnosis and prompt treatment.

Foreign Body Impaction in the Buccal Mucosa of a Child – A Case Report

Foreign bodies may be traumatically or iatrogenically embedded in the oral cavity. Traumatic impaction of foreign bodies intraorally in children is common, as they are playful and are unaware of the consequences. A case of traumatic penetration of glass shards in the cheek of a 10-year-old female child which is present for three years, and its management is discussed here and the importance of detailed case history, clinical and radiographic examinations in arriving at the diagnosis and planning the treatment are presented in this article.
 Foreign bodies are objects that are not native to the human body, and they may be ingested, inserted into a body cavity, or deposited into the body by traumatic or iatrogenic injury.[1] Traumatic foreign body impaction in oral cavity is mostly due to assaults and motor vehicle accidents[2] or sometimes may be due to blast injury. Foreign bodies generally in oral cavity may be broken instruments, restorative materials, needles etc., or may range from fish bones, coins, stapler pins, small toys, metal pieces which may be quite common in younger age groups.[3]
 The foreign bodies once impacted get localized and ensue fibrosis and host response depending on the type of the material impacted. They may cause swelling, abscess formation, septicaemia, or lead to severe haemorrhage; may also undergo distant embolization.[1]
 Here we report a case of traumatic penetration of glass shards into the buccal mucosa of a female child due to a blast injury which was there for three years without any major complaints.

Neurotic habit-induced disorder: Stapler pin impaction in gingiva.

Neurotic habit-induced disorder: Stapler pin impaction in gingiva.

An innovative low-cost personal protective equipment gown made by biomedical trash bags

Introduction: Personal protective equipment (PPE) refers to protective clothing, helmets, gloves, face shields, goggles, facemasks and/or respirators, fall protection devices, personal warning devices, and full body suits, as well as the head, eye, and foot protection. The recent coronavirus disease (COVID) pandemic has imposed the need of having low-cost production of PPE’s. Objectives: The objectives of the study were to create an indigenous, cost effective, easy to make PPE gown for temporary use in neonatal intensive care unit during the COVID pandemic crisis and to assess the ease and comfort of working in the indigenously produced PPE gown. Materials and Methods: The PPE gown was made using readily available material such as biomedical trash disposal bags, adhesive tapes, and stapler pins. We used the larger bags, which measured 100 cm × 55 cm. The bags were sealed at the base and open on the top. Each bag has folds on each side to increase its capacity when opened up. A structured questionnaire that included 10 questions with responses on the Likert scale used the ease of use of the PPE gown. Results: There were a total of 30 participants including doctors and paramedical staff. There was good internal consistency between the responses in questions (Cronbach alpha = 0.88). The mean and median age of study participants were 30.2 years and 30 years, respectively. The response for various questions ranged from 56% to 80% with an overall mean score of 64.56±10. Conclusion: A simple low-cost innovative PPE gown that can be made from a trash bag was found comfortable on preliminary testing.

Impaction of mandibular premolar with an atypical foreign object

Children have a habit of inserting different types of foreign objects such as stapler pins, darning needles, toothpicks, and leads of pencil in a carious tooth. Most of the reported cases in literature involve maxillary central incisor. This is an unusual case report of an 11-year-old boy who had a foreign object impacted in the root canal of the mandibular premolar. A sewing needle was inserted in the root canal of the mandibular premolar. Nonsurgical management approach was used to remove the foreign object followed by proper obturation of the involved tooth.

Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience.

The extremity foreign body in a child has propensity of getting missed or mistaken diagnosis. We report our experience of extremity foreign body trauma in order to increase awareness of this disease entity. The retrospective series of 24 retained foreign bodies was based on a 10-year chart review of emergency data (ICD code Z18). Patients with both upper and lower limb affections were included. Patients with ocular, otolaryngeal, tracheobronchial, gastrointestinal, and axial foreign bodies were excluded from the study. Male predominance (M:F = 20:4), young patient age (mean 6.8 years), variable lag period for consultation (range 3 h–8 years), and majority lower limb affection (58%; foot [7; 29%] and knee [5; 20.8%]) were some characteristics of extremity foreign bodies trauma. The foreign bodies reported were metallic needle (7; 29%), rubber band (3; 12.5%), pellets (3; 12.5%), bangle glass (2; 8%), glass pieces (2; 8%) “dhaga,” wooden twig, wooden thorn, ceramic earthen pot pieces, stapler pin, broomstick, and cracker piece in one case each (1; 4%). Postremoval, the wound healing was uneventful in all patients. Foreign body-related extremity trauma in children is a rare event. It has its own set of characteristics and differential diagnosis. Familiarity with the regional practices and customs is must to establish the circumstances/nature of the foreign body injury. The foreign body should preferably be removed in a well-equipped setting.

Removal of foreign objects from root canals- A Case Report

Foreign bodies in root canals are rarely seen, and usually objects are accidently lodged and broken in root canals by the patients themselves. The occurrence of a foreign body, such as a metal screw, staple pin, sewing needle, pencil lead, bead or toothpick in the root canal system, makes the eradication of microorganisms impossible. Due to difficulties of eradicating microorganisms, foreign bodies may become sources of infection. These objects must be removed. This case report describes a rare clinical case in which a sewing needle, inserted into the root canal by the patient, was removed the orthograde approach with the aid of ultrasonic devices.

Stapes Surgery Teaching Tool: A Simple and Stable Technique.

Stapedotomy followed by placement of a piston prosthesis is the mainstay for surgical management of otosclerosis primarily undertaken to improve hearing in patients. Although a simple and elegant procedure, prosthesis placement in stapes surgery is difficult to master. Improper surgical technique or improper placement of prosthesis may result in complications which may require revision surgery. We here describe a training technique that is simple, inexpensive, improves the skills and can be done using easily available materials such as a disposable syringe, stapler pin and micro-forceps. Regular practice with this training module minimizes surgical time and can even be done just prior to the surgery, however, this is not a substitute for temporal bone dissections.

Stapes Surgery Teaching Tool: A Simple, Stable and Successful Technique.

Stapes surgery is a highly skilled surgery among otological procedures and needs a good dexterity. To improve the skills one may need to do procedures using temporal bone dissections. We describe a procedure that is simple, inexpensive and improves the skills and can be done using easily available materials like disposable syringe, stapler pin and a forceps.

Handheld Metal Detector for Metallic Foreign Body Ingestion in Pediatric Emergency.

Foreign body ingestion is a common problem for which children present to the emergency department. The most common ingested foreign bodies among children are coins. Metal detector is an equipment, which measures a change in inductance of a coil when an electroconductive material is placed near it and produces an audio-visual signal. The present study was conducted to determine the effectiveness and feasibility of HMD in the local Pediatric population. This was a prospective study conducted in the pediatric emergency department among children presenting with history of foreign body ingestion. The outcome measured was presence or absence of metallic foreign body detected on handheld metal detector examination. During the study period, 36 patients with history of foreign body ingestion presented to the emergency department. Among these, 28 were metallic foreign body ingestions. Coins were the most common type of foreign body ingested. Among the metallic foreign bodies ingested, all the coins were accurately identified by the handheld metal detector. Non-coin metallic foreign bodies like metallic screw, needle and stapler pin were not identified by the handheld metal detector. The study demonstrates that handheld metal detector can be safely and reliably used as a screening tool in the process of detecting ingested coins. The plain radiograph still appears to be superior as it accurately localizes sharp metallic objects as well as cell batteries (button batteries) which need to be detected early and removed in order to prevent complications. Handheld metal detector is an effective tool that can be used in the follow up of patients to confirm whether the coin like metallic foreign body has been expelled. Handheld metal detector examination is more sensitive than traditional X-ray examination to detect radiolucent metallic foreign bodies like aluminium.

An unusual foreign object in a tooth

In dental practice, discovery of a foreign body entrapped within the root canal is not uncommon. The foreign object may have been accidently lodged due to traumatic injury, iatrogenically during treatment or it may be a self-inflicted injury. The patient usually reports only when he/she experiences pain and then the foreign object is discovered in radiographic examination. In this article, we present a case report of a 43-year-old woman with a staple pin lodged in a permanent maxillary first molar.

Stapler pin in the mandibular central incisor tooth: an unusual case of foreign body

Stapler pin in the mandibular central incisor tooth: an unusual case of foreign body

An unusual incidental radiographic finding - a stapler pin: A case report

Accidental discovery of a foreign object embedded in a tooth is not common. Children often have a habit of inserting objects into their mouth. Some of these objects can be accidentally ingested or even aspirated which can be a very frightening and a stressful experience. Herein, we report a case of a 7-year-old boy who presented with a stapler pin lodged in the root canal space of maxillary left deciduous central incisor.

A case of embedded staple pin in the root canal: Management and microbiological analysis

The presence of foreign object in the root canal is one of the challenging occurrences in endodontic therapy. The possibility of these foreign objects getting impacted into the tooth is more when pulp chamber is open either due to trauma or due to large carious lesion. We herewith report a case of a 12-year-old boy who presented with staple pin lodged in the root canal of maxillary right permanent central incisor. We also describe the management of the case and microbiological analysis of the foreign body.

Sewing needle in a root canal: a case report

Introduction The ideal outcome of root canal treatment is the eradication of microorganisms from the root canal system, or at least their significant reduction to levels compatible with periradicular tissue healing [1]. The occurrence of a foreign body, such as a metal screw, staple pin, sewing needle, pencil lead, bead or

Foreign body in the root canal and its management: A case report and an overview

Trauma is a common cause of fractured teeth with exposed canals in growing children. Children with fractured tooth may use foreign bodies like stapler pins, all kinds of pins, toothpicks, etc., to explore the tooth. There is rarely a possibility of getting any symptom if these foreign bodies fracture the tooth or are left in the canal of tooth in any incident. These foreign objects may act as a potential source of infection and may later lead to a painful condition. A detailed case history, clinical and radiographic examination is required to ascertain the size, position, and likely composition of the object, and also the difficulty involved in its retrieval. Patience, care, and appropriate techniques may be helpful in retrieving foreign bodies and avoiding periapical surgery. Complicated crown fractures should be managed promptly, and prolonged open drainage avoided in children if the risks of foreign body impaction are to be minimized. This paper describes the successful retrieval of a stapler pin located in the root canal of maxillary central incisor by simple orthograde nonsurgical technique. Post endodontic treatment, a composite resin restoration was used to restore the form, function, and esthetics of the tooth in a conservative manner.

Endodontic management of an unusual foreign body in a maxillary central incisor

The discovery of foreign bodies in the teeth is often diagnosed accidentally. It is commonly seen in children. These foreign objects may act as a potential source of infection and may later lead to a painful condition. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, and location of the foreign body, and the difficulty involved in its retrieval. This paper discusses the types of foreign objects found in and around the teeth and reports an unusual case of a stapler pin in the root canal of a tooth, its retrieval, and associated management of the involved teeth.

Unusual foreign body in pulp canal extending beyond the apex

The foreign bodies embedded in a tooth are uncommon which often diagnosed accidently. Thorough case history, clinical examination, and other investigations like radiographic examination are essential to know the nature, size, location, and difficulty involved during retrieval of the foreign object. The present case discussed the type of foreign object was found to be a stapler pin extended beyond the apical foramen and its successful retrieval from the root canal followed by root canal treatment and placement of jacket crown in order to restore their esthetics.

Unusual Foreign Bodies in the Orofacial Region

Foreign bodies may be deposited in the oral cavity either by traumatic injury or iatrogenically. Among the commonly encountered iatrogenic foreign bodies are restorative materials like amalgam, obturation materials, broken instruments, needles, and so forth. The discovery of foreign bodies in the teeth is a special situation, which is often diagnosed accidentally. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, location of the foreign body, and the difficulty involved in its retrieval. It is more common to find this situation in children as it is a well-known fact that children often tend to have the habit of placing foreign objects in the mouth. Sometimes the foreign objects get stuck in the root canals of the teeth, which the children do not reveal to their parents due to fear. These foreign objects may act as a potential source of infection and may later lead to a painful condition. This paper discusses the presence of unusual foreign bodies—a tip of the metallic compass, stapler pin, copper strip, and a broken sewing needle impregnated in the gingiva and their management.

Self-injurious behavior and foreign body entrapment in the root canal of a mandibular lateral incisor

Self-injurious behavior is a deliberate alteration or damage without suicidal intent. Herein, we report a patient who had caused intentionally self-trauma to his left lower permanent canine and placed a long metallic foreign body into the root canal. History revealed a habit of placing metallic objects in the form of stapler pins into the mouth, but closer examination revealed the habit to be more as a method of self-injurious behavior. Following an episode of severe pain, the tooth was endodontically treated after removal of the foreign body that was corroding. Clinical significance of the case report is that the patient may just be put off as having a habit of inserting foreign objects into the mouth, but the behavior was more self-injurious in nature.