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At least 811 records · Page 45Linked to original sources
PubMed2003

Laryngeal foreign bodies in children revisited.

To review our experience with inhaled laryngeal foreign bodies in children, we performed a retrospective review of all admissions to our institution between March 1989 and March 2002 with the diagnosis of an inhaled laryngeal foreign body. We included only cases in which the diagnosis was confirmed at endoscopy under general anesthesia. Two children were dead on arrival at our institution as a result of upper airway obstruction following a choking episode and did not undergo endoscopy; they were not included. Nine children (5 male, 4 female) were identified. The age range was 5 months to 13 years 9 months, although only 1 child was older than 32 months. The foreign body was removed within 24 hours of a witnessed choking episode in 4 children, and the diagnosis was delayed in 5 children for a period between 4 days and 2 months, including 2 in whom a history of a choking episode had been initially obtained. One complication occurred in a child in whom the diagnosis was delayed; he developed laryngeal edema after foreign body removal and required endotracheal intubation for 1 week.

Adolescent↗
PubMedDate not supplied

US of soft-tissue foreign bodies and associated complications with surgical correlation.

Ultrasonography (US) allows detection of a variety of soft-tissue foreign bodies, including wood splinters, glass, metal, and plastic, along with evaluation of their associated soft-tissue complications. Cases were obtained from the authors' clinical experience over the past 1.5 years. Surgical correlation allowed confirmation of the presence of a foreign body and associated soft-tissue complications in all cases. All of the foreign bodies were echogenic when imaged with US. A surrounding hypoechoic rim and posterior acoustic shadowing or reverberation aided detection in several cases. Associated soft-tissue complications included a complete laceration of the posterior tibial tendon and septic flexor digitorum tenosynovitis. US allows accurate and efficient detection of radiolucent soft-tissue foreign bodies and aids assessment of their associated complications. For radiopaque foreign bodies, US can provide more precise localization and improved assessment of the surrounding soft tissues. US has emerged as the study of choice for detection and localization of radiolucent soft-tissue foreign bodies and can aid assessment of their associated complications.

Adult↗
PubMed2007

An unusual cause of chest pain: foreign body in the oesophagus.

This article reports on two patients with unsuspected oesophageal foreign body ingestion, with chest pain as the main symptom. The patients had extensive cardiac evaluation to rule out myocardial ischaemia. Further evaluation showed an impacted oesophageal foreign body. Oesophageal foreign bodies should be considered as factors in chest pain.

Adult↗
PubMedDate not supplied

Fatal hemothorax following management of an esophageal foreign body.

A 10.8-year-old, spayed female toy poodle presented with an esophageal foreign body. The foreign body was removed endoscopically, and a gastrostomy tube was placed to provide nutritional support during esophageal healing. The gastrostomy tube was later removed by endoscopic retrieval of the bulb through the esophagus. Immediately afterward, the dog developed hemothorax and eventually died. It was determined that many small arterial branches were avulsed from the aorta. The involved sections of aorta histopathogically evidenced medial necrosis, which was believed to be related to a prior disruption of blood flow through the vasa vasorum.

Animals↗
PubMed1986

Computed tomographic three-dimensional localization and compositional evaluation of intraocular and orbital foreign bodies.

A software program designed for the Siemens Somatom DR3 computed tomographic (CT) scanner provides improved diagnosis, localization, and etiologic description of intraocular and orbital foreign bodies. The program allows information to be analyzed in two different display formats. One format is that of multiplanar reconstruction of the eye and orbit, including an "oblique CT cube" image. This format produces an accurate "three-dimensional" display of both in vitro and in vivo intraocular and orbital foreign bodies. The second display format is that of a histogram. Using this analytic mode, nonmetallic intraocular and intraorbital foreign bodies can be differentiated from each other and from metallic foreign bodies, although individual metallic foreign bodies cannot be identified with respect to specific composition. The information provided by these two display formats substantially aids the clinician in the diagnosis and management of foreign bodies located within the orbit, particularly those located within the eye.

Animals↗
PubMed1987

[Surgical treatment of eye wounds with retinochoroidal metal foreign bodies. Apropos of 6 cases].

Six cases of intra-ocular metallic foreign bodies located into the retino-choroidal wall are presented. A surgical treatment was performed, and included a vitrectomy, a foreign body extraction with intraocular forceps, a primary or a secondary scleral buckling for the peripheral wound, and a retino-choroidectomy for one of the posteriorly located foreign bodies. In all the cases, we observed a cicatricial retraction of the retino-choroidal wound. When the wound was peripheral, the retina detached in the cases without buckling and it was necessary to do a secondary scleral buckling procedure. When the wound was located at the posterior pole, the retina remained flat in one case, with a 6 mm metallic body, probably because of the relaxing retinotomy performed to extract the foreign body. We think that it is better to perform a primary scleral buckle of the peripheral wounds. The various aspects of the treatment are discussed.

Adult↗
PubMedDate not supplied

Foreign body airway in neonates.

Two cases of foreign body in neonates less than one month of age are reported. Although foreign bodies in neonates are unknown but the possibility should not be overlooked even in neonates especially with sudden onset of respiratory distress, cough or hoarseness in absence of fever.

Dyspnea↗
PubMed2001

Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients.

BACKGROUND AND STUDY AIMS: Ingestion of foreign bodies is a common occurrence. Few papers in the literature report experience and outcome at tertiary centers. The aim of this paper is to report the management and the outcomes in 414 patients admitted for suspected ingestion of foreign body between May 1995 and December 1999. METHODS: A plain radiographic film of the neck, chest or abdomen was obtained in the case of radiopaque objects, and in order to rule out suspected perforation: in such cases a computed tomography (CT) study was also performed. All patients were asked to give their informed consent, which was refused by three patients. Anesthesia was always used, either conscious sedation (86.8 %), or general anesthesia in the case of poor patient tolerance (13.2 %). All patients underwent an endoscopic procedure within six hours of admission. A flexible scope was used in all patients and a wide range of endoscopic devices was employed. RESULTS: Foreign bodies were found in 64.5 % of our patients. Almost all were found in the esophagus. The types of foreign body were very different, but they were chiefly food boluses, bones or cartilages, dental prostheses or fish bones. In three patients (1.1 %) it was impossible to endoscopically remove the foreign body, which was located in the cervical esophagus: all these three patients required surgery. No complications relating to the endoscopic procedure were observed, but 30.7 % of patients had an underlying esophageal disease, such as a stricture. Only eight patients required a second endoscopic procedure, performed by a more experienced endoscopist. CONCLUSION: Foreign body ingestion represents a frequent reason for emergency endoscopy. The endoscopic procedure is a successful technique which allows the removal of the foreign bodies in almost all cases without significant complications. Surgery is rarely required.

Adolescent↗
PubMed1991

Esophageal foreign bodies in adults.

The main point in managing suspected impaction of esophageal foreign bodies is to decide whether the patient needs an esophageal endoscopy. Decision-making is based on clinical history, physical examination, and radiographic studies. We review 100 cases of adults having esophagoscopy for removal of esophageal foreign bodies. Fish bones were the most frequently responsible foreign body and the cervical esophagus was the most frequent level of impaction. Decision-making based on clinical history and patient-referred symptoms revealed a positive esophagoscopy in 72% of the suspected cases. Radiographic studies gave falsely positive and falsely negative information in 30% of the cases. Rigid esophagoscopy was used successfully for foreign body removal in 99% of the cases. Average hospital stay was 3.2 days. No complications associated with the use of a rigid esophagoscope were found.

Adolescent↗
PubMed1978

A magnet tip for controlled removal of magnetic foreign bodies.

I designed a small diameter magnet tip for intraocular removal of foreign bodies, particularly at the time of vitrectomy. Advantages of the intraocular tip include: (1) reduced likelihood of scraping of the foreign body along the retinal surface while in the magnetic field; (2) reduced chance of incarcerating the retina or choroid, or both, between the magnet and the foreign body during removal. Although the intraocular tip is less strong than conventional shorter tips, it provides greater control in the removal of intraocular foreign bodies when sufficient magnet strength is present.

Eye Foreign Bodies↗
PubMedDate not supplied

[Fibroscopy and endobronchial foreign bodies (author's transl)].

The therapy to be used when an endobronchial foreign body is discovered on X-ray is still debated. Some recommend a bronchoscopy with a rigid tube, others favour a fibroscopy with flexible tube. We report four observations of endobronchial foreign bodies of different sizes extracted by fibroscopy with flexible tube and foreign body forceps. We underline from these observations the value of fibroscopy which enabled the extraction of far situated bodies which sometimes could not be removed by bronchoscopy with a rigid tube. Therefore, we strongly advise, when in presence of endo-bronchial foreign bodies, to use fibroscopy first.

Adult↗
PubMed1993

Foreign body giant cell reactions and ossification associated with benign melanocytic naevi.

AIMS: To assess the incidence of foreign body giant cell reactions and ossification in benign/melanocytic naevi; and to examine their pathological features to gain an insight into their pathogenesis. METHODS: Intradermal (n = 185) and compound naevi (n = 110) from a routine histology service, together with 60 naevi submitted to an ophthalmic pathologist, were examined for foreign body reactions and ossification. Additional cases were identified prospectively in the course of routine reporting. The clinical and pathological features of positive cases were assessed. RESULTS: Foreign body reactions were identified in nine (4.9%) intradermal and four (3.6%) compound naevi, but in none of the naevi from around the eye. One intradermal naevus showed ossification. A further 11 naevi showing foreign body reaction and five showing ossification alone were identified prospectively. The 24 naevi showing a foreign body reaction had a similar age and sex distribution to controls but were more likely to occur on the head and neck. The reaction usually occurred deep to the naevus, sometimes in relation to a hair follicle, and fragments of hair or keratin were identified in most. Osteoid or bone was present within the reaction in five. In six other naevi, all from the head and neck of women, osteoid or mature bone was present deep to the naevus in the absence of a giant cell reaction. CONCLUSIONS: Foreign body giant cell reactions occur not uncommonly in relation to benign naevi, as a result of follicular damage, possibly due to trauma. The similar siting of foci of bone suggests that ossification occurs as a secondary phenomenon in these cases.

Adult↗
PubMed1998

[Choices of anesthesia in operations of extraction of foreign body in esophagus].

In order to probe the anesthetic methods of extracting foreign body in esophagus and improve operative effect, potentiated surface anesthesia and intratracheal intubation anesthesia were applied in operations to 72 cases of foreign bodies in esophagus, and comparative observations were done to these cases. All the cases had their foreign bodies extracted smoothly and no serious complications occurred. We consider that each anesthetic method has its advantage. The former is suitable for the adolescents and adults, the latter is suitable for the young children who have foreign bodies in esophagus and difficult breathing.

Adolescent↗
PubMed2005

Witnessed and unwitnessed esophageal foreign bodies in children.

OBJECTIVE: The purpose of this study was to describe the clinical presentation of children with either an unwitnessed or witnessed esophageal foreign body. METHODS: Retrospective chart review was performed. Patients were identified using ICD-9 code for esophageal foreign body. Clinical data and management techniques, along with complications were abstracted. RESULTS: For the 5-year period of review, 255 patients were identified with an esophageal foreign body. 214 children had a witnessed ingestion. The mean age of the unwitnessed ingestion group was 2.3 years, compared to 4.6 years for a witnessed ingestion. In both groups, males and females were distributed equally and the most common ingested object was a coin. Bivariate, unadjusted analysis revealed that history of wheeze (OR, 4.35) and fever (OR, 11.15) had the largest association with patients who had an unwitnessed ingestion. Multivariate analysis indicated that any physical findings of wheeze, rhonchi, stridor, or retractions were associated significantly with a diagnosis of an unwitnessed foreign body. Children less than 2 years of age and with a documented fever are also predictive of an unwitnessed ingestion. Eleven children (4.3%) with esophageal abnormalities were also noted to have foreign bodies. CONCLUSIONS: Children who present to the emergency department two years old and younger, who have a documented fever and with respiratory findings should be considered at risk for having a retained esophageal foreign body. Children with esophageal abnormalities may also be at risk for retained esophageal foreign bodies.

Adolescent↗
PubMedDate not supplied

Foreign-body pulmonary embolism.

The minimal incidence of pulmonary foreign-body embolism in a general pediatric pathology experience was ascertained by reviewing autopsy records, and the true incidence of pulmonary foreign-body embolism was determined by studying lung sections from 64 autopsies of patients who had undergone cardiac procedures. Seventeen cases of embolism were reported from 370 autopsies, an incidence of 4.6%. The true incidence of pulmonary foreign-body embolism was found to be 21.9% in the cardiac surgical autopsies and the minimal incidence was 5.1% in patients who had other types of surgery. No patients other than those having surgical procedures had embolism. Hair was found to be the embolic material in 35% of cases. Embolic lesions were characterized, staged, and correlated with clinical data. The pathogenesis of this condition is unclear, but it probably involves contamination of surgical materials with particulate matter.

Cardiac Surgical Procedures↗
PubMedDate not supplied

[Diagnosis and removal of foreign bodies of the thoracic cavity using thoracoscopy].

The author analysed the use of thoracoscopy in 12 patients with radiopaque and radiolucent foreign bodies in the pleural cavity, lung, mediastinum, myocardium, and diaphragm. The indications for the examination were specified: (1) foreign body in the pleural, cavity or its existence suspected; (2) indistinct character of an intrathoracic foreign body and injury inflicted by it to the viscera; (3) specification of surgical tactics and method for removal of the foreign body and rational surgical approach. Thoracoscopy made it possible to detect not only foreign bodies of different character, but the damages caused by them to the viscera, and the complications. Foreign bodies were removed during thoracoscopy in two thirds of cases.

Adolescent↗
PubMedDate not supplied

Vitrectomy for intra ocular foreign body removal.

Ten consecutive cases of perforating ocular injuries with retained intraocular foreign bodies over a period of 2 years were reviewed retrospectively in this study. All cases were operated upon by a 3 port pars plana vitrectomy and if necessary endolaser done. All ten cases (100%) were successful in terms of intraocular foreign body removal through the pars plana sclerotomy but ultimately we lost three [3] [30%] cases of which two had retinal detachments with P.V.R. D-3 preoperatively and the other had endophthalmitis. Of the seven (70%) successful cases four eyes (40%) had a post-operative vision of 6/12 or better while 2 [20%] had 6/24 and the last had 6/60 [10%]. Nine cases [90%] had a magnetic Intraocular foreign body. Various complications of Intraocular foreign bodies like vitreous haemorrhage, retinal incarceration, cataract and retinal detachment were noted preoperatively. Silicone oil was used in three (30%) cases. Sulfur Hexafluoride was used in 5 cases (50%). Endolaser photocoagulation was done in 7 cases (70%).

Adolescent↗