Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FOREIGN BODY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,297 records · Page 72Linked to original sources
PubMed2006

Foreign body removal from the external auditory canal in a pediatric emergency department.

OBJECTIVES: To describe the experience with external auditory canal foreign body removal in a pediatric emergency department. To identify factors associated with procedural complications and/or failed removal. METHODS: Retrospective case series of patients treated in the emergency department over a 5-year period. Primary outcomes include success and complication rates. Secondary outcomes include removal rates in the otolaryngology clinic and operating room. RESULTS: Physicians in our pediatric emergency department successfully removed 204 (80%) of 254 foreign bodies. In 30 cases (12%), there was a complication. Multiple attempts at removal were associated with failure (relative risk [RR], 6.0; 95% confidence interval [CI], 3.0-12.0) and complications (RR, 3.1; 95% CI, 1.5-6.3). The use of multiple instruments was also associated with failure (RR, 5.4; 95% CI, 2.7-10.8) and complications (RR, 4.0; 95% CI, 2.0-7.6). Of the 244 patients in whom emergency department attempts at removal were made, 26 were successfully removed in otolaryngology clinic, and 14 were removed in the operating room. Foreign bodies present in the canal for more than 24 hours were not at higher risk of failed removal or complications. Patients younger than 4 years also were not at increased risk of having failed removal or complications. CONCLUSIONS: Physicians in a pediatric emergency department remove most foreign bodies from the external auditory canal successfully with minimal complications and need for operative removal. These data suggest that referral to otolaryngology be considered if more than 1 attempt or instrument is needed for removal.

Adolescent↗
PubMed1993

Ear foreign-body removal: a review of 98 consecutive cases.

Although patients with external auditory canal foreign bodies present frequently, there is scant literature on the topic other than case reports. A study of 98 consecutive patients referred over a 1-year period to otolaryngologists at a large urban county hospital was undertaken. Fifty-seven percent of these patients were over 12 years of age. A data form was completed by the otolaryngology resident removing the foreign body. Fifty-three percent of the cases had undergone one or more previous attempts at removal prior to the otolaryngologist's attempt, usually by an emergency room physician. Method of removal included use of a microscope in only 6% of previous attempts, while otolaryngologists used a microscope in 91%. Canal wall lacerations were present in 48% of patients following previous attempts at removal by other health-care professionals, but were found in only 4% of removals by an otolaryngologist. Recommendations include use of a microscope for removal and referral to an otolaryngologist if the foreign body is not readily removed by the primary-care physician.

Adolescent↗
PubMed2005

Laparoscopic removal of gastric foreign bodies in dogs--comparison of manual suturing and stapling viscerosynthesis.

This study was an attempt to evaluate the application of various laparoscopic techniques of removing foreign bodies from the stomach in dogs in comparison to conventional laparotomy. The research was conducted on two groups of 10 dogs each with clinically confirmed foreign bodies in the stomach. In case of all patients, a laparoscopic instrument, EndoBag, was used for the removal of the foreign body from the stomach and the abdominal cavity. Manual suturing with the use of Szabo-Berci suturing kit was used for the gastrotomy wound closure in group I. In group II, linear staplers were used for viscerosynthesis. All patients were subjected to radiological assessment of tightness of anastomosis. No significant differences between the quality of the performed stomach anastomosis were shown. Therefore, the competitiveness of an economical manual suturing in comparison with the very expensive mechanical suturing preferred in human surgery was confirmed. The described procedures of laparoscopic gastrotomy seem to be applicable for removing foreign bodies from the stomach in a clinical veterinary practice.

Animals↗
PubMedDate not supplied

[Foreign-body aspiration in adults].

Proximal airway obstruction and acute life-threatening asphyxia is the most important complication of foreign body aspiration. Small foreign bodies that transverse the larynx may be initially asymptomatic appearing serious respiratory disturbances only later. Three patients with different clinical evolutions are reported and the diagnostic and therapeutic approaches, discussed.

Airway Obstruction↗
PubMed2002

Esophageal foreign body obstruction after esophageal atresia repair.

BACKGROUND/PURPOSE: The aim of this study was to determine the incidence and risk factors for esophageal foreign body obstruction (EFBO) after esophageal atresia/tracheoesophageal fistula (EA-TEF) repair. METHODS: A Case-control chart review was conducted from 1987 to 1999. RESULTS: EFBO occurred in 14 of 108 patients (13%) with EA-TEF. Mean follow-up was 31 months. Alimentary debris was the most common foreign body. Mean time between operation and EFBO was 25 months. EFBO recurred in 50%. Sixty-one percent of patients required endoscopic FB removal. Esophageal stenosis was present in 57% of EFBO patients, and 80% of stenoses presented initially with EFBO. The incidence of gastroesophageal reflux (GER; 50%), type C anomaly (100%), anastomotic leak (21%), major associated anomalies (50%), and encephalopathy (14%) were not significantly different between the EFBO group and the total EA-TEF population. There was no difference in the need for antireflux surgery (57%) between those with EFBO and GER and the total EA/TEF population with GER. CONCLUSIONS: Esophageal foreign body obstruction occurs in at least 13% of patients after EA-TEF repair. Because no reliable risk factors were identified that could predict foreign body obstruction, all families should be warned about this possibility during the first 5 years, particularly once the child begins eating solid foods.

Case-Control Studies↗
PubMed2005

[Effects of surface modification of intraocular lenses on foreign body reaction ].

PURPOSE: In order to improve biocompatibility, we investigated the effects of surface modification by 2-methacryloyloxyethyl phosphorylcholine (MPC) on the foreign body reaction of intraocular lens (IOLs). MATERIALS AND METHODS: Materials of the IOLs were polymethylmethacrylate, hydrophobic acryl, and MPC surface-modified hydrophobic IOLs (MPC modified acryl). In an in vitro study, cultured macrophages sampled from mouse intra-abdominal exudate were cultured on a plate for each IOL material. The cell density and morphology of attached cells on the IOL materials were investigated. In an in vivo study, each IOL material was implanted in the peritoneal space of mice and foreign body reaction was investigated with a light microscope and a scanning electron microscope. RESULTS: In the in vitro study, the cells on the MPC modified acryl IOL material were remarkably fewer than those on the plates of the other two IOL materials. Regarding the implanted IOL matrevials, MPC modified acryl IOL material showed more polynuclear giant foreign body cells in the early period than the other two IOL materials. CONCLUSION: MPC surface modification can reduce the foreign body reaction of IOLs and has the potential to improve biocompatibility of IOL materials.

Animals↗
PubMed2006

Respiratory distress secondary to esophageal foreign body: a case report.

The ingestion or aspiration of a foreign body is a common, but preventable occurrence in childhood. Primary healthcare personnel should alert parents to the risk of swallowing a foreign object, the signs and the need for immediate medical attention. It should be emphasized that protecting children from access to objects that can be swallowed or aspirated is the best preventive measure. A case of an eight year old child, who had swallowed a marble ball is presented and the symptoms and intervention discussed. Medical staff should be aware of the symptomatic variation in ingested foreign body presentation and the importance of rapid diagnosis and management.

Child↗
PubMed1986

[False images of foreign bodies of plant matter in the limbs of children. Apropos of 3 case reports].

Vegetal foreign bodies in the limbs cannot be demonstrated by X-ray examination and may lead to erroneous diagnosis. The answer should be given by surgical exploration, however, and this is particularly true for mobile foreign bodies in the joint, a high degree of suspicion is necessary at surgery. Three observations are presented in this paper which emphasize practical recommendations to perform without delay the simple efficient surgical procedure consisting in removal of the foreign body.

Adolescent↗
PubMed1999

Handheld metal detector localization of ingested metallic foreign bodies: accurate in any hands?

OBJECTIVE: To demonstrate the accuracy of handheld metal detectors (HHMDs) for identification and localization of ingested metallic foreign bodies when used by experienced and inexperienced investigators. DESIGN: Prospective study comparing HHMD scanning with radiography. SETTING AND PATIENTS: A consecutive sample of all eligible patients (N = 176) presenting to the emergency departments of Children's Medical Center of Dallas, Dallas, Tex, and Children's Hospital of the King's Daughters, Norfolk, Va, who were known or suspected to have ingested a metallic foreign body. INTERVENTION: Each patient underwent HHMD scanning and radiographic evaluation. MAIN OUTCOME MEASURES: Statistical evaluation compared HHMD scanning with radiography and experienced vs inexperienced investigator HHMD scanning to determine the accuracy of the screening tool and investigators. RESULTS: Experienced investigators performed HHMD scans on 140 subjects; inexperienced investigators scanned all subjects. Disease was defined as a foreign body in the esophagus on radiograph. The 3 experienced investigators demonstrated sensitivity of 100% (95% confidence interval [CI], 94%-100%), specificity of 92.4% (95% CI, 84.2%-97.2%), positive predictive value (PPV) of 90.9% (95% CI, 81.3%-96.6%), and negative predictive value (NPV) of 100% (95% CI, 95.1%-100%); the proportion correct was 95.7% (95% CI, 90.8%-98.4%). The inexperienced investigators demonstrated sensitivity of 95.7% (95% CI, 88.0%-99.1%), specificity of 81.0% (95% CI, 72.1%-88.0%), PPV of 77.0% (95% CI, 66.8%-85.4%), and NPV of 96.6% (95% CI, 90.4%-99.3%); the proportion correct was 86.9% (95% CI, 80.9%-91.5%). The McNemar test demonstrated no statistically significant difference between HHMD scanning by experienced vs inexperienced investigators. CONCLUSIONS: Handheld metal detector scanning is an accurate, inexpensive, radiation-free screening tool and should be used for evaluation of patients suspected of ingesting coins and coinlike foreign bodies.

Adolescent↗
PubMed2006

[Classification and surgical treatment of intrathoracic esophageal injury caused by foreign body].

OBJECTIVE: To investigate the classification criterion and surgical treatment strategy of intrathoracic esophageal injury caused by foreign body. METHODS: Eighty-four patients with intrathoracic esophageal injury caused by foreign body in our department from January 1980 to April 2004 were divided into 4 grade: grade I was non-penetrated injury of esophagus (18 cases); grade II was esophageal perforation with mild mediastinitis (39 cases); grade III was esophageal perforation with severe intrathoracic infection (17 cases); grade IV was aortoesophageal fistula (10 cases). Based on the degree of esophageal injury and the extension of inflammation, operative procedures were selected including esophagotomy, esophageal reparation, esophagectomy, mediastinal drainage, reparation of fistula and replacement of aorta. RESULTS: Patients in grade I and II were all cured . One death occurred in grade III (1/17), the same in Grade IV was 9 (9/10). CONCLUSIONS: Classification of esophageal injury caused by foreign body is helpful to the decision of surgical treatment strategy. The prevention of aortoesophageal fistula is the key point of reducing of mortality.

Adolescent↗
PubMed1977

Electron probe X-ray analysis of an intraocular foreign body.

We describe a simple and rapid method of electron probe x-ray analysis on a foreign body removed from the eye. We demonstrated the presence of copper in an intraocular foreign body which has originated from a blank 0.22 calibre cartridge. Sodium, potassium, calcium, phosphorus, sulpher and chlorine were also detected. It seems likely that these elements were derived from the biological milieu in which the intraocular foreign body had rested for some 2 years and 9 months.

Accidents↗
PubMed1990

Diagnostic difficulties of foreign body aspiration in children.

A case of a 4-year-old child who aspirated a 22-caliber bullet is presented to illustrate the variability of signs and symptoms of foreign body aspiration. Despite the large size of the bullet, cough, dyspnea, and wheezing were absent on presentation. Chest roentgenogram confirmed the diagnosis of a radiopaque bronchial foreign body. A retrospective review of 42 additional children with foreign body aspiration showed 8 (19%) were unwitnessed, 24 (57%) were asymptomatic at presentation, 8 (19%) had normal physical examinations, and 10 (24%) had normal inspiratory/expiratory chest roentgenograms. This demonstrates the importance of considering bronchoscopy for any child who presents with a history of possible foreign body aspiration, but is asymptomatic and has normal roentgenographic findings.

Bronchi↗
PubMed1988

Management of foreign bodies of the upper gastrointestinal tract.

In the United States, 1500 people die yearly of ingested foreign bodies of the upper gastrointestinal tract. The flexible esophagogastroduodenoscope has had a major impact on the treatment of these foreign bodies. The following discussion includes the management of coins, meat impaction, sharp and pointed objects, button batteries, and cocaine packets; and it reflects both a personal experience and a review of the literature. The uses of the rigid and the flexible endoscopes, the Foley catheter, glucagon, papain, and gas-forming agents are presented. The cost-effectiveness impact of the flexible endoscope is also detailed, and morbidity and mortality rates for foreign body management are included.

Airway Obstruction↗
PubMed2002

[Diagnosis of foreign bodies in trachea and bronchus of children by means of coronal CT scan].

OBJECTIVE: To study the sensitivity, specificity and clinical value of coranal CT scan of trachea and bronchus in diagnoing children's foreign body in bronchus. METHOD: 30 cases of the children with foreign body in their trachea and bronchus were examined by chest X ray (chest X-ray), and by coranal CT scan at the same time. (some of them were compared with axial CT scan.) RESULT: The position of foreign body in trachea and bronchus was definitely diagnosed by coronal CT scan in all cases, of whom, 28 cases with obstructive emphysema; 5 case with obstructive pneumonia and 3 cases with obstructive atelectasis. CONCLUSION: Coranal CT scan could demonstrate the position of foreign body in trachea and bronchus and be helpful in planning surgery.

Bronchi↗