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PubMed2006

Corneal ulcer caused by a wooden foreign body in the upper eyelid 6 months after minor injury.

PURPOSE: To describe a case of a wooden foreign body in the upper eyelid that remained asymptomatic for 6 months. CASE REPORT: A 9-year-old boy was presented with moderate upper lid swelling. Medical history was positive for trauma with a wooden stick 6 months ago. At first, the condition resolved under local antibiotic treatment. Three weeks later, the inflammation recurred and a corneal ulcer developed. Examination under general anesthesia revealed a wooden foreign body which had remained in the upper eyelid since the first injury. CONCLUSION: Organic foreign bodies in the eyelid can remain asymptomatic for a long period of time and can play a role in periocular inflammation. In case of doubt, children and other less cooperative patients should be examined under general anesthesia.

Child↗
PubMed2005

An unusual intranasal foreign body in an unsuspecting 9-year old.

This report describes the incidental finding and removal of an unusual intranasal foreign body in a 9-year-old boy. The spectrum of items lost and found in the nasal cavity are reviewed before discussing the management of this case. Dental Practitioners should remain vigilant as radiopaque foreign bodies can be identified on commonly taken dental radiographic views. Patients should be referred promptly for foreign body removal in order to minimize potential complications.

Child↗
PubMed1983

Foreign bodies in the tracheobronchial tree--a retrospective study of 217 cases.

This is a retrospective study of 217 cases of foreign body in the tracheobronchial tree. The diagnostic techniques, current management, and statistics related to sex, age, yearly incidence, duration of symptoms, nature of foreign body, location, and duration of hospitalization are discussed. The most common complications resulting from a foreign body in the tracheobronchial tree were atelectasis, subglottic stenosis, and pneumonia.

Anesthesia, Inhalation↗
PubMed2005

Diagnostic evaluation of foreign body aspiration in children: a prospective study.

AIM: The aim of this study was to evaluate the yield of clinical symptoms, signs, and radiological studies in the diagnosis of foreign body aspiration (FBA) in children. METHODS: During the 2-year study, we performed on all children admitted to the pediatric department for suspected FBA a protocol that included the following: thorough medical history, physical examination, radiological studies (chest x-ray and fluoroscopy), and rigid bronchoscopy by a senior otolaryngologist. The yield of these measures for the diagnosis of FBA was evaluated. RESULTS: Foreign bodies were found in 56 (57%) of the 98 children with suspected FBA. Thirty-three (59%) children were boys and 23 (41%) girls (P < .05), with a mean age of 24 months (range, 8-84 months). Main symptoms in the children with FBA were the following: choking (76.8%), prolonged cough (14.3%), dyspnea (3.6%), and nonresolving pneumonia (1.8%). Physical examination, chest x-ray, and fluoroscopy findings were abnormal in 80.4%, 67.9%, and 46.9% of the children with FBA, respectively. The diagnostic yield of physical examination and radiological studies increased 24 hours after the event of FBA. In 45.2% of the children with positive history but with normal findings from physical examination and radiological studies, foreign bodies were found. Of the children with "doubtful" history, physical examination, chest x-ray, and fluoroscopy findings were abnormal in 58%, 38%, and 12.5%, respectively. Foreign bodies were found in 9.5% of these children. CONCLUSION: Medical history is the key for the diagnosis of FBA. Choking followed by an acute episode of coughing is the most common presentation of FBA. The yield of physical examination and radiological studies in the diagnosis of FBA is relatively low but is increased when the presentation is delayed and when history is doubtful. If FBA is suspected, bronchoscopy should be performed.

Airway Obstruction↗
PubMed1975

Foreign bodies and urinary stones.

Experimental and clinical aspects of calculogenesis about foreign bodies are reviewed. Factors such as infections, urine dilution, urinary pH, and suture materials are discussed from an investigative point of view. The various kinds of clinical foreign body stones reported are categorized according to the manner of introduction into the urinary tract and anatomic locations.

Diuresis↗
PubMed2000

Prognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies.

OBJECTIVE: To evaluate prognostic factors associated with final visual outcome, development of posttraumatic infectious endophthalmitis, and occurrence of proliferative vitreoretinopathy in patients with penetrating ocular injuries caused by intraocular or retrobulbar foreign bodies (FBs). DESIGN: Clinic-based cross-sectional study. PARTICIPANTS: One hundred thirty patients presenting with penetrating ocular injuries caused by lacerations from FBs were operated on by one of two surgeons between 1989 and 1997. Follow-up time was an average of 20.84 +/- 20.76 months (median: 17.0 months). All FBs were located posterior to the lens. INTERVENTIONS: Pars plana vitrectomy; foreign body removal; additional surgical procedures according to the clinical situation. MAIN OUTCOME MEASURES: Postoperative visual acuity; posttraumatic infectious endophthalmitis; proliferative vitreoretinopathy. RESULTS: Occurrence of posttraumatic infectious endophthalmitis developing in seven patients (7/130 = 5.4%) was significantly (P = 0.026) associated with removal of the FB later than 24 hours after the accident and with the type of the FB (P < 0.01). Size (P = 0.37) of the FB, preoperative visual acuity (P = 0.62), presence of traumatic cataract (P = 0.75) or a retinal lesion by the FB (P = 0.16), age (P = 0.39), and gender (P = 0.46) did not show a statistically significant influence on the occurrence of endophthalmitis. Statistically significant risk factors for the development of proliferative vitreoretinopathy occurring in 27 patients (27 of 99 [27.6%] patients with a minimal follow-up of 3 months) were size of the FB (P < 0.001), preoperative visual acuity (P = 0.02), presence of a retinal lesion (P = 0.002), and traumatic cataract (P = 0.03). The time between FB removal and the accident was statistically marginally associated with the development of proliferative vitreoretinopathy (P = 0.07). Postoperative visual acuity depended significantly on size of the FB (P = 0.002), preoperative visual acuity (P < 0.001), presence of a retinal lesion (P = 0.049), and location of the retinal lesion (P < 0.001). Three eyes had to be enucleated because of endophthalmitis or phthisis bulbi. CONCLUSIONS: Prognosis in open-globe injuries with intraocular or retrobulbar foreign bodies depends on the size and type of the foreign body, presence and location of retinal lacerations, additional involvement of other intraocular structures, preoperative visual acuity, and timing of surgery. These factors may be important in preoperative counseling of the patient and for planning surgery.

Adolescent↗
PubMed2006

An unusual method for the removal of a foreign body from a child's airway.

This is a case of a 6-year-old child who had a laryngeal foreign body, which was obstructing his airway. The object was large and dense, and traditional methods of removal had failed. After lifting the child upside down by his feet, the heavy foreign body was removed using a laryngoscope and finger sweep. Foreign body removal can be challenging, and this is a simple method that a practitioner may be able to use in a difficult case.

Airway Obstruction↗
PubMed1997

Contamination of microbial foreign bodies in bottled mineral water in Tokyo, Japan.

A total of 292 imported and domestic bottled mineral waters (90 brands) obtained from consumers and retailers were examined, by eye, for observable microbial foreign bodies. Fungal and bacterial foreign contaminants were found in 45 samples of water (20 brands) and in 14 samples of water (10 brands), respectively. Of the samples of water found to be contaminated, 41 (22 brands) were imported and 18 (8 brands) were produced domestically. Of 22 brands that were contaminated, 20 (91%) had been sterilized by at least one method. Forty-eight (98%) of 49 samples confirmed with foreign bodies were less than 1 year old. Among the moulds isolated the most predominant genus was Penicillium, followed by Acremonium and Cladosporium. The samples that contained fungi were less contaminated by bacteria than those that contained observable bacterial foreign bodies.

Bacteria↗
PubMed1996

Foreign-body reaction and the course of osteolysis after polyglycolide implants for fracture fixation: experimental study in sheep.

Foreign-body reaction to polyglycolide (PGA) implants has been described in man. Many animal experiments have verified the mechanical properties of fixation devices made from PGA, but a significant foreign-body reaction has not been described. We studied the effect of PGA rods in 12 sheep with standardised osteochondral fractures of the medial femoral condyle fixed with uncoloured, self-reinforced PGA rods (Biofix). Radiographs were taken at intervals ranging from two weeks to two years, and the sheep were killed at intervals ranging from six to 24 months. All knees were examined histologically. Eleven of the 12 fractures healed radiologically and histologically. Moderate to severe osteolysis was seen at four to six weeks with maximum changes at 12 weeks in ten animals. Six knees showed fistula-like connections between the implant site and the joint space. Three developed synovitis, one with inflammatory changes involving the whole cartilage and one with destruction of the medial condyle. Although in our study osteochondral fractures fixed with PGA rods healed reliably, there were frequent, significant foreign-body reactions. Caution is needed when considering the use of PGA fixation devices in vulnerable regions such as the knee.

Animals↗
PubMed2004

Foreign body reactions in lymph nodes of oncology patients with joint prostheses--light-, electron microscopic and immunohistological investigations.

Foreign body reactions in lymph nodes caused by wear particles from joint prostheses can mimic different lymphadenopathies, including metastatic cancer. The knowledge of these alterations is particularly important for pathologists performing frozen section diagnosis for oncology patients. As recent investigations of pseudocapsules have revealed that most of the wear particles are submicron-sized, transmission electron microscopic investigations were additionally performed. The histological investigation of the pelvic lymph nodes of 22 oncology patients with joint prostheses showed that the bone cement wear prevailed. At least small amounts of polyethylene wear particles were also found in all cases. Metallic wear particles were detected in 90% of the cases. The wear particles induce a macrophage-rich foreign body reaction that can cause an architectural effacement of the lymph nodes. The electron microscopic investigations showed that submicron-sized wear particles prevail. Some of them form conglomerates in size ranges detectable by light microscopy. The immunohistochemical studies showed that the foreign body reactions comprised mature CD163- and PGM1-positive macrophages and few lymphocytes, predominantly T-lymphocytes. The knowledge of the characteristic alterations of regional lymph nodes seems important in order to avoid misinterpretations. Therefore, in particular the detection of intracytoplasmatic wear particles is helpful in this respect.

Antigens, CD↗
PubMed1988

New considerations in the pathogenesis of coagulase-negative staphylococcal foreign body infections.

Coagulase-negative staphylococci are the predominant cause of foreign body infections. The pathogenesis is related to the ability of these staphylococci to adhere to and grow on polymer surfaces and to produce an extracellular slime substance. The exact chemical nature of this extracellular slime substance is still not known, although there is some evidence that it may be a complex glycoconjugate. On the basis of in-vitro and animal data, the extracellular slime substance seems to interfere with various host-protective mechanisms and with the action of antistaphylococcal antibiotics. These factors can explain several clinical characteristics of coagulase-negative staphylococcal foreign body infections.

Bacterial Adhesion↗
PubMedDate not supplied

A foreign body (chicken bone) in the rectum causing extensive perirectal and scrotal abscess: report of a case.

A case of foreign-body perforation of the rectum with extensive necrotizing fasciitis is presented and the literature briefly reviewed. The peculiarity of the case was brought out because of the nature of the foreign body(chicken bone) and the extensiveness of the process. The increases risk of swallowing a foreign body if dentures are worn is pointed out.

Abscess↗
PubMedDate not supplied

Endoscopic retrieval of a large, nasopharyngeal foreign body.

A 1.5-year-old golden retriever was presented for stertorous respiration, reverse sneezing, halitosis, and a bilateral mucopurulent nasal discharge. A bone-density, nasopharyngeal foreign body was visualized on lateral radiographs of the skull. The foreign body was removed using a videoendoscope and a basket retrieval forcep. The dog's clinical signs resolved following foreign body removal.

Animals↗
PubMed1984

Endoscopic extraction of foreign bodies from the duodenum: four cases in infancy.

Four cases of foreign bodies in the duodenum were treated using a flexible fibre-optic panendoscope. All the patients were boys and eight months to four years of age. The ingested foreign materials were an injection needle, a marking pin, a hairpin and a curtain hook. Endoscopic extraction was attempted, because the ingested objects might cause perforation or obstruction of the gastrointestinal tract. Until recently, they had to be carefully watched or prophylactic operation suggested. Under general anaesthesia, duodenal endoscopy was easily performed and extraction of foreign bodies was not found to be difficult during infancy. This is considered to be a safer and less hazardous way than careful watching or prophylactic operation.

Child, Preschool↗
PubMed1992

Foreign-body osteitis of the metacarpal bone.

Foreign-body granulomas in the hand can appear secondary to an unrecognized foreign material. In a six-year-old boy, an extensive sterile osteitis of the second metacarpal bone appeared adjacent to a wood splinter.

Child↗
PubMed1986

[A foreign body in the urinary bladder].

A case concerning the problems of the foreign bodies of the urinary bladder is demonstrated. The 6-year indwelling stay of the foreign body without consultation of a physician and the oral intake at first reported, which was later on revised, are unusual.

Adolescent↗
PubMed1976

Removal of foreign bodies from esophagus and stomach with flexible fiberoptic panendoscopes.

Accidentally swallowed foreign bodies were removed from the esophagus or stomach in six children using flexible panendoscopes. Complications did not occur. The increased flexibility of these new instruments allows removal of objects from the stomach that would previously have required gastrotomy. Our experience suggests that fiberoptic endoscopy should be used for removal of foreign bodies.

Child, Preschool↗