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PubMedDate not supplied

New means of foreign body localization and extraction using the Sadowsky Breast Marking System.

A thorough and concise review of the literature has revealed innumerous techniques available for localizing and retrieving foreign bodies within the foot. A new method of isolating and removing foreign bodies using the Sadowsky Breast Marking System (SBS) is presented. The SBS, in association with fluoroscopy, permits simple surgical implementation with accurate localization and extraction of foreign bodies, with the elimination of awkward, unpredictable, and time consuming retrieval techniques.

Breast↗
PubMed2004

Endoscopic assistance in the removal of a foreign body in the condylar process.

This case report describes the application of the endoscopic technique in the removal of a metallic foreign body in the condylar process in an 81-year-old man. The patient's history indicated 60 years of pain in the left preauricular region as well as complaints of localized headaches. Physical examination revealed multiple scars on the patient's left preauricular region. No limitation of mandibular movement and no joint clicking were detected. Maximal mouth opening was 45 mm. According to the patient, masticatory function was normal. Digital palpation of the temporomandibular joint did not produce pain. Radiographic diagnosis was performed, which showed a pointed metallic foreign body lodged in the left condylar process. The removal of the foreign body was performed under endoscopic visualization via an intraoral approach. A 30 degrees-angled 4-mm diameter endoscope (Karl Storz, Tuttlingen, Germany) with a xenon light source was used.

Aged↗
PubMed1994

Aerodigestive-tract foreign bodies in children: pitfalls in management.

A review of the charts of pediatric patients admitted with the final diagnosis of tracheobronchial or esophageal foreign bodies was carried out for the 5 years prior to September 30, 1992. Removal of foreign bodies from the aerodigestive tract poses little problem for the experienced endoscopist, and the inference that the diagnosis and initial management of patients should be equally well performed often follows. However, initial misdiagnosis, delayed diagnosis, inappropriate methods of patients transfer, or great variation in diagnosis methods still provide ample opportunity for delay in treatment and complication. Pitfalls in management occurred because of incomplete radiographic evaluation, confusion due to prior or concurrent illness, improper patient transfer, unusual presentation, and inappropriate methods of foreign-body removal. Demonstrative cases and summary statistics are presented.

Adolescent↗
PubMed1994

Surgical management of intraretinal foreign bodies.

PURPOSE: To identify the clinical features in eyes with intraretinal foreign bodies (IRFBs) and evaluate the results of surgical management in these cases. METHODS: The records of 75 patients (76 eyes) with IRFBs were retrospectively reviewed. All eyes underwent vitrectomy. The IRFBs were removed with intraocular forceps in 45 eyes (59.2%) and by magnetic extraction in 31 eyes (40.8%), either through pars plana sclerotomy or through the sclera over the IRFB after precise localization. Laser photocoagulation or cryotherapy was performed around the IRFB before surgery in 38 eyes. RESULTS: The average follow-up period was 34 months. Of the 75 patients, 46 (61.3%) were injured at war. The IRFBs were metallic in 71 (93.4%) eyes. Of these, 59 (83%) were ferromagnetic. In these 76 eyes, final visual acuity was 20/15-20/40 in 37 (48.6%), and 20/50-20/200 in another 10 (13%). In 19 eyes (25%), partial or total retinal detachment was present at the final follow-up examination. CONCLUSION: Surgical management of IRFBs is a complicated procedure. The appropriate route of removal may be determined by the type and site of the embedded IRFB. Performance of a meticulous vitrectomy is mandatory, and an attempt should be made to minimize the rate of iatrogenic peripleral retinal breaks. Preoperative retinopexy around the site of the embedded foreign body is recommended, if possible, to reduce the risk of retinal detachment. The prognosis in eyes with IRFBs and rhegmatogenous retinal detachment is guarded.

Adolescent↗
PubMed2000

[Halitosis in two children caused by a foreign body in the nose].

In two boys aged 4.5 and 1.5 years with halitosis a nasal foreign body was found. After removal the foetor disappeared. Little is known about the epidemiology of halitosis in children. Apart from specific odours with certain systemic disorders, local pathology such as chronic sinusitis, upper and lower respiratory tract infections and to a lesser degree gastrointestinal disorders may be the cause of the offensive smell. As in adults, bad breath in children is usually related to poor oral hygiene or disease of the oral cavity. The first-line treatment is proper oral hygiene and if necessary dental sanitization. In resistant cases further evaluation should be aimed at disclosing the causative pathology, in which case in children the possibility of a nasal foreign body should also be considered.

Child, Preschool↗
PubMed1996

Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases.

Ingested foreign bodies (FBs) present a common clinical problem. As the incidence of FBs requiring operative removal varies from 1% to 14%, it was decided to perform this study and compare the data with those from the world literature, as well as to outline an algorithm for management, including indications for surgery. We reviewed all patients with FB ingestion from 1973 to 1993. There were 542 patients with 1203 ingestions, aged 15 to 82 years. Among them, 69. 9% (n = 379) were jail inmates at the time of ingestion, 22.9% (n = 124) had a history of psychosis, and 7.2% (n = 39) were alcoholics or denture-wearing elderly subjects. Most foreign bodies passed spontaneously (75.6%; n = 410). Endoscopic removal was possible in 19. 5% (n = 106) and was not associated with any morbidity. Only 4.8% (n = 26) required surgery. Of the latter, 30.8% (n = 8) had long gastric FBs with no tendency for distal passage and were removed via gastrotomy; 15.4% (n = 4) had thin, sharp FBs, causing perforation; and 53.8% (n = 14) had FBs impacted in the ileocecal region, which were removed via appendicostomy. Conservative approach to FB ingestion is justified, although early endoscopic removal from the stomach is recommended. In cases of failure, surgical removal for gastric FBs longer than 7.0 cm is wise. Thin, sharp FBs require a high index of suspicion because they carry a higher risk for perforation. The ileocecal region is the most common site of impaction. Removal of the FB via appendicostomy is the safest option and should not be delayed more than 48 hours.

Adolescent↗
PubMed2004

[Acute pancreatitis due to a metallic foreign body].

We report a case of acute pancreatitis caused by a metallic foreign body located in the pancreatic head in a 38-Year-old woman. Only 15 cases of acute pancreatitis due to foreign bodies, metallic in five cases, have been published to date. In our case, diagnosis was established by the computed tomography scan. The patient declined surgery.

Acute Disease↗
PubMed1990

[Ultrasonic identification of foreign bodies in superficial soft tissues].

The authors investigated US capabilities in detecting foreign bodies retained in superficial soft tissues. Ten patients were studied: 5 of them with history of recent trauma and 5 with painful superficial swelling where US revealed the presence of foreign matter. US findings were confirmed by subsequent surgical specimens. In the first group of patients, a hyperechoic stripe was observed, whereas a hyperchoice nodule with a hyperechoic core was detected in the second group of patients. The latter US pattern may be explained by the presence of a reactive granuloma. US has shown to be very useful in diagnosing this kind of lesion, and it can thus be considered as the only reliable imaging modality to identify radiolucent foreign bodies.

Evaluation Studies as Topic↗
PubMed1998

Management of glass intraocular foreign bodies.

PURPOSE: To describe the results of management of glass intraocular foreign bodies (IOFBs). METHODS: A total of 51 eyes of 43 patients that sustained penetrating injury with glass IOFB were studied retrospectively. A total of 23.5% had IOFB only in the anterior segment; the rest had IOFB in the posterior segment alone or in both the anterior and posterior segments. Six eyes were followed conservatively despite IOFB in a functional eye. Removal of IOFB was combined with repair of retinal detachment (where present) using internal tamponade with gas or silicone oil or buckle. RESULTS: After a mean follow-up of 16.8 months, 66.7% of eyes recovered better than 6/60 (20/200) vision and 75.6% had attached retina. On univariate analysis, scleral entry wound, posterior segment IOFB, larger size of IOFB, and retinal damage were found to be associated with poor anatomic outcome. Lower presenting visual acuity, hyphema, retinal damage, subretinal hemorrhage, detached retina, and larger IOFB were associated with a poor functional result. Multivariate analysis identified retinal damage caused by the foreign body as the only factor significantly associated with poor anatomic as well as functional outcome. CONCLUSIONS: Glass IOFBs are caused in a majority of cases by blast injury. Bilaterality is not uncommon. Presence of retinal damage is predictive of poor functional and anatomic results. Overall results are modest with modern vitreoretinal surgical techniques.

Adult↗
PubMed1980

Sequelae of intrinsic foreign-body contamination during selective renal angiography in rabbits.

The significance of foreign-body contamination of contrast media, flushing solutions, and angiographic equipment was investigated by selective renal angiography in 32 rabbits. Infarction caused by foreign bodies introduced by the angiographic procedure was frequently demonstrated. As a particulate matter is also injected during human angiography, its effects should be carefully sought.

Angiography↗
PubMed1986

Dislodgement of impacted oesophageal foreign bodies with carbonated beverages.

Carbonated beverages release sufficient carbon dioxide when ingested, to distend the oesophagus, relax the lower oesophageal sphincter and to force the passage of impacted meat and other foreign bodies into the stomach. Of 28 patients with foreign bodies in the oesophagus, eight had them dislodged after ingestion of barium sulphate suspension, whereas carbonated soda water was used successfully in 16 out of 20 patients with a normal oesophagus or with oesophageal motility disorders and organic strictures. Carbonated beverages may be used as the first-line treatment of acute episodes of oesophageal obstruction due to foreign bodies and could also be integrated into the long-term management of oesophageal disease.

Adult↗
PubMed2006

Calcification of the posterior cricoid lamina simulating a foreign body in the aerodigestive tract (2005:11b).

This interpretation corner case, reporting a man with suspicion of ingestion and perforation of the oesophagus by a foreign body, highlights the danger of false appearances on plain radiographs for detection of foreign bodies in the aerodigestive tract. Plain radiographs and CT revealed a needle-shaped calcified object between the cricoid plate and the oesophagus lumen, which turned out to be an abnormal cricoid calcification. There is also a discussion about the role of radiology in the detection of foreign bodies in the aerodigestive tract.

Bone and Bones↗
PubMed1989

Wounds associated with osseous sequestration and penetrating foreign bodies.

Nonhealing wounds can present a frustrating clinical challenge to the veterinary practitioner. In many cases, healing is delayed by the presence of a foreign body or sequestrum; a review of wounds complicated by the presence of osseous sequestration and penetrating foreign bodies is presented. The typical signs include delayed wound healing and the presence of serous to exudative drainage, which may vary from intermittent to continuous. The use of radiographic or sonographic imaging modalities is often of value in reaching a diagnosis. Removal of the sequestra or foreign body is generally curative.

Animals↗
PubMed2002

Unique foreign body injury: bamboo penetration of thigh and pelvis while skiing.

We present a case of traumatic bamboo foreign body penetration through the posterior thigh extending cephalad into the pelvis sustained during skiing. The unsuspected bamboo foreign body was missed prospectively on the initial portable trauma radiograph of the pelvis, but was retrospectively quite apparent as a linear 12 x 2-cm radiolucent region overlying the left pelvis and hip region. On CT examination, the bamboo stick appeared as a round cylindrical air-filled structure of high density compared to soft tissue - the typical appearance of bamboo. Bamboo foreign bodies can be recognized radiographically by this typical appearance, since it is one of the few wood products that causes high attenuation relative to soft tissue on CT.

Journal Article↗
PubMedDate not supplied

Traumatic reticulitis, the comet naso-reticular instrument for withdrawal of foreign bodies from the reticulum of cattle.

A new idea of a long-acting magnetic probe is presented and tested. The magnetic probe has been designed to remain for a period of time in the reticulum before it is retracted with the foreign bodies adhering to it. The instrument is fixed by a wire passing through the nose, pharynx and oesophagus. No adverse effects on the animal have been observed, and the animal can eat during the treatment. The examination showed that the instrument attracted nearly all the free foreign bodies and the superficially penetrating bodies, resulting in therapeutically good results in 50-55 per cent of the cases examined. The instrument has proved to be capable of attracting as many as 21 foreign bodies at the same time. As a preventive tool, it may be recommended to be used 2-3 times a year. Or it may be used for emptying the reticulum of foreign bodies prior to the application of a permanent magnet.

Animals↗
PubMed2002

[Foreign bodies in the heart].

During 1987-2000, in Clinic of Thoracic Surgery, Kaunas Medical University Hospital 30 patients with cardiac injuries and foreign bodies in the heart were treated. Average age of patients--37 years. Eighteen patients were extra operated with symptoms of acute pericardial tamponade and shock. We found right ventricular involvement for 5 patients; 9 patients had left ventricular injury, 2 had right atrium injury and 1 patient had left atrium injury. Two patients had foreign bodies in the heart (one--needles, one--bullet). We present two rare cases of foreign bodies in the heart.

Adult↗