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At least 1,603 records · Page 89Linked to original sources
PubMed1997

Hepatic foreign body in a child.

The majority of foreign bodies (FBs) swallowed by children are passed spontaneously without event. Perforation of the intestine with migration to the liver is rare. A child with a needle in the right lobe of the liver is reported.

Child, Preschool↗
PubMed1978

Foreign bodies in the ear, nose and throat.

Foreign bodies in ear, nose and throat orifices should not be hastily removed. Inaction is the order of the day, with the exception of the larynx and trachea which have to be rapidly assessed, and the FB removed as a life saving procedure.

Ear↗
PubMed2006

Mass and shape as factors in intraocular foreign body injuries.

OBJECTIVES: To relate the nature, mass, and shape of intraocular foreign bodies (IOFBs) in a consecutive series of 69 patients to the mechanism, location, and visual outcome of the injuries and to compare these outcomes with data collected in our department over the last 70 years. DESIGN: Interventional case series of consecutive patients with IOFBs. PARTICIPANTS: Sixty-nine patients with unilateral IOFBs. INTERVENTION: All patients underwent surgical removal of the IOFB. MAIN OUTCOME MEASURES: Patient data included best-corrected visual acuity (BCVA), imaging and complication rates. For the IOFBs, material, mass, shape, and entry site were determined. RESULTS: The IOFB was metallic in 91% of cases. All but 2 patients were male (mean age, 37). Increasing IOFB mass was associated with posterior segment injury, retinal impact, presenting and final BCVAs< or =20/200, the need for a primary globe repair before secondary IOFB removal, increasing complications, and the development of retinal detachment. Blade-shaped IOFBs penetrated to the posterior segment (97%) more frequently (P<0.05) than disc (74%), cylinder (7.5%), or sphere (7.5%) shapes despite having the second lowest mass. Two patients were shown to have a second previously unrecognized IOFB on computed tomography (CT). Overall, 49% of patients experienced some sort of complication as a result of their injury. The development of endophthalmitis was associated with the failure to use prophylactic systemic antibiotics. There was no association between increased time to IOFB removal and the development of endophthalmitis. The frequency of posterior vitreous detachment was not increased in eyes with more severe injury or those in which surgery was deferred. Final BCVA> or =20/40 was achieved in 56% of the patients. CONCLUSIONS: Intraocular foreign bodies of greater mass were associated with worse outcomes. We have observed an 82% reduction in number of IOFB injuries presenting over the last 70 years and outcomes have improved with advances in surgical technique. We advise that all patients with a visible or suspected IOFB be investigated with x-ray or CT and that they should all receive systemic antibiotics. We detected no advantage or disadvantage in delaying surgery until optimal surgical expertise and/or environment is available.

Adolescent↗
PubMed1981

Extraction of intramyocardial foreign body utilizing operative ultrasonography.

Technical advances in cardiac surgery have made accessible previously remote regions within the heart and great vessels; nevertheless, limitations in the ability to locate intramyocardial foreign bodies with precision utilizing conventional radiographic techniques, together with the frequent inability to palpate a foreign body located within the walls of the heart chambers, has dampened early enthusiasm for their removal. Despite this, the recognized complications associated with nonoperative management continue to militate for an aggressive approach. The following case illustrates the use of operative high-frequency ultrasonography in the exact localization of an intramyocardial foreign body. The precision thus afforded minimizes operative time, confines the size of the necessary ventriculotomy, and greatly facilitates successful removal.

Adult↗
PubMed2005

[Diabolic injury with the localization of foreign bodies in the apex of the intraorbital region ].

BACKGROUND: Air-gun injuries with localisation of the pellet at the apex of the orbital cavity can cause difficult decisions in diagnostics and therapy, especially if you decide to retain the foreign body. METHODS: We report on a 14-year-old boy who was hit by an air-gun pellet. The foreign body went into the left orbit without damaging the globe or the optic nerve. RESULTS: The visual acuity was 1.0, the mobility was only slightly disturbed. A systemic therapy with antibiotics and corticosteroids could stop a series of relapses very well. CONCLUSIONS: Foreign bodies of the orbit can be retained if it is possible to deal with the surrounding reactions properly by conservative therapy.

Adolescent↗
PubMed1995

Positive-pressure technique for nasal foreign body removal in children.

Positive-pressure technique for the removal of nasal foreign bodies in children is an effective alternative to restraints and instrumentation, yet it is underused. A retrospective chart review in a community hospital over a 2-year period yielded 64 cases of pediatric nasal foreign bodies. Eight cases are presented in which the positive-pressure technique was used.

Child, Preschool↗
PubMed1981

Unsuspected esophageal foreign bodies.

Retrospective study of ten infants and young children in whom an unsuspected foreign body was found in the esophagus revealed that all had had wheezing of difficulty swallowing solid food. In four, stridor or wheezing had been ascribed to respiratory infection. All foreign bodies were in the upper esophagus. Their presence can cause prolonged, severe morbidity. They can be identified by radiography of the neck and chest, occasionally supplemented by barium studies.

Child, Preschool↗
PubMed1985

[Unusual foreign bodies of the orbits].

Traumata of the orbita usually affect the bony parts of the orbit, in rare cases foreign bodies are found within the orbita. Also in the latter cases usually there are no difficulties in finding the correct diagnosis due to marked trauma also to the anterior ocular segments. But as to be shown, large intraorbital foreign bodies may be present despite of only minute trauma to the anterior segments, a fact which may easily lead to a false diagnosis.

Aged↗
PubMed2004

Procedural sedation use in the ED: management of pediatric ear and nose foreign bodies.

This is the first report of which we are aware that describes the use of procedural sedation for the emergency department management of ear and nose foreign bodies in children < 18 years of age. During a 5.5-year period, we identified 312 cases of children with a foreign body in a single orifice (174 ear, 138 nose). Procedural sedation was performed in 23% of cases (43 ear, 28 nose) and ketamine was used most commonly (92%). Emergency physicians had a high rate of success in removing foreign bodies (84% ear, 95% nose) and a low complication rate. Procedural sedation had a positive effect on the success rate as more than half of the sedation cases had undergone failed attempts without sedation by the same physician. Emergency physicians should have familiarity with this indication for procedural sedation.

Anesthetics, Dissociative↗
PubMed1982

Foreign-body aspiration. Potential misdiagnosis.

Clandestine aspiration of foreign bodies lodged high in tracheal airway can mimic subglottic croup. Although this relationship is emphasized in textbooks of otolaryngology, documentation in the recent literature is lacking. This report underscores our awareness of a potentially lethal diagnosis masquerading as a more benign viral infection of the laryngotracheal airway.

Croup↗
PubMed1996

Foreign body aspiration in dentistry: a review.

This article reviews the dangers of aspirating foreign bodies of dental origin. Two illustrative cases are presented, including an unusual case involving aspiration of an elastomeric impression material. The authors describe the techniques used to identify the foreign body. A radiodensimetric study of four impression materials demonstrates the difficulty of identifying most impression materials. The authors also present some strategies for reducing the risk of aspiration during dental procedures.

Adult↗
PubMedDate not supplied

[Foreign bodies in the tracheobronchial tree. 12 years' experience].

During a period of twelve years--January 1983 to December 1994, 371 children suspected of foreign body inhalation were admitted in Hospital Pediatric of Coimbra. The diagnosis was confirmed in 200 of them (54%), and this group was analysed. The incidence has increased until 1989 and stabilized in the last 5 years with a median of 18 cases/year. Two third of the children were boys and 84% were under three years old. A history of choking was obtained in 87% of the patients but only 39% of the cases had an early diagnosis (within 24 hours). The most frequent clinical findings were abnormal auscultation, sternal retraction, cough, wheezing and fever. Sixty percent of them were asymptomatic. The chest radiology findings were air trapping in 45%, consolidation in 21% and in 17% there were no abnormalities. Radiopaque foreign bodies were found in 9%. Organic bodies were the most frequent (74%) and among these, peanuts, lupines and beans. Food aspiration in one case took to cardiorespiratory arrest and in another with a late diagnosis bronchial stenosis needed a surgical treatment. Complications of foreign bodies extraction had no consequences.

Adolescent↗