Esophageal Foreign Bodies

Taylor, Ronald B.

doi:10.1016/s0733-8627(20)31095-6

Cited by 55 publications

(7 citation statements)

References 47 publications

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“…A definitive radiographic diagnosis of impacted dental prostheses would indicate the level of impaction, the type of prosthesis involved as well as allowing the diagnosis of any complications that may occur e.g. subcutaneous emphysema, pneumothorax, lung abscesses, segmental or lobar atelectasis and even free intraperitoneal air (12). A wider issue to consider is the fact unless the chest and abdomen is radiographed those FE lying within the chest or abdomen will be missed.…”

Section: Resultsmentioning

confidence: 99%

The Radiopacity Of Dental Prostheses (Fixed And Removable) On Plain Radiographs - An Experimental Study

Kasim

Abdullah²,

Mahadevan³

et al. 1998

ADUM

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The impaction of dental prostheses in either the airway or esophagus is an under-recognized problem which may result in severe morbidity or even mortality. The radio-opacity and the size of fixed and removable dental prostheses in an animal carcass was investigated. Prostheses were placed one at a time in the oro-laryngopharynx or in tho trachea and the esophagus. Lateral radiographs were taken for each prosthesis in site. The radio-opacity and size of the prostheses on the radiograph was graded. Most of the prostheses investigated were radio-opaque though the removable prostheses were more likely to be radiolucent and differ in size. In a symptomatic patient with a missing dental prosthesis, a negative chest or abdominal radiograph does not exclude impaction, inhalation or ingestion. Further evaluation with endoscopy or even computed tomography may be essential to reduce the possibility of severe morbidity or even mortality.

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Section: Resultsmentioning

confidence: 99%

The Radiopacity Of Dental Prostheses (Fixed And Removable) On Plain Radiographs - An Experimental Study

Kasim

Abdullah²,

Mahadevan³

et al. 1998

ADUM

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“…5 There is no doubt about the usefulness of the plain radiograph if an opaque FB is suspected, as is frequently the case in children, but in adults, FBs are usually fish bones or food boluses, and the accuracy of radiography is lower. 1 Rigid esophagoscopy should be performed as soon as possible whenever fiberoptic exploration fails. It allows the examiner to open potential spaces in the hypopharynx and postcricoid area that would not be apparent on fiberoptic examination.…”

Section: Discussionmentioning

confidence: 99%

Thirty‐Centimeter Barbecue Skewer Hooked on the Pharyngoesophageal Junction of a Healthy Young Adult

Galera-Ruiz

Morales-Salas²,

Prado-Mediano³

et al. 2003

Otolaryngol.--head neck surg.

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“…The most common symptoms of an upper aerodigestive tract FB (UADT-FB) are a lumpy sensation, odynophagia, dysphagia, nausea, and vomiting [10, 11]. These symptoms with negative findings (NFs) of UADT-FBs are actually similar to symptoms with FB impaction.…”

Section: Introductionmentioning

confidence: 99%

Learning Curve of Upper Aerodigestive Tract Foreign Body Management for Otorhinolaryngology Residents

Chiu

Huang

Chang

et al. 2021

ORL

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Introduction: Foreign body ingestion is the most common reason for otolaryngology specialist consultations in emergency departments. Among the different types of foreign bodies, fish bones are the most common, particularly in Asian populations. In Taiwan, upper aerodigestive tract foreign bodies (UADT-FBs) are mostly managed by residents in the otorhinolaryngology (ORL) department. Considering the learning curve required for all procedures, different management types between residents, and possible resulting safety issues, this study explored the outcomes of UADT-FB management by residents in different years of ORL training. Materials and Methods: The medical records of 2,283 patients who visited Kaohsiung Veterans General Hospital’s Emergency Department for UADT-FB during June 2013–August 2019 were retrospectively reviewed. The reviewed data included the demographic data of enrolled patients, outcomes of foreign body management, and follow-up chart records of the patients. Results: Among the 2,283 patients, 1,324 (58%) were found to be negative for foreign bodies, and foreign bodies in 951 (41.7%) were removed immediately. In the negative finding (NF) group, 2 (4.9%) patients were later found to be positive for foreign bodies during follow-up in the outpatient department. One (2.4%) patient developed a deep neck infection and esophageal perforation. The percentage of NFs decreased from 62.58% in residents in the first half of their first year (R1a) to 54% for third-year residents (R3). Comparing R1a with R3, the number needed to harm for retained UADT-FBs after patients visited the emergency department was 12.2. Discussion/Conclusion: This study provides data from 1 referral center regarding the management of UADT-FBs. With increasing resident training, the percentage of NFs declined from 62.58 to 54%. Young residents, especially those in the first 6 months of their training, should have senior residents perform a second examination if UADT-FBs are not found in suspected cases.

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Esophageal Foreign Bodies

Cited by 55 publications

References 47 publications

The Radiopacity Of Dental Prostheses (Fixed And Removable) On Plain Radiographs - An Experimental Study

The Radiopacity Of Dental Prostheses (Fixed And Removable) On Plain Radiographs - An Experimental Study

Thirty‐Centimeter Barbecue Skewer Hooked on the Pharyngoesophageal Junction of a Healthy Young Adult

Learning Curve of Upper Aerodigestive Tract Foreign Body Management for Otorhinolaryngology Residents

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