Foreign Bodies in the Oropharynx, Gastointestinal Tract, Ear, and Nose

Srivastava, Geetanjali

doi:10.1016/j.cpem.2010.05.007

Cited by 9 publications

(16 citation statements)

References 50 publications

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“…This practice of early removal is likely due to limited local resources (which makes reducing inpatient duration critical) and to high rates of loss to follow up when such patients are not admitted for observation. 5,20,21 It appears from this study that ingested FBs were managed in a non-standardised manner with attending doctors differing with respect to the choice and extent of investigation and management. This may in part be explained by a lack of guidelines on FB investigation and management, but may also be partly attributable to management by junior doctors lacking knowledge and experience.…”

Section: Discussionmentioning

confidence: 96%

“…The most common accidental ingestants in children are metal objects (coins, pins, paper clips, and button batteries), non-metal objects (wood, toy parts, plastic parts), and food particles such as fish and chicken bones. [4][5][6] Poverty, overcrowding, young maternal age, single parent households, and low maternal educational status all confer risk and make children more vulnerable to both intentional and unintentional injury. 7 The investigation and management of FB ingestion is well defined and based on evidence-based guidelines in many health systems, but in SA, there are no clear guidelines.…”

Section: Introductionmentioning

confidence: 99%

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Investigation and management of foreign body ingestion in children at a major paediatric trauma unit in South Africa

Delport

Hodkinson

Cheema

2015

African Journal of Emergency Medicine

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E´tude sur la prise en charge de l'ingestion de corps e´trangers chez les enfants au sein d'une grande unite´de traumatologie pe´diatrique en Afrique du Sud Introduction: Foreign body (FB) ingestion is a common paediatric presentation to emergency centres in South Africa (SA). There are no guidelines for the management of FB ingestion in children in SA. This study describes the presentation, investigation, and management of FB ingestion at a tertiary paediatric trauma unit in SA. Methods: A retrospective chart review was conducted on all children presenting to Red Cross War Memorial Children's Hospital Trauma Unit with a history of FB ingestion. Data was gathered from referral letters and hospital records, including any radiographs performed. Results: 146 patients were included with a median age of 32 months. Of these, 90% were asymptomatic at presentation. The main types of FB ingested were: 62% metallic, 14% non-metallic, and 15% food. In the metallic group, the most common FB was a coin, ingested by 45% of children. Radiographs were performed in 94% of patients, with a total of 202 radiographs performed on 137 children. The FB was identified by radiographic means in 68% of cases (39% in the oesophagus and 34% in the stomach) and removed endoscopically in 41 patients. Following endoscopy there were minor complications in 7 patients, all of which were managed conservatively. Conclusion: The age distribution and types of FBs ingested are comparable to other published studies, though the investigation and management of FBs varied widely. Most patients with FB ingestion had several radiographs performed, exposing them to potentially harmful radiation. The use of a hand-held metal detector in emergency centres could reduce the number of radiographs performed. Guidelines for the investigation and management of FB ingestions in children in SA are necessary.Introduction: L'ingestion de corps e´trangers (CE) constitue une urgence pe´diatrique courante au sein des centres d'urgence en Afrique du Sud (AS). Il n'existe aucune directive pour la prise en charge de l'ingestion de CE chez les enfants en AS. Cette e´tude de´crit la pre´sentation, l'examen et la prise en charge de l'ingestion de CE au sein d'une unite´de traumatologie pe´diatrique tertiaire en AS. Me´thodes: Une re´vision re´trospective sous forme de diagramme des informations disponibles a e´te´mene´e sur tous les enfants s'e´tant pre´sente´s suite a`l'ingestion d'un CE au sein de l'unite´de traumatologie de l'hoˆpital pour enfants du Red Cross War Memorial. Les donne´es ont e´te´recueillies a`partir de lettres de re´fe´rence et dossiers hospitaliers, y compris les e´ventuelles radiographies effectue´es. Re´sultats: 146 patients ont e´te´inclus dans l'e´tude, aˆge´s en moyenne de 32 mois. Parmi ceux-ci, 90 % ne pre´sentaient aucun symptoˆme a`leur arrive´e. Les principaux types de CE inge´re´s e´taient les suivants : objets me´talliques, 62 %, objets non me´talliques, 14 %, aliments, 15 %. Au sein du groupe « objets me´talliques », les CE les plus fre´quemment ...

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Investigation and management of foreign body ingestion in children at a major paediatric trauma unit in South Africa

Delport

Hodkinson

Cheema

2015

African Journal of Emergency Medicine

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“…Small batteries have a more subtle contour which is hard to detect. When in doubt, repeated X-ray films in different angles are advised to achieve a correct diagnosis [21–23]. …”

Section: Discussionmentioning

confidence: 99%

“…If a battery is diagnosed as a coin on plain film, it may delay its removal unnecessarily [21]. Coin cell batteries typically differ from coin currency on radiographs by appearing slightly more translucent, having an enhanced rim, and showing a step-off on lateral view while a coin has a sharp and crisp edge [2, 23]. Correlation of the suspected objects as described by the patient himself or his caregivers to the radiologic findings is important, in order to plan carefully the next steps in management [21].…”

Section: Discussionmentioning

confidence: 99%

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Button Battery Foreign Bodies in Children: Hazards, Management, and Recommendations

Thabet

Basha

Askar

2013

BioMed Research International

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Objective. The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children. Patients and Methods. This study included 13 patients. The diagnostic protocol was comprised of a thorough history, head and neck physical examination, and appropriate radiographic evaluation. The button batteries were emergently extracted under general anesthesia. Results. The average follow-up period was 4.3 months. Five patients had a nasal button battery. Four patients had an esophageal button battery. Three patients had a button battery in the stomach. One patient had a button battery impacted in the left external ear canal. Apart from a nasal septal perforation and a tympanic membrane perforation, no major complications were detected. Conclusion. Early detection is the key in the management of button battery foreign bodies. They have a distinctive appearance on radiography, and its prompt removal is mandatory, especially for batteries lodged in the esophagus. Physicians must recognize the hazardous potential and serious implications of such an accident. There is a need for more public education about this serious problem.

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Foreign Bodies in Ear, Nose, Throat and Maxillofacial Region: A Study on Their Clinical Profile and Complications

Kekre

Chakravarty

Agarwal³

2020

Indian J Otolaryngol Head Neck Surg

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Foreign Bodies in the Oropharynx, Gastointestinal Tract, Ear, and Nose

Cited by 9 publications

References 50 publications

Investigation and management of foreign body ingestion in children at a major paediatric trauma unit in South Africa

Investigation and management of foreign body ingestion in children at a major paediatric trauma unit in South Africa

Button Battery Foreign Bodies in Children: Hazards, Management, and Recommendations

Foreign Bodies in Ear, Nose, Throat and Maxillofacial Region: A Study on Their Clinical Profile and Complications

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