Laryngotracheal foreign body: chicken neck bone

Balica, Nicolae Constantin; Sitaru, Adrian Mihail; Boia, Eugen Radu; Horhat, Delia Ioana; Moţ, Ion Cristian; Chioreanu, Alexandru; Poenaru, Mărioara

doi:10.1177/0300060519848260

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Our patient had impacted FB in the narrowest region of the larynx [1], i.e., Rima glottis, for 20 days, which is significantly longer than the previously reported publication of three days in a 78-year-old man with neurological disabilities [9]. His alcohol dependence and epilepsy could have predisposed him to increased chances of aspiration [1].…”

Section: Discussionmentioning

confidence: 48%

Laryngeal Foreign Body for 20 days without a Catastrophic EventLaryngeal Foreign Body for 20 days without a Catastrophic Event

Ved¹,

Sambiagio²,

Balaji³

2022

Int J Respir Pulm Med

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We present successful management of an unusual foreign body (FB) case in the larynx for 20 days. A 45-year old man presented with complaints of hoarseness of voice and coughing up a few pieces of silver-colored flakes. He had unresolved dyspnoea and wheeze for three weeks and was managed as an asthmatic with partial resolution of symptoms. The patient was alcohol and drug dependent and was under treatment for epilepsy.Fibre-optic laryngeal examination revealed a suspicious object in the Rima glottis. A blister pack measuring 2.6 cm × 2.2 cm was removed under GA. FB larynx is routinely associated with a definitive short history and the need for immediate resuscitation. However, the long period of persistence of FB in the larynx is possible depending upon the position of the FB. A history of aspiration may not be available in patient's dependent on alcohol, drugs, and with epilepsy.

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Section: Discussionmentioning

confidence: 48%

Laryngeal Foreign Body for 20 days without a Catastrophic EventLaryngeal Foreign Body for 20 days without a Catastrophic Event

Ved¹,

Sambiagio²,

Balaji³

2022

Int J Respir Pulm Med

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“…4 A search of PubMed for "laryngeal foreign body chicken" revealed only six articles, of which only three were related to penetration syndrome. 5 A rare case of inter-arytenoid foreign body is discussed.…”

Section: Introductionmentioning

confidence: 99%

Impacted inter-arytenoid chicken bone

Munjal

Gupta

Singh

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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<p>The anebriated individual with sluggish reflexes is likely to aspirate inadverently fluids, semisolids and solids alike. Fish and chicken preparations with their sharp skeletal bones may lacerate or get entangled in the mucosa of the upper aerodigestive tract. The tonsillar fauces, pyriform fossae, post cricoid region, supraglottis, glottis, subglottis, trachea, carina and either bronchi are the common sites of impaction of sharp-edged foreign bodies. We herein present a case involving a 40-year-old patient who had aspirated a laryngotracheal foreign body (chicken bone) 3 days prior to hospital admission, which was removed by tracheostomy and suspension microlaryngoscopy. </p>

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Successful removal of metallic foreign body in the neck-mediastinum via the parapharyngeal space approach

2022

Ear Nose Throat J

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Neck-mediastinum foreign body (FB) is a common emergency in otorhinolaryngology head and neck surgery departments, and it can be lethal. We present a case of an uncommon foreign body in the neck-mediastinum. The FB was metallic and about 12 cm long. A 74-year-old male accidentally swallowed a metallic FB that lodged in his throat for > 3 days. The intake of the object was associated with smoking a peace pipe, and was an indication for surgery. Aerodermectasia was observed in the neck upon physical examination, and a high-density foreign body was found in the neck-mediastinum through cervicothoracic computed-tomography (CT) scan. Electronic laryngoscopy showed a white pseudo-membrane adhering to the surface of the bilateral piriform fossa in the right laryngeal vestibule, and the root of the tongue, and mucosa were swollen. Cervicothoracic CT revealed dense shadows in the neck-mediastinum. However, electronic laryngoscopy showed no FB in the larynx or piriform fossa. The metal FB was removed by surgery via the parapharyngeal space approach instead of endoscopy. After preoperative assessment and preparation, we successfully removed the metal FB from the neck-mediastinum via the parapharyngeal space approach. The patient was doing well at one-month follow-up. Neck-mediastinum FB is an emergency but rare case necessitating otorhinolaryngology head and neck surgery. It can easily lead to mediastinal and lung infection; given its location in the body, it may lead to aortic arch rupture if not handled promptly.

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Laryngotracheal foreign body: chicken neck bone

Cited by 4 publications

References 16 publications

Laryngeal Foreign Body for 20 days without a Catastrophic EventLaryngeal Foreign Body for 20 days without a Catastrophic Event

Laryngeal Foreign Body for 20 days without a Catastrophic EventLaryngeal Foreign Body for 20 days without a Catastrophic Event

Impacted inter-arytenoid chicken bone

Successful removal of metallic foreign body in the neck-mediastinum via the parapharyngeal space approach

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