The management of accidental wire brush bristle ingestions: A combat military perspective

Abstract

There has been an increasing recent trend in accidental ingestion of wire barbeque grill brush bristles. Because of the unique nature of the foreign object, both the diagnosis and management of this injury are new realms in everyday trauma without clearly established protocols. We present the case of an accidental wire bristle ingestion resulting in oesophageal perforation; with insight from recent military trauma data, we managed this patient conservatively without surgical exploration. In the subset of asymptomatic patients with negative imaging, this divergence from operative management is safe with close observation and follow-up.

Hazards and Management of Wire Bristle ingestions: A Systematic Review

“…The final 57 studies were included in this review and used for data abstraction. 2-9,12-60 Our PRISMA flowchart is detailed in Figure 1 . Retrospective case series were evaluated with the NICE quality assessment tools (National Institute for Health and Care Excellence), 76 outlined in Table 2 .…”

“…A systematic search was performed per the PRISMA literature selection process ( Figure 1 ). 2-9,12-75 Two authors (N.M. and Y.M.) independently searched the literature for relevant articles.…”

Epidemiology of Wire‐Bristle Grill Brush Injury in the United States, 2002‐2014

“…Literature review discovered 17 relevant sources. [1][2][3][4][11][12][13][14][15][16][17][18][19][20][21][22][23] The most common location of injury (Table 2) was the oropharynx (throat, tonsil, pharynx, vallecula, oropharynx, pyriform sinus, posterior pharyngeal wall) in both the NEISS database (23 of 43 patients, 53.4%) and the literature review (11 of 36 patients, 30.5%). However, the oral cavity (mouth, tongue, palate, teeth) was most frequently listed in the consumer-reported SaferProducts.gov database (9 of 24, 37.5%).…”

Management of Wire Brush Bristle Ingestion

“…4 Furthermore, of the 30 cases reported in the medical literature, 26 were published in the past 3 years. [5][6][7][8][9][10][11][12][13][14][15][16][17] Presenting symptoms ranged from mild dysphagia to small bowel perforation. However, for the purposes of this article, the authors focus on the 23 cases that had upper aerodigestive presentations.…”

“…However, for the purposes of this article, the authors focus on the 23 cases that had upper aerodigestive presentations. [5][6][7][8][9][11][12][13][14]16,17 These cases were roughly split between sexes (11 male, 12 female). Ages range from 10 to 92 years old.…”