The Management of Ingested Foreign Bodies in an Ear, Nose, and Throat Emergency Unit: Prospective Study of 204 Cases

Marçal, Nuno; Soares, José; Pereira, Gabriel; Guimarães, Joana; Gonçalves, Matos; Godinho, Tiago

doi:10.1016/j.otoeng.2013.05.001

Cited by 12 publications

(11 citation statements)

References 9 publications

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“…A fish bone foreign body is the most found foreign body ingestion in adults. [1][2][3][4][5] Chiu et al 26 found 79.8% of foreign bodies in the throat were fish bones, and Shaariyah et al 3 found fish bones in 44,3% of foreign body ingestion. Sung et al 4 evaluated 316 cases of swallowed foreign bodies and found 169 male patients (53.5%), 147 female (46.5%), with an average age of 47.9 years (range 2 months to 87 years).…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Approximately 80-90% cases of foreign body ingested through the gastrointestinal tract and pass spontaneously, 10-20% need non-surgical treatment (endoscopic), and 1% need surgical treatment. [1][2][3][4][5] The most common clinical symptoms of ingested foreign bodies are pharyngeal pain, odynophagia, dysphagia, foreign body sensation, and hypersalivation. Older children and adults may identify the ingestion and localize area of discomfort.…”

Section: Introductionmentioning

confidence: 99%

“…However, the area of discomfort often does not correlate with the site of impaction. 1 One of the most common foreign body ingestion is a fish bone. [1][2][3][4][5] Most cases swallowed fish bone can be identified and removed by direct action.…”

Section: Introductionmentioning

confidence: 99%

“…1 One of the most common foreign body ingestion is a fish bone. [1][2][3][4][5] Most cases swallowed fish bone can be identified and removed by direct action. This is due because mostly fish bones lodge in the oropharynx (such as the tonsils, base of the tongue, vallecula, and pyriform sinus).…”

Section: Introductionmentioning

confidence: 99%

“…7 Foreign bodies can cause damage to the pharynx and esophagus and cause complications such as esophageal perforation, 8 retropharyngeal abscess and / or mediastinitis. 1,9,10 Harkani et al 11 reported 5 cases of retropharyngeal abscess which 3 cases were caused by stuck a fish bone.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of a Fish Bone Foreign Body at Esophageal Introitus With and Without Retropharyngeal Abscess

Asyari¹,

Novialdi²,

Fitri³

et al. 2015

Majalah Kedokteran Andalas

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Benda asing yang tertelan merupakan kegawatdaruratan di bidang telinga hidung tenggorok (THT). Tulang ikan merupakan salah satu benda asing di tenggorok yang banyak ditemukan. Abses retrofaring merupakan komplikasi yang sering terjadi akibat tersangkut benda asing ini. Foto polos leher posisi lateral perlu dilakukan untuk kecurigaan adanya lesi di daerah faring. Pasien dengan gejala menetap harus dievaluasi dengan endoskopi, walaupun pada pemeriksaan radiologi tidak tampak. Benda asing harus segera dikeluarkan untuk mencegah komplikasi lebih lanjut. Abses retrofaring diterapi dengan medikamentosa dan drainase pus. Jika terdapat benda asing harus dikeluarkan. Dilaporkan dua kasus benda asing tulang ikan di introitus esofagus. Kasus pertama pada seorang pasien laki-laki umur 42 tahun tanpa abses retrofaring dan kasus kedua pada anak laki-laki berusia 8 tahun dengan abses retrofaring. Tulang ikan terlihat pada ronsen foto leher jaringan lunak posisi lateral. Pada kedua pasien dilakukan esofagoskopi untuk mengambil tulang ikannya dan pada pasien kedua dengan abses retrofaring, absesnya sudah pecah dan pus didrainase dikombinasikan dengan pemberian antibiotik intravena.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnosis and Management of a Fish Bone Foreign Body at Esophageal Introitus With and Without Retropharyngeal Abscess

Asyari¹,

Novialdi²,

Fitri³

et al. 2015

Majalah Kedokteran Andalas

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Fish Bone Foreign Body: The Role of Imaging

Klein

Tamir

Marom

et al. 2018

Int Arch Otorhinolaryngol

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Introduction Fish bone foreign body (FFB) impaction in the upper aerodigestive tract is a common cause for emergency department referral. Its management varies in both diagnosis and treatment paradigms. Fish bone foreign bodies are more commonly found in the oropharynx in cases of patients < 40 years old, and in the esophagus in cases of patients > 40 years old. Symptoms are typically non-indicative for the location of the FFB, with the exception of foreign body sensation at/superior to the cervical esophagus. A lack of findings during the physical examination is routinely followed by imaging, with computed tomography (CT) being the preferred modality. In practice, many patients undergo unnecessary imaging studies, including CT scans. Objectives To identify patients with suspected fish bone impaction who do not require CT imaging and can be safely discharged. Data Synthesis We have searched the PubMed database for the following medical subject headings (MeSH) terms: fish bone , fish foreign body AND oropharynx , hypopharynx , esophagus , flexible esophagoscopy , and rigid esophagoscopy . Our search in the English language yielded 32 papers. Case reports were included, since they highlighted rare and serious complications. Conclusion In patients > 40 years old suspected of fish bone impaction, non-contrast CT is recommended and should be urgently performed, even in the presence of ambiguous symptoms. However, in patients < 40 years old presenting within 24 hours from ingestion, imaging has little diagnostic value due to the low probability of esophageal fish bones. For this specific subgroup, in the absence of clinical findings, discharge without imaging studies may be considered safe.

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Clinical spectrum of ear, nose and throat foreign bodies at a tertiary hospital: a cross-sectional study

Abraham

Kahinga

Khamis

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Presence of foreign bodies (FBs) in the ears and upper aerodigestive tract is a common encounter in children unlike adults in otorhinolaryngology practice. FBs form a major part of emergencies in otorhinolaryngology. Studies on ear, nose and throat FBs in Tanzania are scarce. Objective: To determine the clinical spectrum of ear, nose and throat FBs at the largest tertiary hospital. Methods: A descriptive hospital based cross-sectional study was conducted where 95 patients were recruited at the Hospital from December 2019 to May 2020. Data were collected using semi-structured questionnaires and analyzed using Statistical Package for the Social Sciences (SPSSs) version 24. Results: In this study, there were more females, 56 (58.9%) than males, 39 (41.1%) with female to male ratio being 1.4:1. Children aged younger than 10 years predominated in this study, 69 (72.6%). The nose, 36 (37.9%) and ear, 29 (30.5%) were the commonest sites where FBs lodged followed by the pharynx, 22 (23.2%) and oesophagus, 10 (8.4%). Regarding types of FBs, inorganic types, 49 (51.6%) predominated and were mostly coins, 17 (17.9%). Majority of FBs were removed in less than 24 h (53.7%) and complications were found in 29 (30.5%) patients and being more pronounced with nasal FBs. Majority of those with complications presented to the hospital 24–72 h post lodging of FBs. Conclusion: FBs were encountered more commonly in children aged younger than 10 years. The nose was the commonly affected anatomical site followed by the ear, pharynx and oesophagus. The commonest FB was a coin. The inorganic FB type predominated and the most common inorganic type was a coin while the commonest organic type was a seed. Complications were encountered in those who presented between 24 and 72 h post FB lodgment.

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The Management of Ingested Foreign Bodies in an Ear, Nose, and Throat Emergency Unit: Prospective Study of 204 Cases

Cited by 12 publications

References 9 publications

Diagnosis and Management of a Fish Bone Foreign Body at Esophageal Introitus With and Without Retropharyngeal Abscess

Diagnosis and Management of a Fish Bone Foreign Body at Esophageal Introitus With and Without Retropharyngeal Abscess

Fish Bone Foreign Body: The Role of Imaging

Clinical spectrum of ear, nose and throat foreign bodies at a tertiary hospital: a cross-sectional study

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