Upper aerodigestive magnetic foreign bodies in children

Brown, Julie C.; Baik, Fred M.; Ou, Henry C.; Otjen, Jeffrey P.; Parish, Hannah G.; Chan, Dylan K.

doi:10.1002/lary.24489

Cited by 23 publications

(21 citation statements)

References 10 publications

(26 reference statements)

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“…In our case, both of these factors were evident and allowed for timely diagnosis and management. Nearly identical imaging features were shown by Brown et al and Solis et al in the two other reported cases of epiglottic magnetic foreign bodies [18,19], suggesting that although unusual, the radiographic findings are essentially pathognomonic for adherent magnets at this location.…”

Section: Discussionsupporting

confidence: 73%

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Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body

Radhakrishnan

Alrajhi

et al. 2020

Case Reports in Radiology

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Background and Aim. Rare-earth magnet ingestions are a subset of foreign body ingestions and can result in significant morbidity secondary to pressure necrosis. These magnets are best visualized radiographically, typically located in the gastrointestinal tract. However, unusual locations of magnetic adherence may include the hypopharynx along the epiglottis, where only 2 previous cases have been reported. Clinicians should be aware of the potential dangers of rare-earth magnet ingestion and consider atypical locations of attachment in the appropriate clinical setting. Case Presentation. We present an interesting case of a fourteen-year-old female patient who presents with witnessed ingestion of multiple rare-earth magnets. Soft-tissue neck radiographs demonstrate two adjacent rounded radiopaque densities in the hypopharynx. Intraoperative images confirmed the radiographic findings and identified two magnetic balls stuck along the dorsal and ventral aspect of the epiglottis without evidence of pressure necrosis. Conclusion. This is the first published case of magnetic foreign body adherence to the epiglottis in the Radiology literature. Awareness and recognition of the unique radiographic findings of this rare entity can help clinicians streamline timely management.

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Section: Discussionsupporting

confidence: 73%

“…Mucosal injury and pressure necrosis of the epiglottis from magnetic attraction could occur relatively rapidly (possibly as soon as 13 hours postingestion), as demonstrated in the previous case reports [18,19]. As such, clinicians must operate under the premise that "time is tissue."…”

Section: Discussionmentioning

confidence: 95%

Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body

Radhakrishnan

Alrajhi

et al. 2020

Case Reports in Radiology

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show abstract

“…In these cases, serious or even fatal complications may develop, such as deep neck abscesses, mediastinitis, airway obstruction, or vascular complications resulting from penetration of the carotid artery or internal jugular vein [25][26][27]. These critical complications may require urgent surgical exploration or intervention [28], for instance, microlaryngoscopic incision and drainage of an abscess (as seen in our case), or neck exploration using an external cervical approach. Patients and clinicians should be aware that delayed-onset complications can manifest without warning.…”

Section: Management Strategies For Foreign Body Ingestion In the Larymentioning

confidence: 89%

Management Strategies for Ingestion of Foreign Objects in the Laryngopharynx

Kuo¹

2015

J Oto Rec Surg

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“…Il ne s'agit donc pas d'une situation exceptionnelle. Dans d'autres pays, la fréquence est également élevée ; plusieurs séries monocentriques ont été publiées ces dernières années : 38 cas en 6 ans, 56 cas en 10 ans, 94 cas en 10 ans, 96 cas en 17 ans dans différents hôpitaux nord-américains [8][9][10][11][12][13]. De plus larges séries ont rapporté 128 cas dans 18 pays jusqu'en 2010, 98 cas dans 17 pays et 149 cas dans 22 pays en 23 ans [11,14].…”

Section: Discussionunclassified