-
Dental Clinics of North America Jul 2023Accidental foreign body aspiration is not uncommon during a dental procedure and remains a real risk for many dental procedures. Although approximately 50% of patients... (Review)
Review
Accidental foreign body aspiration is not uncommon during a dental procedure and remains a real risk for many dental procedures. Although approximately 50% of patients are asymptomatic after aspiration of a foreign body, understanding the appropriate next steps in management of these patients is critical in preventing morbid and even lethal outcomes in some instances. Appropriate knowledge of identification and management of such instances is important for all practicing dentists. This article goes into the diagnosis and management of both uncomplicated foreign body ingestion and complicated foreign body aspirations.
Topics: Humans; Male; Aged; Respiratory Aspiration; Foreign Bodies
PubMed: 37244728
DOI: 10.1016/j.cden.2023.02.032 -
Annals of Emergency Medicine Jul 2022
Topics: Foreign Bodies; Humans; Uvula
PubMed: 35717112
DOI: 10.1016/j.annemergmed.2022.01.010 -
Clinical Gastroenterology and... Nov 2020
Topics: Foreign Bodies; Humans
PubMed: 31706058
DOI: 10.1016/j.cgh.2019.10.049 -
Cirugia Espanola Jan 2023
Topics: Humans; Foreign Bodies; Foreign-Body Migration; Eating
PubMed: 36100053
DOI: 10.1016/j.cireng.2022.09.020 -
Ear, Nose, & Throat Journal Jan 2022In adults, a large metal foreign body in the esophagus is rarely seen and is usually caused accidentally. Here, we have described an unusual case of foreign body (spoon)... (Review)
Review
In adults, a large metal foreign body in the esophagus is rarely seen and is usually caused accidentally. Here, we have described an unusual case of foreign body (spoon) in the esophagus of an adult patient. A 48-year-old woman initially presented to the emergency department with marked dysphagia, drooling, and radiating pain to the chest. She had swallowed a spoon while trying to vomit because of feeling sick. Radiological images revealed a spoon stuck in the esophagus. The edge of the spoon was grabbed with forceps and safely extracted under hypnic anesthesia. No esophageal perforation was detected on evaluation with esophagography using Gastrografin on the next day. This case highlights an unusual situation in an adult patient showing long nonfood-type foreign body in the esophagus. It is important that an appropriate workup and removal of foreign body is performed according to the location and type.
Topics: Deglutition Disorders; Esophagus; Female; Foreign Bodies; Humans; Middle Aged; Pain; Sialorrhea
PubMed: 32697114
DOI: 10.1177/0145561320942680 -
Acta Otorhinolaryngologica Italica :... Feb 2010Accidental inhalation of both organic and non-organic foreign bodies continues to be a cause of childhood morbidity and mortality, requiring prompt recognition and early... (Review)
Review
Accidental inhalation of both organic and non-organic foreign bodies continues to be a cause of childhood morbidity and mortality, requiring prompt recognition and early treatment to minimize the potentially serious and sometimes fatal consequences. In the past, the majority of data on foreign body injuries in children came from single-centre retrospective studies, covering a range of about 3-10 years. Recently, several review papers have discussed the main clinical aspects, Country-specific experiences have been presented, and systematic collections of foreign bodies have been started. Fully aware of the difficulty in meta-analysing data, in an observational context, the aim of the present report is: an attempt to synthesize the epidemiological data published in the literature presenting the evidence on foreign body distribution in a review of the meta-analyses of papers focusing on European and North-American data; improve our ability to prevent and to treat these complex and high risk situations.
Topics: Adolescent; Child; Child, Preschool; Female; Foreign Bodies; Humans; Infant; Inhalation; Male
PubMed: 20559470
DOI: No ID Found -
Deutsche Medizinische Wochenschrift... Feb 1993
Review
Topics: Child, Preschool; Diagnosis, Differential; Female; Foreign Bodies; Humans; Infant; Male; Middle Aged; Pneumonia, Aspiration; Respiratory System; Risk Factors
PubMed: 8432234
DOI: 10.1055/s-2008-1059312 -
World Journal of Pediatrics : WJP Nov 2010Foreign body ingestion is a common problem in the pediatric age group. Infants and young children explore objects by putting them in the mouth. (Review)
Review
BACKGROUND
Foreign body ingestion is a common problem in the pediatric age group. Infants and young children explore objects by putting them in the mouth.
DATA SOURCES
We reviewed the most recent literatures regarding the incidence, clinical presentation, as well as the most recent advances in the diagnostic and therapeutic modalities of foreign body ingestion in children.
RESULTS
In 2007 more than 125 000 foreign body ingestions in patients of 19 years old and younger were reported to American Poison Control Centers in the USA. The majority of ingested foreign bodies pass spontaneously.
CONCLUSIONS
Some foreign bodies can be harmful and require evaluation and intervention. The challenge in management is to distinguish the patients who require intervention from those who can be safely observed. In this review we suggest an algorithm for evaluation and management of children suspected to ingest a radiopaque foreign body.
Topics: Algorithms; Child; Child Behavior; Eating; Foreign Bodies; Humans
PubMed: 21080143
DOI: 10.1007/s12519-010-0231-y -
Community Practitioner : the Journal of... Mar 2015
Review
Topics: Child; Child, Preschool; Deglutition; Diagnosis, Differential; Foreign Bodies; Humans; Infant
PubMed: 25812243
DOI: No ID Found -
Respiratory Care Oct 2015Foreign body aspiration is an uncommon entity in adults. Herein, we describe our experience with flexible bronchoscopy in the removal of tracheobronchial foreign bodies... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Foreign body aspiration is an uncommon entity in adults. Herein, we describe our experience with flexible bronchoscopy in the removal of tracheobronchial foreign bodies in adults. We also conducted a systematic review of the literature on the topic of foreign body inhalation in adults managed with flexible bronchoscopy.
METHODS
The bronchoscopy database (from 1979 to 2014) was reviewed for subjects > 12 y of age with a history of foreign body aspiration managed with flexible bronchoscopy. Demographic, clinical, and bronchoscopy data were collected and analyzed. PubMed was reviewed for studies describing the use of flexible bronchoscopy for foreign body extraction in adults.
RESULTS
During the study period, a total of 25,998 flexible bronchoscopies were performed. Of these, 65 subjects (mean age of 32.8 y, 49 males) were identified who had undergone bronchoscopy for foreign body aspiration. Nonresolving pneumonia (30.6%), direct foreign body visualization (24.6%), and segmental collapse (18.4%) were the most common radiological abnormalities. Foreign bodies were identified in 49 cases during bronchoscopy and successfully removed in 45 (91.8%) subjects with no major complications. Metallic (41%) and organic (25.6%) foreign bodies were the most common. Shark-tooth (44.9%) and alligator (32.6%) were the most commonly used forceps in retrieving the foreign bodies. The systematic review yielded 18 studies (1,554 subjects with foreign body inhalation). In adults, the proportion of flexible bronchoscopy (6 studies, 354/159,074 procedures) performed for the indication of foreign bodies among the total flexible bronchoscopies was 0.24% (95% CI 0.18-0.31). The overall success of flexible bronchoscopy (18 studies, 1,185 subjects) for foreign body extraction was 89.6% (95% CI 86.1-93.2).
CONCLUSIONS
Foreign body aspiration is a rare indication for flexible bronchoscopy in adults. Flexible bronchoscopy has a high success rate in removal of inhaled foreign body and can be considered the preferred initial procedure for management of airway foreign bodies in adults.
Topics: Adult; Bronchoscopy; Female; Foreign Bodies; Humans; Inhalation; Lung; Male; Middle Aged; Young Adult
PubMed: 25969517
DOI: 10.4187/respcare.03976