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At least 577 records · Page 32Linked to original sources

PubMed1975

Removal of nonmagnetic and magnetic intraocular foreign bodies with constant visualization.

A method of removing intraocular foreign bodies, magnetic or nonmagnetic, that are invisible to ordinary viewing procedures is presented. Intraocular foreign bodies are associated with media which is opaque from the blood and debris of trauma. Early removal of nonmagnetic particles usually is impossible, while localization of magnetic foreign bodies changes with movement of the patient or the eyeball, causing wrong magnet application and additional intraocular damage. All of this is resolved by placing the inside of the eye on a "television screen" where the foreign body and the forceps are seen constantly in a two dimensional aspect, allowing removal of the object with minimal trauma.

Eye Foreign Bodies↗

PubMed2003

[Primary pars plana vitrectomy in the treatment of penetrating eye injuries involving intraocular foreign bodies in the vitreous body ].

The method of choice in the treatment of penetrating eye injuries affecting the vitreous body with an intraocular foreign body is in the majority of patients primary pars plana vitrectomy with transvitreal extraction of the foreign body (FB). During the period from April 1999 till September 2000 the authors treated thus at the Ophthalmological Clinic of the General Faculty Hospital and 1st Medical Faculty Charles University Prague 26 eyes of 26 young men with an average age of 34 years. The mean interval between the injury and primary PPV was 8.5 days. The patients were followed up on average for 23.5 months. The entrance of the penetrating injury was in 17 eyes in the cornea or limbus, in 9 eyes in the sclera. In two eyes posttraumatic endophthalmitis developed. The intraocular FB was 6 mm2 in size in 16 eyes and 6-20 mm2 in 10 eyes. In primary PPV we indicated in 14 eyes internal tamponade with gas or silicone oil. On account of late retinal complications which developed as a result of proliferative vitreoretinopathy we indicated in eight eyes PPV reoperation. At the end of the investigation period in 3 eyes inoperable detachment of the retina developed. As the main negative prognostic factor for final visual acuity the authors evaluated a size of the FB greater than 6 mm2, other negative prognostic factors are the scleral entrance injury, complications of the entrance injury (prolapse of the iris, vitreous body, haemophthalmus) and the development of posttraumatic exogenous endophthalmitis.

Adult↗

PubMed2002

A foreign body embedded in the mobile tongue masquerading as a neoplasm.

Foreign bodies in a mobile tongue are rarely presented to the laryngologist, because such bodies are commonly lodged superficially and are easily removed by the patients themselves or by general practitioners. Thus, it is rare that a foreign body totally embedded in the mobile part of the tongue presents as an enlarged tongue mass. We have described a 64-year-old female with a 3-month history of an enlarged mass in the anterior right tongue. Physical examination showed a mass located in the anterior right tongue, with intact mucosa and normal color. A benign tongue neoplasm was considered first. However, a fish bone totally embedded in the mobile tongue with granuloma formation was encountered during the incisional biopsy operation. Complete removal of the foreign body with granuloma was achieved under local anesthesia. There was no neuromuscular or neurosensory deficit of the tongue in the follow-up period of 2 years. Although an embedded foreign body in the mobile tongue is a rare condition, it should be considered in the work-up of a patient with an enlarged tongue mass, with or without a history of swallowing a foreign body.

Animals↗

PubMed2001

Transnasal bamboo foreign body lodged in the sphenoid sinus.

Transnasal sphenoid sinus foreign body is a rare condition. We report a very rare case of transnasal bamboo foreign body lodged in the sphenoid sinus without damages to the orbital wall or skull base. A 69-year-old man fell down onto a bamboo stick, which snapped after penetrating his face through the right nostril. CT demonstrated that the bamboo stick stuck into the middle meatus, penetrated the ethmoid sinus just medial to the lamina papyracea and reached to the sphenoid sinus. No abnormal findings were detected in the orbit or skull base. The foreign body was removed from the nasal cavity without any complication. The endoscope was useful for evaluating possible injuries in the orbit and skull base and confirming the absence of residual foreign bodies.

Aged↗

PubMed1984

[Chronic maxillofacial suppuration due to unknown plant foreign bodies. Apropos of 2 cases with CT scanning].

Common features in two patients with chronic suppurative lesions of the maxillofacial region from vegetable foreign bodies were : foreign body origin of the accident ; chronic nature of the suppuration (7 and 23 months respectively) ; multiple operations by different surgical teams ; radiotransparency of the foreign bodies. Positive signs on CT scanning can confirm the diagnosis, but cannot exclude it when normal images are obtained. The number and localization of wood fragments may limit the value of the scan, and fistulography and xeroradiography may then provide confirmation of the diagnosis. Operative treatment may be difficult due to fragmentation of the wood into multiple pieces, a possible source of recurrence of infection.

Child↗

PubMed2001

Pericardial foreign body.

The authors describe the case of an inhaled foreign body unusually located in the pericardium. An initial chest skiagram was misinterpreted leading to a negative bronchoscopy. Correct anatomic localization of the foreign body only was established at surgical exploration, despite preoperative computerized tomography scan of the chest. Recognition of the propensity of sharp foreign bodies to migrate is essential in treating these patients. A tracheobronchial foreign body migrating to the pericardium has not been reported previously in the literature. J Pediatr Surg 36:936-938.

Bronchi↗

PubMed2003

Laryngeal foreign bodies in children: first stop before the right main bronchus.

Laryngeal foreign bodies may produce either complete or incomplete airways obstruction. In complete airways obstruction the presentation is with calamitous respiratory difficulty. However incomplete laryngeal obstruction may present with less severe symptoms, resulting in possible misdiagnosis and confusion with other causes of upper airway obstruction such as infectious croup. This report describes three cases of incomplete laryngeal obstruction secondary to inhaled foreign bodies. In each case, the diagnosis of an inhaled foreign body was initially missed, resulting in delay in diagnosis and in one case prolonged recovery. The importance of considering laryngeal foreign bodies, both in cases of suspected foreign body inhalation and clinical cases of incomplete laryngeal obstruction are discussed.

Bronchi↗

PubMed1990

Tracheobronchial foreign bodies in adults.

STUDY OBJECTIVE: To define the clinical spectrum of tracheobronchial foreign body aspiration in adults, assess predisposing conditions, evaluate the efficacy of bronchoscopy, and determine outcome and complications. DESIGN: Retrospective analysis of a consecutive clinical series. SETTING: A tertiary care, referral-based medical center. PATIENTS: Sixty consecutive adult patients (over 16 years of age) evaluated for tracheobronchial foreign body aspiration. INTERVENTIONS: All 60 patients had bronchoscopic evaluation; 59 of them had foreign bodies identified and removal was attempted using either rigid or flexible fiberoptic bronchoscopy. MAIN RESULTS: Of 60 consecutive patients, 25 had underlying impairment of protective airway mechanisms (primary neurologic disorders, trauma with loss of consciousness, or sedative or alcohol use). Fifty-seven were successfully managed with bronchoscopy. Fiberoptic bronchoscopy was successful in 14 of 23 patients, and rigid bronchoscopy was successful in 43 of 44 patients, including 6 of 7 patients in whom previous fiberoptic bronchoscopy had failed. Thoracotomy was required in 3 patients. Complications of bronchoscopy were rare and not serious. Chronic complications of prolonged foreign body impaction included bronchiectasis in 3 patients. CONCLUSIONS: Although rare, tracheobronchial foreign body aspiration in adults can occur in various clinical settings. High clinical suspicion is necessary for diagnosis. Removal of foreign bodies can usually be accomplished with bronchoscopy.

Adolescent↗

PubMed1995

A new model for teaching corneal foreign body removal.

OBJECTIVE: To determine whether a skills laboratory for corneal foreign body and rust ring removal improves self-assessed skill and confidence. METHODS: A prospective trial was conducted as part of the didactic curriculum of a university-based residency program in emergency medicine (EM). A convenience sample of 26 EM residents and five fourth-year medical students participated. The skills laboratory used model corneas made by coating 3.2-cm glass spheres with a 1-2-mm film of paraffin. Foreign bodies were simulated by embedding small pieces of metal into the paraffin. Rust rings were simulated by dipping a hot, straightened paper clip into a rust-colored crayon and then into the paraffin. The model eyes fit into a life-sized model of a human head. Participants removed the foreign bodies and rus rings under supervision, using the slit lamp. Each participant anonymously completed a questionnaire before and after participating in the skills laboratory. The questionnaire recorded educational level, previous experience, and self-assessed comfort and skill levels (0 = lowest, 10 = highest). RESULTS: Most (66%) of the participants had not previously removed a corneal foreign body; 86% had not previously removed a rust ring. On a ten-point scale, the median comfort level for removing a foreign body rose from 2 to 7, and the self-assessed skill level rose from 1 to 7 (p = 0.0001). Similar improvements in self-assessed comfort and skill levels were seen for rust ring removal. CONCLUSIONS: Participation in this skills laboratory significantly improved the self-reported comfort and self-assessed skill levels in removing corneal foreign bodies and rust rings. This technique provides useful practice of a fine-motor procedural skill requiring eye-hand coordination prior to supervised application of these skills in clinical practice.

Adult↗

PubMed2003

Fluoroscopy-guided laparoscopy in the management of intraabdominal foreign body.

Appendicitis or perforation as a result of intraluminal foreign body is uncommon. The method of diagnosis and proper approach for an elective appendectomy in an otherwise silent intraluminal foreign body is under dispute. A laparoscopic exploration under intraoperative fluoroscopy guidance was performed in a mentally retarded 9-year-old boy with asymptomatic foreign bodies in the right lower abdominal quadrant. The authors recommend laparoscopic appendectomy, assisted by intraoperative fluoroscopy for patients with pointed foreign bodies in the appendix.

Appendectomy↗

PubMed1989

Intrathoracic and intravascular migratory foreign bodies.

Intrathoracic and intravascular migratory foreign bodies are a small but distinctive subgroup of missile injuries. The intravascular bullet embolus can be treated like arterial or venous emboli of any other sort and removed as indicated. Wandering bullets in body cavities should be removed when they need to be, just like bullets imbedded in the body in a fixed position. And, contrary to the popular belief, very few bullets wander.

Blood Vessels↗

PubMed2006

[Clinical analysis of tracheobronchial foreign bodies in children in 1276 cases].

OBJECTIVE: To investigate the effective therapy methods of foreign bodies in respiratory tract to lower its complications and the mortality rate. METHOD: Review the anesthesia methods, operation methods and therapeutic efficacy of 1276 cases of foreign body in respiratory tract and report three cases of death. RESULT: Under total intravenous anesthesia we took out foreign bodies by bronchoscope in 1197 cases and did that successfully for the first time in 1196 cases. Under aspiration anesthesia by ether we took out foreign bodies by bronchoscope in 78 cases and did that successfully for the first time in 65 cases, we took foreign bodies for the second time in 12 cases. We carried out tracheotomy in three cases. Edema of larynx was found in 12 cases among which 11 cases were under aspiration anesthesia by ether and one case was under total intravenous anesthesia. Under total intravenous anesthesia, the longest time of operation was 45 minutes, we could carry out the examination by bronchoscope for five times and no edema of larynx was found in all cases. Under aspiration anesthesia by ether, the longest time of operation was limited to 5 - 10 minutes, we could carry out the examination by bronchoscope for three times at most; otherwise, edema of larynx was very severe. Three cases died over apnea. Mortality rate is about 0.24%. CONCLUSION: Total intravenous anesthesia combined with surface anesthesia of respiratory tract mucosa is the ideal anesthesia method for taking out foreign bodies in respiratory tract by bronchoscope. It is more dangerous in cases that the foreign bodies are bean or that atelectasis is found. We should notice that the less the patients are, the more dangerous the operation is. In some cases tracheotomy is needed.

Anesthesia↗

PubMed1995

Foreign bodies of dental origin in the appendix.

Foreign bodies found in the appendix have been reported many times. To date 254 occurrences have been documented. However, only 4 previously reported episodes involve teeth, dental restoration or dental equipment. We present a patient with a 6 month history of intermittent right iliac fossa pain following the ingestion of a gold inlay restoration, which was found at operation to be in the distal appendix. Previous reports suggest that symptoms from foreign bodies in the appendix occur in 73% of cases, and in 93% when the object is sharp. Therefore, appendicectomy is recommended when a foreign body is detected in the appendix, and particularly if it has sharp edges.

Abdominal Pain↗

PubMed2005

Asymptomatic near-total airway obstruction by a cylindrical tracheal foreign body.

OBJECTIVES/ HYPOTHESIS: The objective was to present the unique case of previously unreported asymptomatic cylindrical tracheal foreign body causing near-total airway obstruction. The asymptomatic nature of the case made diagnosis and management challenging. STUDY DESIGN: A retrospective case review at an urban health maintenance organization medical center. METHODS: A 3.5-year-old asymptomatic boy was incidentally discovered to have a metallic foreign body in his mid trachea on a screening scoliosis roentgenogram. He underwent rigid bronchoscopic retrieval the following day. RESULTS: The foreign body was found to be a corroded, 9 x 6-mm metallic cylinder with a narrowed luminal diameter of 2.0 mm. Intubation was maintained in the pediatric intensive care unit for 48 hours, and extubation was performed in the operating room under direct bronchoscopy. Mitomycin C was applied to a circumferential area of denuded tracheal mucosa. CONCLUSION: Tracheal foreign bodies are distinctly different clinical entities from bronchial foreign bodies. Asymptomatic bronchial foreign bodies are relatively common, but to the authors' knowledge, an asymptomatic tracheal foreign body had not been reported previously. Discussion focused on pathophysiology with reference to Poiseuille's law, diagnosis, and management of asymptomatic tracheal foreign bodies, including the possibility of elective bronchoscopic retrieval.

Airway Obstruction↗

PubMed2004

[Inhaled foreign bodies in 50 patients in South Vietnam, mainly caused by naseberry (Sapodilla)].

Inhalation of foreign bodies is relatively frequent in children, but exceptional in adults. Various kinds of foreign bodies can be inhaled, the type generally depends on eating habits in adults. We reviewed a series of 50 consecutive cases of inhaled foreign bodies and found that naseberry fruits (Sapodilla plum) was the primary cause, followed by bone debris. This series is typical of Eastern Asia, particularly South Vietnam. Most of the foreign bodies were extracted under local anesthesia using fibroscopy with a foreign body forceps. Most of the foreign bodies were on the right side. The naseberry nut is not radio-opaque, so diagnosis was generally established late after infectious complications. The endoscopic aspect was typical and should be recognized by endoscopists working in Vietnam.

Adolescent↗

PubMed1988

Magnetic resonance imaging of nonmetallic orbital foreign bodies.

We studied a cadaver head model in which we inserted three orbital foreign bodies. We chose these foreign bodies because of their similarity to substances found in orbital trauma. Teflon and Lucite were used to represent synthetic materials, and dry pine was chosen as a type of organic material. Lucite is similar in radiographic density to plastics used in interior trim for automobiles and spectacle frames. While both orbital ultrasound and plain skull films failed to detect the foreign bodies consistently, both computed tomography and magnetic resonance imaging detected and localized the foreign bodies relatively well. Computed tomography was better in delineating shape and characterizing composition.

Foreign Bodies↗

PubMed2003

[Esophageal foreign bodies. Our ten years of experience].

OBJECTIVE: To study the management of esophageal foreign bodies. MATERIAL AND METHODS: A retrospective study was made of all rigid esophagoscopies performed for suspected foreign bodies in the esophagus by an otolaryngology department for ten years. RESULTS: Rigid esophagoscopy was performed for suspected foreign bodies in 46 patients (27 females, 19 males); age range 22 months to 88 years. In 40 cases an impacted foreign body was found. The most frequent location was the upper third of the esophagus (33/82.5%). The most common type of foreign body was chicken bones in adults (17/42) and coins in children (2/4). Nine patients (all adults) had complications. CONCLUSIONS: Due to its low cost and morbility, flexible endoscopy is the first choice for managing esophageal foreign bodies. Rigid esophagoscopy is still an appropriate technique when flexible endoscopy fails or it is not possible.

Adolescent↗

PubMed1994

Results of Hysteroscopic Method of Foreign Body Removal out of Uterus Cavity

Recognition of foreign bodies in the uterine cavity is of great importance for successful treatment of secondary infertility: e.g. a piece of intrauterine contraceptive (after a removal failure), suture after cesarean section, or cylindrical and flat small bones after abortions. Sixty-nine foreign bodies were removed with a hysteroscope during 1992-93. Sixty-one of the foreign bodies were intrauterine devices. Twelve patients (19.7%) had had several unsuccessful removal attempts. The remaining eight women (11.9%) underwent fetal bone removals. Removal of ligatures in the area of scar on the uterus after cesarean section was carried out in two patients and both were done under hysteroscopic control. Hysteroscopy allows exact determination of foreign body position in uterus and for their atraumatic removal.

Journal Article↗