Foreign Body

Fish bone impaction in the supraglottis

October 17, 2014     Willis S.S. Tsang, FRCSEd(ORL); John K.S. Woo, FRCS(ORL); C. Andrew van Hasselt, M Med (Otol)
article

The most common sites of fish bone impaction are the tonsils, tonsillar pillars, tongue base, valleculae, and piriform fossa. Impaction in the supraglottic area is extremely uncommon.

Ear mold impression material as an aural foreign body

September 17, 2014     Yu-Hsuan Lin, MD; Ming-Yee Lin, MD, PhD
article

Physicians should not rush indiscriminately into action without a careful otoscopic examination and a detailed history, to discern whether a patient has abnormal anatomy and is at risk for complications.

An unusual presentation of anterior subglottic stenosis

June 8, 2014     Harry V. Wright, MD; Kenneth C. Fletcher, MD
article

Acquired subglottic stenosis should be suspected in any patient with unexplained dyspnea weeks to months following decannulation.

A "nail-biting" case of an airway foreign body

May 7, 2014     Parker A. Velargo, MD; Jennifer D. McLevy, MD
article

While cases of large, completely obstructing foreign bodies in the subglottis would lead to sudden respiratory distress, the initial presentation of smaller foreign bodies in the subglottis can be quite similar to croup, presenting with biphasic stridor, cough, and/or the steeple sign.

Medial migration of a tympanostomy tube

December 20, 2013     Alejandro Vazquez, MD; Robert W. Jyung, MD
article

Glass in the frontal sinus: 28-year delayed presentation

October 23, 2013     Alice K. Guidera, MBChB, BSc; Peter M. Dixon, MBBS, FRCS; Hans R. Stegehuis, MBChB, FRACS
article

Abstract

Reports of delayed presentation of foreign bodies in the frontal sinus are infrequent and likely to become rarer with the widespread availability of computed tomography in the last 2 decades. We present a case in which glass from a road traffic injury was found in the frontal sinus, causing symptoms of frontal sinusitis 28 years after the initial injury. We also present a review of the literature.

Ice-cream stick injury resembling torus palatinus

September 18, 2013     Rumi Khajotia, MBBS, MD, FAMA, FAMS; S.T. Kew, FRCP
article

The size of a torus palatinus usually varies from barely discernible to very large, and it may be flat or lobular.

Migration of a fish bone from the upper aerodigestive tract to the skin of the neck: A case report

August 21, 2013     Ramanuj Sinha, MS, DNB; Indranil Sen, MS; Jayanta Saha, MS; Ankur Mukherjee, MS; and Ruma Guha, MS
article

Abstract

We describe an unusual case of a migratory foreign body (fish bone) in the neck of a 45-year-old woman. The 2.1-cm bone migrated from the esophagus and traversed through the entire soft tissue of the neck, and it almost extruded through the skin of the neck. With the patient under local anesthesia, the foreign body was easily extracted through an incision over the skin.

Degraded tympanostomy tube in the middle ear

July 21, 2013     Nitin J. Patel, MD; Joshua Bedwell, MD; Nancy Bauman, MD; Brian K. Reilly, MD
article

Tympanostomy tubes can cause a foreign-body reaction that can lead to myringitis and the development of granulation tissue and polyps.

Unusual hard palate foreign body: A case report

April 17, 2013     Allison N. Rasband-Lindquist, MD; Rodney Lusk, MD
article

Abstract

Foreign bodies embedded in the palate are exceedingly rare, and may imitate oral lesions. The majority of cases occur in infants and children. The following report discusses the unique presentation of a foreign body in the hard palate of an infant. This report emphasizes that foreign bodies must be considered in the differential of lesions found in the oral cavity of children.

Intranasal tooth and associated rhinolith in a patient with cleft lip and palate

March 24, 2013     Gisele da Silva Dalben, DDS, MSc; Vivian Patricia S. Vargas, DDS; Bruno A. Barbosa, MSc; Marcia R. Gomide, PhD; Alberto Consolaro, PhD
article

Abstract

We report the case of a 9-year-old girl who presented with a complaint of a malodorous bloody discharge from the left naris. The patient had previously undergone a complete repair of left-sided cleft lip and palate. Clinical examination revealed hyperplasia of the nasal mucosa on the left side. X-ray examination of the nasal cavity demonstrated a radiopaque structure that resembled a tooth and a radiopaque mass similar to an odontoma that was adherent to the root of the suspected tooth. With the patient under general anesthesia, the structure was removed. On gross inspection, the structure was identified as a tooth with a rhinolith attached to the surface of its root. Microscopic examination revealed normal dentin and pulp tissue. A nonspecific inflammatory infiltrate was observed around the rhinolith, and areas of regular and irregular mineralization were seen. Some mineralized areas exhibited melanin-like brownish pigmentation. Areas of mucus with deposits of mineral salts were also observed. Rare cases of an intranasal tooth associated with a rhinolith have been described in the literature. We believe that this case represents only the second published report of an intranasal tooth associated with a rhinolith in a patient with cleft lip and palate.

The missing tracheoesophageal puncture prosthesis: Evaluation and management

February 25, 2013     Shelby C. Leuin, MD; Daniel G. Deschler, MD
article

Abstract

Placement of a tracheoesophageal puncture prosthesis in the post-laryngectomy patient has significantly improved voice rehabilitation in this population. Rarely, the prosthesis may become dislodged, necessitating medical evaluation. We present the case of a 61-year-old man who presented to our Emergency Department with a missing prosthesis. We describe the evaluation and management of this patient and review the relevant literature. We conclude with the following algorithm: When a patient presents with a missing prosthesis, evaluation of the tracheobronchial tree must be performed. Once the pulmonary system is cleared, the prosthesis can be presumed in the gastrointestinal tract and allowed to pass. A new prosthesis or catheter should be placed in the tract to prevent aspiration.

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