Foreign Body

An unusual cause of foreign-body sensation in the throat: A displaced superior cornu of the thyroid cartilage

June 13, 2011     Emin Karaman, MD, Gkioukxel Saritzali, MD, Sait Albayram, MD, and Batuhan Kara, MD
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Abstract

Foreign-body sensation is a nonspecific symptom of aerodigestive tract diseases. We describe the case of a 42-year-old man who presented with a foreign-body sensation in the throat that was found to be caused by a displaced superior cornu of the thyroid cartilage. Such a displacement is not well known, but we believe that it may not be rare. These cases can be overlooked and misdiagnosed as chronic nonspecific pharyngitis or laryngopharyngeal reflux. However, a careful laryngoscopic examination by an otolaryngologist who considers the possibility of such a pathology may result in an accurate diagnosis, which might spare an affected patient from a lifelong pharmacotherapeutic regimen.

Aspiration of radiolucent dentures in facial trauma: Case report

December 17, 2010     Jon B. Chadwell, MD, Joshua R. Mitchell, MD, Michael Donnino, MD, Charles Peterson, MD, Paul Guentert, MD, Cliff Arnold, BA, and Mark Walsh, MD
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Abstract

Foreign body aspiration is a serious problem that may lead to complications or even death. People who sustain major maxillofacial trauma can often damage their teeth or oral prostheses, and aspiration can occur. Detection of this type of aspiration can be difficult, especially in elderly people wearing dental appliances, since many dental prostheses are not radiopaque and the aspiration is not always recognized at the time of injury. We report a specific case of extensive maxillofacial trauma from a self-inflicted gunshot wound leading to aspiration of large, radiolucent denture fragments, delayed diagnosis, and complications. The possibility of denture fragment aspiration must always be part of the differential diagnosis in an elderly trauma patient presenting with dyspnea, hypoxia or, eventually, pneumonia. This is especially so when radiologic evaluation does not reveal a foreign body, since much dental prosthesis material is radiolucent. Delayed complications of radiolucent dental prosthesis aspiration could be avoided by the inclusion of some radiopaque material within the acrylic material of the prosthesis.

Fluoroscopic localization of a retained intranasal ballistic foreign body in an unexpected location

December 17, 2010     Charles Stewart III, MD, Christopher Le, MD, and Thomas Stewart, MD
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Abstract

Otolaryngologists are frequently asked to evaluate impacted nasal foreign bodies in children. Multiple techniques have been used for the removal of these objects. We describe what we believe is a previously unreported mechanism of nasal foreign-body impaction and the novel method we used to remove it. We also review the literature on retained ballistic nasal foreign bodies, including their management and complications.

Intraglossal impaction of ingested fish bones: A case series

July 31, 2010     Shirish Johari, BSc, MBBS, DLO, DOHNS(Edin.), MRCSEd; and Kevin Yaw-Khian Chong, MBBS, FRCS(Ed), M Med(ORL-Singapore), FAMS(ORL), FAAOHNS(USA), EAONO, AINO(Italy)
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Abstract

Although foreign body ingestion and impaction in the pharynx or hypopharynx are quite commonly encountered at our institution, foreign body impaction in tongue tissue is rare. Six cases of foreign bodies embedded in the tongue were identified in a retrospective review spanning the years 1998 to 2007. All the foreign bodies were fish bones. Four of these patients required only tongue exploration to remove the bone; one required a partial glossectomy because of difficulties locating the bone; and one required incision and drainage of an intraglossal abscess that had developed, as well as a tracheostomy. All foreign bodies were successfully removed, with none of the patients experiencing altered sensation or problems with tongue mobility afterwards.

Retained pill capsule remnant in pyriform sinus

April 30, 2010     Ellen L. Baxter, DO and Adam D. Rubin, MD
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An insect on the tympanic membrane

March 1, 2010     Arun K. Gadre, MD, FACS, DORL
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Nasal foreign body as the cause of a subperiosteal orbital abscess in a child

February 1, 2010     Benjamin D. Webb, MD, Kevin D. Pereira, MD, MS (ORL), and Samer Fakhri, MD, FACS, FRCS
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Abstract

We present what to the best of our knowledge is the first reported case of an orbital abscess as a result of acute rhinosinusitis caused by obstruction of the middle meatus secondary to the impaction of a nasal foreign body in a child. The patient, a 5-year-old Hispanic boy, had presented with left periorbital edema, eye pain, rhinorrhea, headache, and a fever. The presence of a nasal foreign body had been suggested by a finding of a low-density signal in the left anterior nasal cavity and middle meatus on computed tomography. Endoscopic drainage of the abscess through the involved sinuses revealed that the foreign body was a wad of cotton. The cotton was removed, and the patient recovered uneventfully.

Calcified maxillary cyst secondary to a foreign-body reaction at the site of a remote tooth extraction

January 1, 2010     Alexander Langerman, MD, Farhad Sigari, MS, MD, and Robert Naclerio, MD
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Abstract

Unilateral sinus disease has a wide differential diagnosis. When a patient has a history of maxillary dental work on the same side as the sinusitis, a foreign entity introduced during or subsequent to the dental manipulation must be considered. We present a case of calcified maxillary cyst that was discovered at the site of a remote tooth extraction. Pathologic analysis revealed the presence of vegetable matter within the cyst. To the best of our knowledge, no case of a maxillary cyst secondary to vegetable matter has been previously reported in the literature.

Bean sprout impaction in the pharynx: Two cases of this unusual foreign body

August 31, 2009     Dulani Mendis, DOHNS, MRCS and Simon Thorne, DLO, MRCSEd
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Abstract

We report 2 cases of bean sprout impaction in the pharynx. To the best of our knowledge, pharyngeal impaction of a bean sprout has not been previously described in the literature. We also comment on the theoretical infective risks associated with the long-term impaction of organic foreign bodies and the validity of a thorough ENT examination, even when the foreign body appears to be insignificant.

Dacryocystitis secondary to an iatrogenic foreign body in the lacrimal apparatus

June 30, 2009     Deepak Gupta, MS, FRCS, Heikki B. Whittet, FRCS, Salil Sood, MS, MRCS, and Suchir Maitra, MS
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Abstract

Dacryocystitis is an infection of the lacrimal sac that is usually caused by obstruction of the nasolacrimal duct. We describe a case of iatrogenic dacryocystitis that occurred secondary to the presence of an impacted piece of a metallic dilator in the lacrimal apparatus. The foreign body was detected on dacryocystography and removed during dacryocystorhinostomy. The patient recovered uneventfully.

Foreign body in the external auditory canal

June 30, 2009     Mary Burton, AuD and Arun K. Gadre, MD
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Foreign body in the pediatric airway

June 30, 2009     Yuri Gelfand, MD, Soham Roy, MD, FACS, FAAP, and James Albright, FACS, FAAP
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