March 1, 2009 Sardar Zakariya Imam, MD, Mubasher Ikram, FCPS, Saulat Fatimi, MD, and Moghira Iqbal, FCPS
article
Abstract
We present the case of a 46-year-old woman with an impacted denture and an impending esophageal perforation. Her family physician initially missed the diagnosis but during a subsequent visit reviewed her x-ray and was able to see the shadow of the denture's wire attachment in her esophagus. The patient was then referred to a tertiary care hospital, where esophagoscopy confirmed the location of the denture, but the surgeon there was unable to remove it. Eighteen days after she had swallowed her denture, she was referred to our hospital. Attempts at removal via rigid esophagoscopy were unsuccessful, but the denture was successfully removed via a cervical esophagotomy. A Gastrograffin swallow performed 1 week postsurgically showed no extravasation of the contrast medium, and subsequent follow-ups were unremarkable. We conclude that cervical esophagotomy is a safe method for removing foreign bodies impacted in the cervical esophagus when they cannot be removed endoscopically.
March 1, 2008 Mitchell R. Gore, PhD and Austin S. Rose, MD
article
Abstract
Tracheostomy tube changes are often performed in the clinic or at the bedside without complication. We report a case in which the removal of a long-term metal tube in a clinic setting was complicated by the presence of fibrinous debris on the tube. The debris had accumulated over a period of at least 3 years. The patient was taken to the operating room, and the tube was removed. However, the fibrinous debris remained behind, leaving an airway foreign body. The foreign body was subsequently removed with an optical foreign-body extraction forceps under direct visualization. Based on our experience and on the limited amount of information available in the literature, we recommend that long-term metal tracheostomy tubes be changed not in the clinic but in the operating room, where potential complications can be more easily managed.
January 1, 2008 Thabet Abbarah, MD, FACS and M. Aiman Abbarah, MD
January 1, 2008 Fiorenza Derosas, MD, Gino Marioni, MD, Brescia Giuseppe, MD, Alessandra Florio, MD, Claudia Staffieri, MD, and Alberto Staffieri, MD
article
Abstract
We report the unusual case of a 44-year-old man who presented with a plastic foreign body that had been lodged in his right nasal cavity for approximately 35 years. Initial attempts to remove the object were unsuccessful; only after it was broken into several parts was removal achieved. Rigid nasal endoscopy and computed tomography revealed hypoplasia of the ipsilateral inferior turbinate.
October 31, 2007 Carl Shermetaro, DO, FAOCO and Melissa Charnesky, DO
article
Abstract
We describe the case of a 7-year-old girl who had placed magnetic earrings bilaterally on her nasal ala. However, the two backing magnets that had been placed inside the nasal cavity became attached to each other rather than to the outer jewelry, compressing the nasal septum. Several weeks later, the septum became perforated. The patient was treated conservatively with mupirocin ointment, oral amoxicillin, and nasal saline. Subsequent examinations revealed no enlargement of the perforation, and the patient was followed conservatively with saline nasal spray.
October 31, 2007 Joseph L. Smith II, MD and Precha Emko, MD, FACS
article
Abstract
Metal foreign bodies are occasionally found in the paranasal sinuses. Often they result from the escape of material through an oroantral fistula or from trauma. Rarely, they occur as a complication of a dental procedure. A literature review revealed only four other reports of iatrogenic dental bur lodgment in the maxillary sinus, all of which are in the dental literature. Otolaryngologists, who might be required to deal with this complication, must be knowledgeable about its management. In this article we describe a patient who was referred to our otolaryngology department for management of a retained dental bur in the maxillary sinus. We also review two treatment options—an endoscopic and an open surgical approach—for the removal of sinus foreign bodies.
April 30, 2007 Omar Rahmat, MS; Wye Keat Lim, FRCS; Narayanan Prepageran, FRCS
March 1, 2007 Sihun Alex Kim, MD; Robert J. Meleca, MD
February 1, 2007 Tareq Mahafza, FRCS; Yousef Khader, ScD
January 1, 2007 Hadi Ghanbari, MD; Mohammad Farhadi, MD; Ahmad Daneshi, MD
August 31, 2006 Khalid Al-Sebeih, MD, FRCSC; Miloslav Valvoda, MD; Amro Sobeih, MD; Mutlaq Al-Sihan, MD
article
Abstract
Ingestion of a foreign body is a problem seen in nearly all otolaryngologic practices. One of the least common complications of foreign-body ingestion is penetration and migration, which may lead to serious morbidity or even death. We report the findings of a retrospective review of a series of 5 patients who had presented with a complete foreign-body penetration. All of them had radiologic evidence of a foreign body, but findings on rigid endoscopy were negative. Computed tomography is the radiologic study of choice to identify penetrating foreign bodies. The foreign bodies in all 5 patients were extracted via an external approach.
July 31, 2006 Patrick M. Spielmann, MBChB, MRCS (Edin); Conroy Howson, FCS (SA) ORL
