Foreign Body

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


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.

Foreign body in the external auditory canal

June 30, 2009     Mary Burton, AuD and Arun K. Gadre, MD

Foreign body in the pediatric airway

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

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


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.

Three-dimensional computed tomography for detection and management of ingested foreign bodies

April 30, 2009     Rabia Shihada, MD, Moshe Goldsher, MD, Sliman Sbait, MD, and Michal Luntz, MD

Cervical esophagotomy for an impacted denture: A case report

March 1, 2009     Sardar Zakariya Imam, MD, Mubasher Ikram, FCPS, Saulat Fatimi, MD, and Moghira Iqbal, FCPS


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.

Formation of an airway foreign body during removal of a metal tracheostomy tube: A case report

March 1, 2008     Mitchell R. Gore, PhD and Austin S. Rose, MD


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.

Unilateral inferior turbinate hypoplasia caused by a longstanding (approximately 35 yr) nasal foreign body

January 1, 2008     Fiorenza Derosas, MD, Gino Marioni, MD, Brescia Giuseppe, MD, Alessandra Florio, MD, Claudia Staffieri, MD, and Alberto Staffieri, MD


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.

Migration of T-tubes to the middle ear

January 1, 2008     Thabet Abbarah, MD, FACS and M. Aiman Abbarah, MD

Management of a maxillary sinus foreign body (dental bur)

October 31, 2007     Joseph L. Smith II, MD and Precha Emko, MD, FACS


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.

Pediatric nasal septal perforation secondary to magnet misuse: A case report

October 31, 2007     Carl Shermetaro, DO, FAOCO and Melissa Charnesky, DO


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.

An impacted fish bone in the subglottis manifesting as protracted stridor: Photodocumentation

April 30, 2007     Omar Rahmat, MS; Wye Keat Lim, FRCS; Narayanan Prepageran, FRCS
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