Barbeque Brush Bristle Ingestion

Sheridan, Conor; Cirone, Julia; Grewal, Keerat; Tejpar, Qassim; Lacombe, Shawn

doi:10.1016/j.jemermed.2020.12.015

Cited by 1 publication

(6 citation statements)

References 8 publications

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“…The final 57 studies were included in this review and used for data abstraction. 2-9,12-60 Our PRISMA flowchart is detailed in Figure 1 . Retrospective case series were evaluated with the NICE quality assessment tools (National Institute for Health and Care Excellence), 76 outlined in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…An additional 146 articles were removed on abstract review, and 5 were excluded after the full articles were downloaded. The final 57 studies were included in this review and used for data abstraction 2‐9,12‐60 . Our PRISMA flowchart is detailed in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…For bristles presenting within the DN or migrating to the DN, 14,28,43,50 successful removal was achieved by transoral surgery via pharyngotomy, 15,44 transcervical open surgery, [2][3][4]7,16,19,21,22,28,54,56,60 or minimally invasive surgery. 43,44,50 Minimally invasive surgery with intraoperative imaging should be considered an option given the potential for less morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…If the bristle is readily accessible on bedside examination, clinicians should remove it if possible. 60 If the bristle is not readily identified, they should perform CT imaging of the suspected area, which had a 92.8% success rate overall but was performed 68.1% of the time. Given the risk of serious complications and the ability for 3-dimensional localization of wire bristles and other foreign bodies, we believe that this is an essential component of the initial workup.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic search was performed per the PRISMA literature selection process ( Figure 1 ). 2-9,12-75 Two authors (N.M. and Y.M.) independently searched the literature for relevant articles.…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Hazards and Management of Wire Bristle ingestions: A Systematic Review

Miller¹,

Noller²,

León

et al. 2021

Otolaryngol.--head neck surg.

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Objective Inadvertently ingested grill brush bristles can lodge in various locations and lead to a variety of injuries. They can also be difficult to identify and remove. Our primary objective was to perform a systematic review of cases reported in the literature, with analysis of trends in clinical presentation and success of diagnostic modalities and treatment approaches. Data Sources Cases of reported grill brush bristle ingestion reported in PubMed, PubMed Central, and Google Scholar databases through April 30, 2021. Review Methods Databases were searched for the following terms: (“ingestion” OR “injury” OR “barbeque” OR “BBQ” OR “grill” OR “foreign body” OR “brush” AND “wire” OR “bristle”). Data were collected on patient demographics, clinical presentation, and treatment course. Statistical analysis was performed on characteristics with low risk of confounding. Results An overall 57 studies involving 91 patients were included. Grill brush bristles presented most commonly in the upper aerodigestive tract (48/91), followed by the abdomen (26/91) and deep neck (17/91). Computed tomography was the most accurate imaging modality for initial diagnosis, identifying 92.8% of bristles. Less invasive or adjunctive techniques such as endoscopy, intraoperative imaging, or minimally invasive surgery may be useful particularly for bristles located in the head and neck given the low rate of success of transoral surgery (66.7%). Conclusion Although this review of retained bristle may be biased toward complex cases, retained grill brush bristles represent an underrecognized and difficult-to-manage hazard. When cases are suspected, clinicians should obtain computed tomography imaging based on presentation and tailor management appropriately.

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