Neglected laryngeal foreign body

Ambu, Valuyeetham Kamaru; Prepageran, Narayanan; Ratnasingam, Vanassa

doi:10.1258/0022215011908801

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…After lodging in the airway, they swell up, blocking the passage and producing chemical reaction leading to pneumonitis. 10 Ambu et al 11 have reported a case of a laryngeal foreign body neglected for one and half months in a 3-year-old boy. This delay in diagnosis was because of paucity of symptoms.…”

Section: Discussionmentioning

confidence: 99%

An Unsafe Foreign Body at an Unsafe Site of Airway

Mohanty¹,

Behera²

2014

International Journal of Phonosurgery &Amp; Laryngology

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Aspiration of foreign bodies into the airway is a serious problem in childhood. Children with less attention at an early age are more prone to ingest or inhale foreign bodies. Diagnosis is often difficult due to parental ignorance and lack of a clear history. The present authors have come across a rare case of an open safety pin with its blunt end inside the larynx and sharp end penetrating the interarytenoid membrane and entering the upper part of esophagus. The foreign body was removed successfully without any complications. How to cite this article Swain SK, Mohanty S, Behera IC. An Unsafe Foreign Body at an Unsafe Site of Airway. Int J Phonosurg Laryngol 2014;4(1):17-19.

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Section: Discussionmentioning

confidence: 99%

An Unsafe Foreign Body at an Unsafe Site of Airway

Mohanty¹,

Behera²

2014

International Journal of Phonosurgery &Amp; Laryngology

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“…The first is to secure an airway. The second is to remove the foreign body and treat the granulation tissue (8). An inhalational induction was performed in order to maintain spontaneous ventilation and the upper airway was sprayed with local anesthesia to reduce the risk of laryngeal spasm.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to making surgical removal of foreign bodies difficult, granulation tissue can bleed and obstruct the airways. Once the foreign body is removed and infection controlled, granulation tissue and edema often subsides over time (8). This was indeed the case in our patient, where review 2 weeks later showed significant regression of the granulation tissue and allowed removal of the tracheostomy after laser treatment (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

A Christmas tree in the larynx

Philip

Bresnihan

Chambers

2004

Pediatric Anesthesia

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A 2 year-old boy presented with acute upper airway obstruction following a 15-month history of noisy breathing and hoarseness. An urgent laryngotracheal bronchoscopy was performed following inhalational induction of anesthesia. Using a fiberoptic bronchoscope, visualization of the larynx through a laryngeal mask airway revealed a flat plastic Christmas tree embedded within granulomatous cords causing almost complete obstruction and requiring tracheostomy prior to extraction. Twelve days later, the tracheostomy was successfully decannulated with the child's voice beginning to normalize. The family remembered the decoration from Christmas celebrations 2 years prior and recalled a coughing episode that predated the onset of hoarseness.

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“…2 The severity of clinical presentation will depend on site of impaction, suddenness and degree of obstruction, size, shape and type of foreign body -including organic or non-organic, age of the patient and possible laryngeal irritation or spasm. 2 Unusual foreign bodies in the larynx, causing no or minimal breathing issues and presenting mainly with voice changes of variable duration or throat discomfort have included a piece of sticker, 2 coin, 9 metallic clip of a crepe bandage, 9 a leech, 3 denture, 10 denture fragment, 1 a bone piece, 8 sewing needle, 11 bird bone, 12 open safety pin, 13 metallic screw, 14 ballpen metal tip, 14 and a paper pin. 15 Our case had a clear history of eating crab after which the complaints started, clearly pointing to a possible foreign body.…”

Section: Case Reportsmentioning

confidence: 99%

Crab Shell Impaction in the Larynx with Aphonia

Parekh

Kashyap

2018

Philipp J Otolaryngol Head Neck Surg

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Objective: To report a case of crab shell impaction at the glottic level presenting only as aphonia and cough. Methods Design: Case Report Setting: Tertiary Government Hospital Patient: One (1) Results: A 36-year-old male, who presented in emergency with sudden aphonia after a meal, was found to have crab shell with leg spines impacted at the glottic level. Due to its large size, ragged edges and the sharp spines stuck in the tissue, endoscopic removal needed a prior tracheostomy. All pieces were extracted, with no bleeding, laceration or tissue damage. The patient completely recovered with normal vocal folds and a normal voice at follow up. Conclusion: Our experience suggests that an impacted foreign body may warrant a tracheostomy to secure the airway prior to extraction, and avoid any possible complications including laryngeal injury. Keywords: foreign body, larynx, crab shell, loss of voice

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Neglected laryngeal foreign body

Cited by 10 publications

References 3 publications

An Unsafe Foreign Body at an Unsafe Site of Airway

An Unsafe Foreign Body at an Unsafe Site of Airway

A Christmas tree in the larynx

Crab Shell Impaction in the Larynx with Aphonia

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