Role of magill forcep in retrieval of foreign body coin

Singh, Gautam; Aggarwal, Damyanti; Mathur, B. D.; Lahiri, T. K.; Aggarwal, Mayank; Jain, Rajiv

doi:10.1007/s12070-009-0031-7

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…Statistically they showed it to be more applicable in younger age group (0-6 years). 22 In our case we found no difficulty in using it in an adult patient. Takrouri et al reported an interesting case of a pin-ended earring got stuck in the hypopharynx of a child where they used MFT to remove it under general anaesthesia uneventfully but a small mucosal tear occurred at the pin entry site and chest complications subsequently.…”

Section: Asymptomatic Pointed Foreign Body In the Hypopharynxsupporting

confidence: 40%

“…This is known as 'Magill forceps technique'(MFT) and noted as one of the extra-anaesthesia uses of Magill forceps. 22 Singh et al studied 100 consecutive paediatric patients of impacted coin at upper end of the oesophagus where they used MFT under inhalational anaesthesia using Macintosh laryngoscope and concluded that this technique was at par with rigid endoscopy in terms of efficacy, safety and complication rate with reduced hospital stay and cost of treatment. Statistically they showed it to be more applicable in younger age group (0-6 years).…”

Section: Asymptomatic Pointed Foreign Body In the Hypopharynxmentioning

confidence: 99%

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An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

Das

Ghosh

Saha

et al. 2016

BJOHNS

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Introduction Foreign body ingestion is an ENT emergency frequently encountered in both children and adults. Case Report A case of an open safety pin in the hypopharynx in a fifteen year old boy is reported, which remained impacted there for the past 15 days without any significant symptom or complication. CT scan, performed before surgical intervention, did not show any migration of this foreign body from its intraluminal site. This was removed by ‘Magill forceps technique’. Postoperative period was uneventful. Conclusion Pointed foreign body may present with negligible symptoms and that too may stay in the cricopharynx for long without migration. Magill forceps technique can be a good surgical option in such cases.

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Section: Asymptomatic Pointed Foreign Body In the Hypopharynxsupporting

confidence: 40%

Section: Asymptomatic Pointed Foreign Body In the Hypopharynxmentioning

confidence: 99%

An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

Das

Ghosh

Saha

et al. 2016

BJOHNS

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“…This was in contrast to another Children's Hospital, where half of the cases were endotracheally intubated and solely in those patients, muscular blocking agents were regularly used. While some authors of case series report to use just deep sedation without intubation or usage of muscular blocking drugs, 18,19 others perform the procedures under endotracheal intubation. 16 However, at the hospital where endotracheal intubation with neuromuscular blockade was used more often, the average duration of the procedure was longer (difference not significant).…”

Section: Discussionmentioning

confidence: 99%

Rapid and safe removal of foreign bodies in the upper esophagus in children using an optimized Miller size 3 video laryngoscope blade

Kaufmann

Grozeva

Laschat

et al. 2021

Pediatric Anesthesia

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Background Foreign bodies lodged in the upper esophagus in children may result in life‐threatening complications, especially with button batteries. Rapid removal is essential to prevent complications. Experts report that extraction with a suitable laryngoscope and a forceps is feasible under general anesthesia, but no further data had been available so far. Aims To study foreign body visualization and removal from the upper esophagus in children using a new optimized Miller size 3 blade video laryngoscope. Methods This prospective observational study was performed in three pediatric hospitals. The clinical observations were reported anonymously on an electronic spreadsheet after obtaining the informed consent from the parents or guardians. During the observational period from January 2019 to October 2020, all children with a foreign body lodged into the upper esophagus were eligible for participation and 22 cases were included. Main outcome measures were rates of successful removal and complications as well as duration of the procedure. Secondary outcome was subjective assessment regarding the quality of the visualization and the feasibility of the procedure. Results Success rate was 100% with no complications. Mean intervention and anesthesia times were 5 ± 4 minutes and 26 ± 25 minutes. Quality of visualization of the foreign body was judged as ‘excellent’ or ‘good’ in all cases and the feasibility of the procedure as ‘without’ or ‘with little’ effort in 95% of all cases. Conclusion The new Miller size 3 video laryngoscope enables rapid, easy, and reliable extraction of foreign bodies when they are located in the upper part of the esophagus. As early removal of esophageal foreign bodies, especially with button batteries, prevents life‐threatening complications, we suggest this technique as the first choice of treatment.

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“…In a study conducted by Singh et al, they have used MFT under inhalational anaesthesia using Macintosh laryngoscope to remove coin from upper end of oesophagus from 100 paediatric patients, they have concluded that this technique is better than rigid endoscopy in terms of efficacy, safety and complication rate with reduced hospital stay and cost of treatment. 20 In our study, we have used Magill's forceps technique (MFT) using Macintosh laryngoscope in 106 cases and rigid esophagoscopy in remaining 27 cases. In 8 cases we could not retrieve coin successfully by using above methods and these cases were referred to surgery for further management.…”

Section: Discussionmentioning

confidence: 99%

A retrospective clinical study and management of ingested Indian currency coin found in the oesophagus among paediatric age group

Rao

Karade

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Foreign body ingestion is a common event in children and carries significant morbidity and mortality. Indian currency coins are found to be the common ingested foreign bodies hence, to be treated accordingly.Methods: A 7 years retrospective review of 133 children diagnosed, admitted and managed for “ingested Indian currency coin” between January 2011 to December 2017 in the Department of Oto-rhino-laryngology and Head and Neck surgery, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India. A plain radiograph of the relevant views of neck and chest were taken to identify the foreign body. Results: There were 80 (60.2%) males and 53 (39.8%) females, ranging in age from 6 months to 15 years. Most of the patients 98 (73.7%) presented within 12 hours of the coin ingestion. 109 patients presented with one or more symptoms, common being vomiting 83 (62.4%). Coin was located mostly at the cricopharynx 111 (83.5%). Coin removal was possible using Macintosh laryngoscope and Magill’s forceps in 106 (79.7%) patients, and 27 (20.3%) patient’s required rigid oesophagoscope.Conclusions: Indian currency coin ingestion is commonly found in cricopharyngeal area of the oesophagus among preschool age group. The duration of retention of the foreign body, procedural time, hospital stay of the patient, diameter of the coin in both the genders have no impact on clinical outcome on retrieval of them.

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Role of magill forcep in retrieval of foreign body coin

Cited by 5 publications

References 9 publications

An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

Rapid and safe removal of foreign bodies in the upper esophagus in children using an optimized Miller size 3 video laryngoscope blade

A retrospective clinical study and management of ingested Indian currency coin found in the oesophagus among paediatric age group

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