Unusual presentation of foreign body in larynx

Chouhan, Mahendra; Yadav, Jagvir; Bakshi, Jaimanti

doi:10.1016/j.ejenta.2012.02.002

Cited by 4 publications

(2 citation statements)

References 7 publications

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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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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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“…[1] Precipitating factors noted in adult foreign body ingestion are dental procedures, neurological dysfunction, mental retardation, edentulous, seizures and alcoholism. [2] Patients presented with odynophagia, after accidental ingestion. Trial of removal can be done under direct or endoscopic vision in a clinical setting, failing which, removal can be attempted under general anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Surgical removal of migrating extraluminal foreign body larynx

Kho

Othman

et al. 2016

Acta Oto-Laryngologica Case Reports

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Foreign body ingestion is a common otorhinolaryngological emergency encountered. Most frequently noted are fish bones, which usually get impacted at the level of cricopharynx. However, sometimes few may migrate extraluminally, or even extrude subcutaneously. We present a case of an adult with foreign body ingestion (fish bone) which had migrated and embedded in the left pyriform sinus and larynx, requiring open surgery for removal.

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A Case of Foreign Body Laryngeal Granuloma Mimicking Contact Granuloma

Kim¹,

Kim²,

Liu³

et al. 2020

J Korean Soc Laryngol Phoniatr Logop

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Among lesions in the larynx, laryngeal contact granuloma due to persistent tissue irritation can typically be attributed to endotracheal intubation, vocal abuse, or gastro-esophageal reflux disease. Treatment typically includes voice therapy, lifestyle changes and use of anti-reflux medication. Microsurgical removal is only indicated in cases of severe dyspnea due to mass size. Foreign body granuloma is a response of to any foreign material in the tissue. Foreign body granulomas are sometimes misdiagnosed as soft tissue tumors when the causative foreign body is not initially found. Delayed treatment of these foreign bodies may cause complications. We present a case of larynx granuloma due to impacted foreign body, probably fish bone, in the larynx that mimicked contact granuloma. We initially used anti-reflux medication, but to no avail. The laryngeal mass, observed through laryngoscopy, showed no improvement and therefore necessitated a proper pathologic diagnosis. We were able to successfully treat it via trans-oral laser CO2 microsurgery before any complications developed.

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Unusual presentation of foreign body in larynx

Cited by 4 publications

References 7 publications

Crab Shell Impaction in the Larynx with Aphonia

Crab Shell Impaction in the Larynx with Aphonia

Surgical removal of migrating extraluminal foreign body larynx

A Case of Foreign Body Laryngeal Granuloma Mimicking Contact Granuloma

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