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1.
Article | IMSEAR | ID: sea-233806

ABSTRACT

Foreign bodies are defined as any foreign object that enters the human body due to various circumstances. FBs are a common reason for emergency department visits. The hand's complex vascular and nervous structures make aggressive exploration dangerous. FBs can be composed of various materials, making their detection with a single imaging study difficult. We propose using a magnetic tissue expander locator for intraoperative FB localization, presenting the case of a 50-year-old female patient who, after falling from her height, presented with a foreign body in her right hand. Due to the complexity of locating the FB, we used the magnetic finder, successfully extracting it without damaging any underlying structures. Use of magnetic tissue expander locators are effective, practical, and safe alternative to help for locating magnetic foreign bodies.

2.
Rev. bras. oftalmol ; 83: e0049, 2024. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1576102

ABSTRACT

RESUMO Objetivo: Descrever o perfil epidemiológico dos atendimentos em uma emergência oftalmológica de referência, sob livre demanda, em um hospital terciário no Sul brasileiro. Métodos: Realizou-se um estudo histórico transversal no Hospital Regional de São José, em Santa Catarina, abrangendo todos os atendimentos na emergência oftalmológica durante 46 dias em 2019 (n = 1.728). Os dados foram inseridos em planilha e exportados ao Statistical Package for Social Sciences, versão 21.0.0.0. A análise incluiu frequências, com o teste do qui-quadrado para dados categóricos (p < 0,05). Resultados: Dos 1.728 atendimentos, 1.365 ocorreram por livre demanda, com predominância masculina (58,5%) e média de idade 42 anos. Pacientes da Região Metropolitana de Florianópolis representaram 76,2%, associados à maior taxa de desistência na espera por consulta (p < 0,001). A taxa geral de desistência foi 12%. Queixas mais comuns foram dor (27,7%) e irritação (21,3%), apresentando-se com até 1 semana de sintomas em 74,4% dos casos. Principais diagnósticos foram corpo estranho na superfície (15,5%) e conjuntivites infecciosas (12,7%). Em 28,6% dos atendimentos, houve trauma associado. Seguimento ou cirurgia foram necessários em 39,7% dos casos, estando mais associados a encaminhamento por outro serviço de saúde. Conclusão: Muitos atendimentos foram resolvidos com baixa complexidade, destacando a importância do conhecimento epidemiológico para otimizar investimentos em saúde pública e melhorar a experiência do paciente do Sistema Único de Saúde.


ABSTRACT Objective: To outline the epidemiological profile of a reference ophthalmological emergency department, with no appointment scheduled, at a tertiary hospital in Southern Brazil. Methods: A cross-sectional historical study was conducted at Hospital Regional de São José, Santa Catarina, covering all visits to the ophthalmological emergency department over 46 days in 2019 (n = 1,728). Data were entered in a spreadsheet and analyzed using Statistical Package for Social Sciences, version 21.0.0.0), with frequencies and chi-square tests for categorical data (p < 0.05). Results: Of 1,728 visits, 1,365 were with no appointment scheduled, predominantly male (58.5%), average age of 42 years. Patients from the Florianópolis Metropolitan Region represented 76.2%, associated with a higher abandonment rate (p < 0.001). The overall abandonment rate was 12%. Common complaints included pain (27.7%) and irritation (21.3%), presenting within a week in 74.4% of cases. Main diagnoses were foreign body on the surface (15.5%) and infectious conjunctivitis (12.7%). Trauma was associated in 28.6% of visits. Follow-up or surgery was required in 39.7% of cases, often associated with referral from another health service. Conclusion: Many visits were resolved with low complexity, highlighting the importance of epidemiological knowledge to optimize public health investments and enhance the Unified Health System patient experience.

3.
Arq. bras. oftalmol ; Arq. bras. oftalmol;87(6): e2022, 2024. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1520245

ABSTRACT

ABSTRACT Purposes: To describe the clinical characteristics and factors associated with keratitis in patients with corneal foreign bodies in Colombia. Methods: This cross-sectional study was based on a clinical records review of patients who had corneal foreign bodies and were admitted to the emergency department between June 2018 and June 2019 in Cali, Colombia. The primary outcome was the presence of keratitis diagnosed based on clinical criteria. Univariate and multivariate logistic regression models were used to identify associated factors. Results: A total of 381 corneal foreign bodies in 372 patients were analyzed (median age, 40.0; interquartile range, 29.0-53.0 years; male, 94.7% (n=352). Ninety-five patients developed keratitis (24.9%, 95% confidence interval [CI] 20.8%-29.5%). In the multivariate analysis, age 30 years (odds ratio [OR] 2.15, 95% CI 1.06-4.36), finding of aqueous flare (OR 2.81, 95% CI 1.39-5.66]), and a foreign body in the peripheral cornea (OR 2.05, 95% CI 1.19-3.50] were associated with an increased risk for keratitis. Sex, time between injury and admission, and corneal edema were not related to keratitis (p>0.05). Conclusion: In Cali, Colombia, a high proportion of keratitis was reported in patients with corneal foreign body. Age, an aqueous flare, and a foreign body in the peripheral cornea were the factors associated with keratitis.


RESUMO Objetivo: Descrever as características clínicas e os fatores associados à presença de ceratite em pacientes com corpos estranhos na córnea em uma população colombiana. Métodos: Trata-se de um estudo transversal baseado na revisão dos registros clínicos de pacientes com corpos estranhos na córnea admitidos em um departamento de emergência em Cali, Colômbia, entre junho de 2018 e junho de 2019. O desfecho primário foi a presença de ceratite diagnosticada através de critérios clínicos. Foram utilizados modelos de regressão logística univariada e multivariada para identificar os fatores associados. Resultado: Neste estudo, foi analisado um total de 381 corpos estranhos na córnea em 372 pacientes (idade média: 40,0 anos, intervalo interquartil: 29,0-53,0; sexo masculino: 94,7% [352 casos]). Noventa e cinco casos desenvolveram ceratite (24,9%, intervalo de confiança de 95% — IC 95%: 20,8%-29,5%). Na análise multivariada, para idade ≤30 anos (razão de chances — RC: 2,15, IC 95%: 1,06-4,36), o achado de flare aquoso (RC: 2,81, IC 95%: 1,39-5,66]) e a presença de corpo estranho na periferia da córnea (RC: 2,05, IC 95%: 1,19-3,50) foram associados a um risco aumentado de ceratite. Sexo, tempo entre a lesão e a internação, e edema da córnea não foram relacionados à ceratite (p>0,05). Conclusão: Há uma proporção elevada de ceratite em casos de corpos estranhos na córnea em Cali, Colômbia. Os três fatores associados à ceratite foram a idade, o achado de flare aquoso e a presença de corpo estranho na periferia da córnea.

4.
Rev. bras. oftalmol ; 83: e0002, 2024. graf
Article in Portuguese | LILACS | ID: biblio-1529930

ABSTRACT

RESUMO O propósito deste estudo foi reportar as alterações oculares observadas após picada de abelha com ferrão retido na córnea. Destacamos o tratamento e o desfecho de uma lesão de córnea incomum e sua patogênese. Trata-se de relato de caso e revisão da literatura de lesões oculares por picada de abelha. Paciente do sexo feminino, 63 anos, procurou atendimento oftalmológico de urgência devido à picada de abelha na córnea do olho direito há 6 dias. Queixava-se de embaçamento visual, dor e hiperemia ocular. Apresentou acuidade visual de vultos no olho afetado. Ao exame, notaram-se hiperemia moderada de conjuntiva bulbar, edema corneano com dobras de Descemet e presença do ferrão alojado na região temporal, no estroma profundo da córnea. A paciente foi internada para ser abordada no centro cirúrgico sob anestesia geral. Durante a cirurgia, o ferrão teve que ser retirado via câmara anterior, mediante a realização de uma paracentese e uma lavagem da câmara anterior, com dupla via e solução salina balanceada. Ainda não existe na literatura um tratamento padrão na abordagem de pacientes com lesões oculares por picada de abelha, sendo importantes a identificação e o reconhecimento precoce de possíveis complicações que ameacem a visão.


ABSTRACT The purpose of this study was to report the ocular changes observed after a bee sting with a stinger retained in the cornea. We show the treatment and outcome of an unusual corneal injury and its pathogenesis. This is a case report and literature review of ocular injuries caused by bee stings. A 63-year-old female patient sought emergency ophthalmic care because of a bee sting on the cornea of her right eye six days before. She complained of blurred vision, pain, and ocular hyperemia. She had glare sensitivity on visual acuity in the affected eye. Examination revealed moderate hyperemia of the bulbar conjunctiva, corneal edema with Descemet's folds and a stinger lodged in the temporal region, in the deep stroma of the cornea. The patient was admitted to the operating room under general anesthesia. During surgery, the stinger had to be removed via the anterior chamber, by performing a paracentesis and washing the anterior chamber with a double flushing and balanced saline solution. There is still no standard treatment in the literature for patients with eye injuries caused by bee stings, and early identification and recognition of possible sight-threatening complications is important.


Subject(s)
Humans , Female , Middle Aged , Bee Venoms/adverse effects , Corneal Edema/etiology , Eye Foreign Bodies/complications , Corneal Injuries/etiology , Insect Bites and Stings/complications , Ophthalmologic Surgical Procedures/methods , Corneal Edema/diagnosis , Corneal Edema/physiopathology , Iridocyclitis , Eye Foreign Bodies/surgery , Eye Foreign Bodies/diagnosis , Corneal Injuries/surgery , Corneal Injuries/diagnosis , Slit Lamp Microscopy , Gonioscopy , Insect Bites and Stings/surgery , Insect Bites and Stings/diagnosis
5.
Rev. otorrinolaringol. cir. cabeza cuello ; 83(4): 377-382, dic. 2023. tab, graf
Article in Spanish | LILACS | ID: biblio-1560352

ABSTRACT

Introducción: El cuerpo extraño en vía aérea es una patología infrecuente en el área Otorrinolaringológica, siendo la primera causa de muerte accidental de la especialidad. La alta sospecha clínica es fundamental para lograr un diagnóstico precoz. El Hospital Clínico de la Universidad Católica es un centro de referencia a nivel nacional para el manejo de esta patología. Objetivo: Realizar una descripción epidemiológica de los pacientes con diagnóstico de cuerpo extraño en vía aérea sometidos a revisión de vía aérea de los pacientes atendidos en el Hospital Clínico de la Universidad Católica entre los años 2018-2021. Material y Método: Estudio retrospectivo y descriptivo. Se revisaron las fichas clínicas de pacientes con revisión de vía aérea realizada entre junio 2018 y julio 2021. Estudio cuenta con la aprobación del comité de ética de nuestro hospital. Resultados: Se incluyó un total de 13 pacientes con diagnóstico de cuerpo extraño en vía aérea. 62% de los pacientes fueron de sexo masculino. Rango de edad entre 0 y 11 años, mediana de edad de 1 año. El 100% de los pacientes presentó algún síntoma respiratorio y un 90% presentó síndrome de penetración. El cuerpo extraño se evidenció en el 30% de las radiografías. El 100% de las revisiones de vía aérea se hizo con ventilación espontánea. El 70% se localizó en los bronquios. No hubo mortalidad asociada al procedimiento. Conclusión: Las cifras encontradas en nuestro estudio fueron similares a las reportadas en las diferentes series a nivel internacional.


Introduction: Foreign body in the airway is a rare condition in the Otorhinolaryngology field, being the leading cause of accidental death in the specialty. High clinical suspicion is crucial for achieving an early diagnosis. The Hospital Clínico de la Universidad Católica is a national reference center for the management of this condition. Aim: To provide an epidemiological description of patients diagnosed with foreign bodies in the airway who underwent airway review at the Hospital Clínico de la Universidad Católica between the years 2018-2021. Materials and Method: A retrospective and descriptive study. Clinical records of patients who underwent airway review between June 2018 and July 2021 were reviewed. The study has received approval from our hospital's ethics committee. Results: A total of 13 patients with a diagnosis of foreign bodies in the airway were included. 62% of the patients were male. The age ranged from 0 to 11 years, with a median age of 1 year. 100% of the patients presented respiratory symptoms, and 90% presented with a penetration syndrome. The foreign body was evident in 30% of the X-rays. All airway reviews were conducted with spontaneous ventilation. 70% of the foreign bodies were located in the bronchi. There was no mortality associated with the procedure. Conclusion: The findings in our study were similar to those reported in various international series.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Respiratory Aspiration/diagnostic imaging , Foreign Bodies/diagnostic imaging , Bronchoscopy/methods , Epidemiology, Descriptive
6.
Article in English | LILACS-Express | LILACS | ID: biblio-1535959

ABSTRACT

Introduction: Ingesting foreign bodies is a common medical problem, especially in the emergency department. Some small studies describe experiences in this regard. Materials and methods: A descriptive retrospective study included patients with suspected ingestion of foreign bodies admitted to the gastroenterology and GI endoscopy service of the Clínica Universitaria Colombia between January 2007 and August 2020. Results: The age of occurrence of the event was 18 to 95 years, and the average age was 45 years. The foreign bodies ingested and found were variable. The most frequent was fish bones, representing 64.11% of the cases, followed by chicken bones and dietary impaction. Thirty-eight percent of patients required foreign body removal; the most frequently used tool was the foreign body forceps. The primary location was the esophagus in 12.53% of cases, followed by the cricopharynx in 11.18% and the hypopharynx in 10%. Conclusions: The Clínica Universitaria Colombia is a referral site for many gastroenterology emergencies due to its high technological level and extensive human resources. This paper probably describes the largest number of patients with this reason for consultation, which is why this retrospective descriptive study was designed. It shows the demographic characteristics, foreign body types, radiological and endoscopic findings, and associated complications, which help to provide a more accurate knowledge of this pathology.


Introducción: La ingesta de cuerpos extraños es un problema médico frecuente, especialmente en el servicio de urgencias. Existen algunos estudios pequeños que describen las experiencias al respecto. Materiales y métodos: Estudio descriptivo, retrospectivo, en el cual se incluyó a pacientes con sospecha de ingesta de cuerpos extraños, ingresados al servicio de gastroenterología y endoscopia digestiva de La Clínica Universitaria Colombia, entre enero de 2007 y agosto de 2020. Resultados: La edad de ocurrencia del evento se presentó en pacientes desde los 18 hasta los 95 años, y la edad promedio fue de 45 años. Los cuerpos extraños ingeridos y encontrados fueron variables; los más frecuentes fueron la ingesta de espinas de pescado, que representó el 64,11% de los casos, seguido por la ingesta de huesos de pollo y la impactación alimentaria. Un 38% de los pacientes requirieron la extracción de cuerpo extraño y la herramienta usada con mayor frecuencia fue la pinza de cuerpo extraño. La localización principal fue el esófago, en el 12,53% de los casos, seguido por la cricofaringe, en el 11,18%, y la hipofaringe, en el 10%. Conclusiones: La Clínica Universitaria Colombia es un sitio de referencia de una gran cantidad de urgencias en gastroenterología debido a su alto nivel tecnológico y al gran recurso humano que requieren. Este trabajo representa probablemente la cantidad más grande de pacientes con este motivo de consulta, razón por la que se diseñó este estudio descriptivo retrospectivo, que muestra las características demográficas, los tipos de cuerpo extraño, los hallazgos radiológicos y endoscópicos y las complicaciones asociadas, que son de utilidad para tener un conocimiento más real de esta patología.

7.
Rev. gastroenterol. Perú ; 43(4)oct. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1536361

ABSTRACT

La presencia de cuerpo extraño esofágico (CEE) es una urgencia habitual en gastroenterología. El protocolo en el manejo y la intervención endoscópica puede ser variable entre las instituciones. Objetivo: Definir características clínicas del CEE en adultos, su diagnóstico radiológico y endoscópico, y complicaciones a partir de una muestra de pacientes en un centro de gastroenterología. Materiales y métodos: serie de casos de pacientes que ingresaron desde urgencias y fueron interconsultados al servicio de gastroenterología con diagnóstico presuntivo de CEE. Se recolectaron variables clínicas, así como características, comorbilidades, tiempo de evolución y oportunidad diagnóstica, estudios confirmatorios, y complicaciones. Resultados: 84 sujetos, 70% hombres, promedio de edad 45 (rango:17-87; SD 12,5) años. En 98,8% de los pacientes se realizó endoscopía digestiva alta de modo urgente, con estancia intrahospitalaria promedio de 2,5 días. 93% sin patología de base asociada, en 6/84 (7,14%) pacientes se documentó patología esofágica estructural o funcional. 59/84 70,2%) pacientes consultaron en las primeras 24 horas, en 57,6% se confirmó endoscópicamente presencia de cuerpo extraño. En 67/84 (79,76%) pacientes se realizó radiografía previa a endoscopia, de los cuales, 62/67 (92,5%) con resultado anormal. 70% de los CEE confirmados fueron espinas de pescado. El sitio más frecuente de localización fue en región cricofaringea en el 90% de los casos. En 66/84 (78,6%) sujetos hubo ausencia de complicaciones, seguido de laceración profunda en 10/84 (11,9%) casos. En 3/84 (3,6%) casos se identificaron complicaciones con requerimiento quirúrgico. Conclusiones: La intervención endoscópica en las primeras 24 horas es un momento oportuno para identificación de complicaciones y brindar el tratamiento indicado.


The presence of esophageal foreign body (EFB) is a common emergency in gastroenterology. The protocol for management and endoscopic intervention can be variable among institutions. Objective: to define the clinical characteristics of EFB in adults, its radiological and endoscopic diagnosis, and complications based on a sample of patients in a gastroenterology center. Materials and methods: case series of patients admitted from the emergency department and referred to the gastroenterology department with a presumptive diagnosis of EFB. Clinical variables were collected, as well as characteristics, comorbidities, time of evolution and diagnostic opportunity, confirmatory studies, and complications. Results: 84 subjects, 70% men, mean age 45 (range: 17-87; SD 12.5) years. Urgent upper endoscopy was performed in 98.8% of the patients, with an average in-hospital stay of 2.5 days. 93% had no associated underlying pathology, in 6/84 (7.14%) patients structural or functional esophageal pathology was documented. 59/84 (70.2%) patients consulted in the first 24 hours, in 57.6% the presence of foreign body was confirmed endoscopically. In 67/84 (79.76%) patients radiography was performed prior to endoscopy, of which 62/67 (92.5%) had an abnormal result. Seventy percent of confirmed EFB were fish bones. The most frequent site of localization was in the cricopharyngeal region in 90% of the cases. In 66/84 (78.6%) subjects there was absence of complications, followed by deep laceration in 10/84 (11.9%) cases. In 3/84 (3.6%) cases complications requiring surgery were identified. Conclusions: Endoscopic intervention in the first 24 hours is an opportune moment to identify complications and provide the indicated treatment.

8.
Rev. Assoc. Med. Bras. (1992, Impr.) ; Rev. Assoc. Med. Bras. (1992, Impr.);69(9): e20230475, set. 2023. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1514733

ABSTRACT

SUMMARY OBJECTIVE: Foreign body aspiration is one of the childhood emergencies that thoracic surgeons are interested in, and it can cause morbidity and mortality. Although the relationship between various behavioral problems related to children and foreign body aspiration has been investigated so far, there is no study investigating the relationship between maternal temperament and anxiety sensitivity. This study aimed to investigate the relationship between maternal emotional temperament, anxiety sensitivity, and foreign body aspiration. METHODS: Mothers of 18 children with foreign body aspiration have been evaluated by a thoracic surgeon, and 18 healthy controls have also been included in the study. Maternal emotional temperament has been measured with the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego - Auto questionnaire scale, and anxiety sensitivity has been measured with the Anxiety Sensitivity Index-3. RESULTS: There has been no statistically significant difference between groups in terms of maternal emotional temperament and anxiety sensitivity. In the logistic regression analysis conducted to determine the predictors of foreign body aspiration, it is determined that the mother's anxious temperament has predicted foreign body aspiration significantly. CONCLUSION: As a result of the study, it can be concluded that mothers' anxious temperament can be considered a risk factor for foreign body aspiration because it affects parenting skills and children's ability to manage behavioral problems. Consistent results could be able to be obtained with studies including larger samples on the subject.

9.
Article | IMSEAR | ID: sea-221428

ABSTRACT

Polyembolokoilamania is a rare but serious medical condition that involves the presence of multiple foreign bodies in the patient's body. This condition can be challenging to diagnose and manage in the emergency department. In this chapter, we will discuss the presentation, diagnosis, and management of polyembolokoilamania in the emergency department.

10.
Int. arch. otorhinolaryngol. (Impr.) ; 27(2): 316-323, April-June 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1440208

ABSTRACT

Abstract Introduction Foreign body accidents (FBAs) are frequent in children and can be severe, being a common cause of morbidity and mortality and a public health problem. As these accidents are multifactorial, their cause can only be determined by analyzing the clinical details and characteristics of the object. Knowing the associated mechanisms and factors is essential to determine a risk profile and have a preventive, therapeutic, and diagnostic purpose. Objective The present study aimed to describe the incidence of FBAs in otorhinolaryngology according to their anatomical location, focusing on the aerodigestive system. Methods This is a retrospective study performed by reviewing the medical records of 668 cases seen in the emergency department of a tertiary pediatric hospital in São Paulo, state of São Paulo, Brazil, between 2014 and 2017. Results Foreign bodies (FBs) were found in the digestive system (238/668), in the nasal cavities (206/668), in the ears (182/668), in the oropharynx (34/668), and in the respiratory system (8/668). A total of 91.77% of the patients were treated in the emergency room. The main age group affected was < 5 years old, with no difference between genders. The most frequent complications affected the digestive system and the most serious occurred in cases involving the respiratory system. Conclusion Multidisciplinary teams should be ready in the emergency room to provide adequate care in FBAs. Early diagnosis, FB removal in the emergency room or the surgical center and follow-up are essential. Developing prevention campaigns including a risk profile for certain products and/or materials, helping to ensure safety for consumers, is necessary. For this, a national database with compulsory notification containing relevant information on FBAs in the pediatric population should be created.

11.
Rev. estomatol. Hered ; 33(2): 154-161, abr.-jun. 2023. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1560006

ABSTRACT

RESUMEN La ingestión de cuerpos extraños de origen dental es una complicación a la cual están expuestos los pacientes de los odontólogos y, en particular, de los ortodoncistas. Son emergencias poco comunes pero que pueden llegar a poner en riesgo la vida del paciente, sea por obstrucción de la vía aérea o por daño al tracto gastrointestinal. En esta revisión, se evalúan los antecedentes de reportes de casos donde el o la paciente haya ingerido un cuerpo extraño de origen ortodóncico, sea que ocurrió dentro de la consulta ortodóncica o fuera de ella. Se revisan las recomendaciones de prevención generales, particulares y el manejo inicial en caso de estas complicaciones.


ABSTRACT Ingestion of dental foreign bodies is a complication that patients of dentists, particularly orthodontists, may encounter. Although uncommon, these incidents can pose life-threatening risks to patients, including airway obstruction and gastrointestinal damage. This review examines case reports of patients who have ingested orthodontic foreign bodies, whether it occurred within or outside the orthodontic setting. General and specific preventive recommendations, as well as initial management approaches for these complications, are reviewed.

12.
Article | IMSEAR | ID: sea-220709

ABSTRACT

Objectives: To ascertain if aural syringing is a one size ?ts all solution for aural foreign body removal in a rural setting A Record based descriptive study was looked at paediatric and adult patients Methods: with Aural FB (foreign bodies) who visited ER (Emergency) and ENT-OPD (Out Patient Department) of a single institution between January 2022 and December 2022.The Diagnosis of Aural foreign bodies was based on personal history and Otoscopic ?ndings. Patient characteristics, foreign body type, removal attempts and complications were evaluated with respect to clinical setting and patient outcome. The Data was obtained from the records. 86 patients were brought to Results: the emergency department and ENT-OPD over a 12-month period with foreign bodies of the EAC (External Auditory Canal). Otolaryngologists used otoscope and standard metallic aural syringe as their mainstay of management. Analysis of ER and OPD cases revealed Inorganic aural foreign bodies were 65.11% and 34.88% were Organic foreign bodies. Unilateral Purulent Aural Discharge was in 46.51% (40) patients, pain in 17.44% (15), Ear Bleeding in 8.13% (7), conductive hearing loss and tinnitus was 10.46% (9) and itching in 4.65% (4). Duration of Symptoms was <1 week in 65.11% (56) cases ,1-2 weeks in 22.09% (19) and 2-4 weeks in 12.79% (11) cases. Successful removal of foreign bodies from ear by only applying aural syringing was achieved in 91.86% of cases, and usage of other methods of aural foreign body removal Forceps, Hook and Suction in 5.8% and foreign body removal under GA was 2.32% were recorded Aural foreign bodies were commonly seen in paediatric Conclusion population. Patients commonly present to the ER and OPD for removal of EAC foreign bodies. The common inorganic aural foreign bodies were cotton tip, stone and eraser whereas ?y, lice and bee were the organic FB. The most common symptoms and complications of aural FBs, were unilateral purulent discharge followed by pain, ear Bleeding, Tympanic membrane perforation, external meatus laceration, chronic otitis media and facial Nerve paralysis. The most common procedures used were Syringing followed by Forceps, hook and suction. It is observed that aural syringing performed by the trained hands of an otolaryngologist is a very effective method and can almost be described as a one size ?ts all solution for managing foreign bodies in EAC with some notable exceptions.

13.
Colomb. med ; 54(1)mar. 2023.
Article in English | LILACS-Express | LILACS | ID: biblio-1534280

ABSTRACT

Case description: A 42-year-old woman with severe pulmonary and mediastinal inflammatory involvement, secondary to infiltration of a silicone-related allogenic material with systemic migration. Clinical findings: The patient developed esophageal and bronchial stenosis, recurrent infections, malnutrition, and respiratory deterioration, making surgical removal of the allogenic material impossible. Treatment and outcome: Clinical and radiological improvement was achieved after treatment with multiple intravenous and oral immunomodulators. Clinical relevance: Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) is a heterogeneous disease resulting from exposure to allogenic substances in a susceptible subject. These substances cause autoimmune or autoinflammatory phenomena. Since ASIA was described ten years ago, its diagnostic criteria are still under discussion, with an uncertain prognosis. The ideal therapy is based on eliminating the causative substance, but this is not always possible. Therefore, it is necessary to start an immunomodulatory treatment, using it in this patient, a scheme that had not been previously reported in the literature.


Descripción del caso: Mujer de 42 años con compromiso inflamatorio pulmonar y mediastinal severo, secundario a infiltración de un material alogénico relacionado con la silicona con migración sistémica. Hallazgos clínicos: La paciente desarrolló estenosis esofágica y bronquial, infecciones recurrentes, desnutrición y deterioro respiratorio, imposibilitando la extracción quirúrgica del material alogénico. Tratamiento y resultado: Mejoría clínica y radiológica lograda tras un tratamiento con múltiples inmunomoduladores intravenosos y orales. Relevancia clínica: El síndrome autoinmune / inflamatorio inducido por adyuvantes (ASIA) es una enfermedad heterogénea que resulta de la exposición a sustancias alógenas en un sujeto con susceptibilidad genética. Estas sustancias inducen fenómenos autoinmunitarios o autoinflamatorios. Desde que ASIA fue descrito hace 10 años, sus criterios diagnósticos continúan en discusión, con un pronóstico incierto. El tratamiento idóneo se basa en eliminar la sustancia causante, pero no siempre es posible, por lo cual se hace necesario iniciar un tratamiento inmunomodulador, empleándose en esta paciente un esquema que no había sido reportado previamente en la literatura.

14.
Article | IMSEAR | ID: sea-218451

ABSTRACT

Background: Orbital cellulitis is defined as acute inflammatory orbital swelling of infectious origin. Most often secondary to sinusitis. Intraocular foreign bodies neglected because of their small size, or sometimes radio-transparent nature, can be difficult to diagnose even with radiology and be responsible for orbital cellulitis. We demonstrate the diagnostic and therapeutic difficulties.Patients and Methods: This is a retrospective descriptive study of patients with unilateral orbital cellulitis revealing neglected intraocular foreign bodies, conducted in the Department of Adult Ophthalmology, Hospital August 20, 1953, involving 58 patients, from January 2015 until December 2020.Results: The average age of the patients was 38.5 years. The most affected age group was between 21 and 30 years with a clear male predominance. A decrease in visual acuity was found in all patients (unilateral blindness 43%) and a cellulitis complicated by a purulent melt (43%). All patients received medical treatment, including intravitreal injections of antibiotics in 71% of cases, and surgical treatment consisting of extraction of the foreign body and immediate evisceration of the eyeball in 25% of cases.Conclusion: Orbital cellulitis, although mostly secondary to sinusitis, can reveal various etiologies such as intra-orbital foreign bodies that can go unnoticed and be life-threatening and functionally damaging, especially when the diagnosis is made late and management is inappropriate. The presence of an intraocular foreign body must be suspected in all cases of orbital trauma associated with a palpebral wound, even if it is minimal, or in the presence of a clinical aggravation. Any delay in diagnosis and/or treatment can lead to serious complications that can affect the functional and even vital prognosis. The surgical treatment consists of the extraction of the foreign body. The recourse to evisceration in our context unfortunately continues to persist at high rates; because of the delay of consultation and thus of the management.

15.
Article in Chinese | WPRIM | ID: wpr-990323

ABSTRACT

Objective:To explore the methods to improve the success rate of external canal foreign body washing and reduce the incidence of adverse reaction in children (≤14 years old).Methods:This study was a randomized controlled trial. A total of 60 pediatric patients with ear canal foreign bodies who were admitted to the otolaryngology-head and neck surgery clinic of Shengjing Hospital Affiliated to China Medical University from January 2021 to May 2022 were selected. The patients were divided into the experimental group and the control group by the random number table method, with 30 cases in each group. The experimental group were treated with pulsatile external auditory canal irrigation method, while the control group were treated with the conventional ear canal flushing method. The success rate of flushing, the flushing time, the incidence of adverse reactions and satisfaction of the patient's family were compared between the two groups.Results:The success rate of flushing was 80.0% (24/30) in the experimental group and 46.7% (14/30) in the control group, with statistically significant difference ( χ2= 7.18, P <0.05). The flushing time was (140.80 ± 44.48) s in the experimental group and (296.60 ± 82.79) s in the control group, with statistically significant difference ( t=9.08, P <0.05). The incidence of adverse reactions was 23.3% (7/30) in the experimental group and 63.3% (19/30) in the control group, with statistically significant difference ( χ2=9.77, P<0.05). The satisfaction of the patient's family was 93.9% (28/30) in the experimental group and 36.7% (11/30) in the control group, with statistically significant difference ( χ2=21.17, P<0.05). Conclusions:The pulsatile external auditory canal irrigation method can improve the success rate of ear canal foreign body flushing, shorten the flushing time and reduce the adverse reactions. The need for surgery and hospitalization due to ear canal foreign body, the suffering of patients and the corresponding cost can be decreased accordingly. The new treatment showed clear advantages clinically and should be widely applied.

16.
Rev. méd. Urug ; 39(2): e701, 2023.
Article in Spanish | LILACS, BNUY | ID: biblio-1508726

ABSTRACT

La ingesta accidental de cuerpos extraños en una entidad frecuente en la urgencia, presentándose en general como dolor abdominal inespecífico. Presentamos caso que ingirió un escarbadientes de madera cuyo manejo inicial fue conservador. Su evolución fue tórpida, requiriendo cirugía de urgencia por perforación del estómago y páncreas.


Accidental ingestion of foreign bodies is rather a frequent entity in the ER, presenting in general as non-specific abdominal pain. The study presents the case of a patient who ingested a wooden toothpick, the handling of which was conservative. Evolution was torpid, requiring emergency surgery given the perforation of the stomach and pancreas.


A ingestão acidental de corpos estranhos é uma entidade frequente no pronto-socorro, apresentando-se geralmente como dor abdominal inespecífica. Apresentamos um caso de ingestão de palito de madeira cujo manejo inicial foi conservador. Sua evolução foi complicada sendo necessário realizar uma cirurgia de emergência devido à perfuração do estômago e do pâncreas.


Subject(s)
Pancreas , Portal Vein , Stomach , Wounds and Injuries , Venous Thrombosis , Foreign Bodies
17.
Indian J Ophthalmol ; 2022 Dec; 70(12): 4284-4292
Article | IMSEAR | ID: sea-224736

ABSTRACT

Purpose: To report anterior?segment optical coherence tomography (ASOCT) characteristics of different types of corneal and anterior chamber (AC) foreign bodies (FBs) and their usefulness in diagnosis and management. Methods: This is a retrospective descriptive clinical study involving 11 eyes of 11 patients who presented at the outpatient department of a tertiary ophthalmic care center from January 2017 to January 2022. All patients had a diagnosed or suspected corneal FB. All participants underwent a comprehensive ophthalmological examination, followed by slit?lamp photography and ASOCT. FB removal was done where required by an external, internal, or combined approach. Results: The mean age of patients was 28.2 (7–53) years. Ten were male, and one was female. Seven patients had a definitive positive history of injury; in one, there was a history suggestive of trauma, one had the post?operative complication of scleral buckling surgery, and two patients had a history of insect fall in the eyes. Three patients had acute, four had sub?acute, and four had chronic presentations. Descemet’s membrane (DM) breach was suspected in three cases of deep FB, which was later confirmed on ASOCT. In two cases, DM was presumed to be intact clinically, but ASOCT showed an AC penetration. The FB was removed in seven patients, one via slit?lamp, one via an external approach, two via an internal approach, and three via a combined approach. Conclusion: ASOCT facilitates non?invasive rapid imaging of ocular tissue at various depths, provides an accurate assessment of FB characteristics, and thereby serves as an additional tool in our armamentarium for diagnosis and management of deep corneal and AC Fbs

18.
Arch. Head Neck Surg ; 51: e20220011, Jan-Dec. 2022.
Article in English | LILACS-Express | LILACS | ID: biblio-1401265

ABSTRACT

Some situations can lead to obstruction of Wharton's duct. Obstructions are usually due to endogenous causes, such as calculi, fibromucinous plugs, stenosis, and malformations of the duct system; however, in rare situations, obstructions can also have exogenous causes, such as foreign bodies. The tortuous anatomy of Wharton's duct hinders the retrograde migration of straight-shaped foreign bodies, as well as makes their spontaneous discharge virtually impossible. Here, we report the case of a 47-year-old woman with an asymptomatic foreign body in Wharton's duct that was spontaneously discharged.

19.
Rev. argent. cir ; 114(4): 355-358, oct. 2022. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1422948

ABSTRACT

RESUMEN Los cuerpos extraños en el esófago son un problema frecuente en urgencias, debido la mayoría de las veces a ingestión accidental. Presentamos el caso de una paciente femenina de 50 años, sin antecedentes patológicos, que consulta por presentar la ingesta de prótesis dental mientras almorzaba, con posterior disfagia, odinofagia y dolor cervical. Se le realizan radiografías y tomografía computarizada (TC) donde se evidencia imagen radiopaca en esófago cervical. Se interconsulta con el Servicio de Gastroenterología, dada la imposibilidad de extracción de la prótesis por vía endoscópica. Se realiza luego cervicotomía lateral izquierda de emergencia, con esofagotomía, extracción del cuerpo extraño y cierre primario del esófago. La obstrucción del esófago por cuerpos extraños puede ocasionar muchas complicaciones. La consecuente demora en el tratamiento puede llevar a un marcado aumento de la mortalidad. Por eso, en este caso, se prioriza la cirugía ante un riesgo elevado de perforación y hemorragia.


ABSTRACT Esophageal foreign bodies are a common problem in the emergency department, usually due to accidental ingestion. We report the case of a 50-year-old otherwise healthy female patient who sought medical care due to dysphagia, odynophagia and cervical pain after swallowing a partial denture while having lunch. The patient underwent X-rays and a computed tomography (CT) scan which showed a radiopaque image in the upper esophagus. After a failed attempt to remove the denture through endoscopy, surgery was decided via a left lateral emergency cervicotomy with esophagotomy, foreign body removal and primary closure of the esophagus. Esophageal obstruction due to foreign bodies may cause many complications. Treatment delays may result in increased mortality. Thus, in this case we prioritized surgery due to high risk of perforation and bleeding.


Subject(s)
Humans , Female , Middle Aged , Esophagostomy , Esophagus , Foreign Bodies , Denture, Partial , Endoscopy
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