Foreign body Swallows with Airway Affection in Pediatrics.

Aims: The current work aimed at evaluating how FBI can cause respiratory distress and stridor as well as their severity according to age, gender, lodgment site, and type of the object. Factors influencing morbidity and mortality among studied patients will be deliberated as well. Methods: It is a hospital-based descriptive study where all children between birth and 16 years of age who were admitted to Sohag University Hospital, Egypt from January 1st, 2018, to December 31st, 2020, for FBs removal were analyzed. All cases were subjected to complete history taking, physical, radiological, and bronchoscopic examination. Results: A total of fourteen [14] patients were presented with FBI based on a full history, examination, and essential investigation. The vast majority 92.9% of presented cases (13 out of 14) were less than 6 years old. 50% of them (50%) (7 out of 14) were less than one year old. Most cases presented early within a few hours after ingestion (71.4%). Two [2] patients had predisposing conditions like mental retardation and cerebral palsy. 28.6% of cases presented late (> 24 h after aspiration). Except for one case where a cervical oesophageal approach was needed. Endoscopic extractions of foreign bodies were successfully done. 50% of patients required admissions to the Pediatric Intensive Care Unit (PICU). The mortality rate was 14.3%. Conclusion: FBI is a common clinical emergency in children younger than 6 years. A high index of suspicion is the keystone for diagnosis. Early detection and management are crucial for a positive outcome.

Pyriform sinus perforation during nasotracheal intubation: a case report.

INTRODUCTION: Endotracheal intubation is the gold standard to protect the airway during general anesthesia. It is the commonest technique in medical practice with a low complication rate. PRESENTATION OF CASE: We report a case of left pyriform fossa perforation in a child after apparently uneventful nasotracheal intubation for tonsillectomy. DISCUSSION: This is a rare complication. Physicians performing endotracheal intubation or dealing with intubated patients should be aware of the clinical symptoms of such complications. A rational management approach has been discussed. CONCLUSIONS: Early diagnosis is the mainstay to improve the outcome and avoid the morbidity and potentially life-threatening course of such trauma.

Internal Hypopharyngeal Cyst: A Review of Literature.

Detailed information on the hypopharyngeal cyst presentation, terminology, classification, diagnosis, management, and possible complication is scarce though it would lead to life-threatening symptoms. This review article, therefore, meticulously presents and analyzes the majority of the pertaining literature. In this context, a particular emphasis has been placed on the embryological development of the branchial arches while discussing each entity that would improve the current understanding of different pharyngeal cyst's pathologies.

A branchial cyst of the pyriform fossa transoral laser resection: a case report.

Pyriform sinus malformations represent rare third and fourth branchial anomalies. Fistulae at the latter site were initially described and make up less than 1 % of all brachial anomalies. They may be discovered incidentally, or may present as a neck mass with recurrent infection, dysphagia, or airway compromise, and can be an unusual cause of dysphonia in infant and children. Here, we present a case of third branchial cyst located in pharyngeal wall of the left pyriform sinus which presented with dysphonia since birth in a 6-year-old girl. Transoral CO2 laser excision was carried out successfully with no communicating tract. The patient's dysphonia showed progressive regression at 1-year follow-up. Third branchial cyst in the left pyriform sinus (Bailey's type IV) is an unusual cause of dysphonia in pediatric. Our present case report is the first brachial cyst to be reported in the pyriform fossa and the second branchial anomalies to be excised transorally with CO2 laser.