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Aspiration of foreign bodies

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https://www.readbyqxmd.com/read/29143391/an-all-zirconia-crown-discovered-2-years-following-aspiration
#1
Han Qin, Hai Qing, Na Hu, Hui Zhu, Jian Wang
Accidental aspiration or ingestion can occur in dental treatment, as most procedures are performed with the patient in a supine position or semi-recumbent position. Aspiration of foreign bodies commonly causes acute symptoms such as violent coughing, choking, and dyspnea; however, if foreign bodies are stuck distally to the lower lobe bronchi or the bronchus intermedius, acute presentation can be rare. This clinical report documents a 68-year-old male patient who accidentally aspirated an all-zirconia crown during the try-in procedure...
November 16, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/29142853/silk-suture-reaction-in-thyroid-surgery
#2
Selen Soylu, Akif Enes Arikan, Serkan Teksoz, Murat Ozcan, Yusuf Bukey
Silk suture reaction (i.e., a benign granulomatous inflammatory foreign body reaction) is a rare complication of thyroid surgery. Here, two cases of post-thyroidectomy suture reaction are presented. Both of the patients were female, one is 48 and the other is 34 years old. The patients were presented with neck swelling and leakage of serous fluid from the Kocher's incision. Both patients had normal free T4, free T3, and TSH values. The 48-year-old female patient had a right subtotal and left near-total thyroidectomy 6 years ago and the other had bilateral total thyroidectomy 6 years ago...
October 2017: Gland Surgery
https://www.readbyqxmd.com/read/29115206/bronchoscopy-in-children-suspected-of-lower-airway-aspiration
#3
Sine Holst-Albrechtsen, Søren Kristensen, Knud Larsen
INTRODUCTION: Foreign body aspiration (FBA) of the bronchial tree may be a life-threatening condition in children. This retrospective study explores the anamnestic, clinical and objective findings in patients with FBA to the lungs and evaluates the frequency and outcome of the condition in patients in the age group of highest risk. METHOD: Medical files from patients below 18 years of age who had a foreign body removed from the lungs in our hospital were extracted using the procedure code for removal of foreign bodies in the lower airways ("Danish Patient Register") in the period 1990-2013...
November 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29106879/light-emitting-diode-aspiration-distinct-radiographic-features-and-approach-to-management
#4
Jeffrey C Yeung, C Jason Smithers, David W Roberson
Foreign body aspiration is a potentially life threatening problem. The successful removal of airway foreign bodies is dependent on positively identifying the object and developing a solution to its extraction prior to attempts at retrieval. Thus, pre-operative radiographic evaluation is essential in the diagnosis and management of foreign body aspiration. The current case report describes the unique challenges in the evaluation and management of an unusual foreign body within the airway. The distinctive radiographic appearance of this foreign body allows it to be easily identified pre-operatively, and this may decrease the likelihood of operative complications and patient morbidity...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29106868/the-use-of-ct-scan-in-foreign-body-aspiration-in-children-a-6-years-experience
#5
Vincent Pitiot, Margaux Grall, Dominique Ploin, Eric Truy, Sonia Ayari Khalfallah
INTRODUCTION: A foreign body aspiration is a risky situation, common in pediatric emergency. The "gold standard" to rule out a foreign body or proceed to its extraction, is rigid bronchoscopy (RB) under general anesthesia. However, RB is an intrusive exam with possible complications. Depending on authors, RB in emergency is a procedure at risk of complications in 4-17% of cases. Advances in radiology allow CT-scanners of fast acquisition and high definition, which could be used as an alternative to RB...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29105088/how-useful-is-abdominal-ultrasonography-in-dogs-with-diarrhoea
#6
E K Mapletoft, K Allenspach, C R Lamb
OBJECTIVE: To assess the utility of abdominal ultrasonography in the diagnostic work-up of dogs with diarrhoea. METHODS: Retrospective cross-sectional study based on a referral population of dogs with diarrhoea. Associations between the clinical signs, use of abdominal ultrasonography, results of abdominal ultrasonography and subsequent work-up were examined. The utility of abdominal ultrasonography was scored as high, moderate, none or counterproductive based on review of medical records...
November 3, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/29098005/foreign-body-aspiration-in-northern-ghana-a-review-of-pediatric-patients
#7
Theophilus Adjeso, Michael Chanalu Damah, James Patrick Murphy, Theophilus Teddy Kojo Anyomih
Background: Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods: The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure...
2017: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/29094438/mortality-from-an-aspiration-of-dental-crown-during-extraction
#8
Emily Kim, William Noh, Neeraj Panchal
An aspiration of a dental crown during a dental extraction requires appropriate and timely diagnosis and management. While foreign body aspiration in dental procedures is relatively uncommon, it constitutes a true medical emergency and is associated with significant morbidity and mortality. We report a case of mortality from a foreign body aspiration and discuss the epidemiology, risk factors, signs and symptoms, management, and prevention of foreign body ingestion and aspiration events.
December 2017: Gerodontology
https://www.readbyqxmd.com/read/29043419/computed-tomography-in-children-with-community-acquired-pneumonia
#9
REVIEW
Savvas Andronikou, Pierre Goussard, Erich Sorantin
Diagnostic imaging plays a significant role in both the diagnosis and treatment of complications of pneumonia in children and chest radiography is the imaging modality of choice. Computed tomography (CT) on the other hand, is not currently a first-line imaging tool for children with suspected uncomplicated community-acquired pneumonia and is largely reserved for when complications of pneumonia are suspected or there is difficulty in differentiating pneumonia from other pathology. This review outlines the situations where CT needs to be considered in children with pneumonia, describes the imaging features of the parenchymal and pleural complications of pneumonia, discusses how CT may have a wider role in developing countries where human immunodeficiency virus (HIV) and tuberculosis are prevalent, makes note of the role of CT scanning for identifying missed foreign body aspiration and, lastly, addresses radiation concerns...
October 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29021955/when-christmas-decoration-goes-hand-in-hand-with-bronchial-aspiration-%C3%A2
#10
Ania Carsin, Mélisande Baravalle-Einaudi, Jean-Christophe Dubus
We report the case of a 14-month-old girl suffering from cough and wheeze around Christmas. She was treated with anti-asthmatic drugs with no success, and 3 weeks later a chest X-ray revealed a LED bulb in the left main bronchus. This LED bulb came from a Christmas light garland decorating the Christmas tree. We discuss the different Christmas objects that can be inhaled by young children, the challenge to diagnose bronchial inhalation during this winter period, and the emergence of new foreign bodies, such as LED bulbs, with a particularly aerodynamic shape...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/28953099/rattled-analysis-of-facial-trauma-among-toddlers
#11
Michael A Blasco, Aron Kandinov, Peter F Svider, Nathan J Gonik, Curtis Hanba, Giancarlo F Zuliani, Mahdi A Shkoukani, Michael A Carron
OBJECTIVE: The aim of this study was to determine the national incidence of facial trauma among toddlers and delineate patterns of injury and their causes. METHODS: A retrospective review was designed to explore patterns of maxillofacial trauma within toddler-aged children using the National Electronic Injury Surveillance System from the Consumer Product Safety Commission. The database was searched for emergency department visits involving facial trauma sustained by children 12 months through 3 years of age from 2010 through 2014 and analyzed for patient demographics, primary diagnosis, and associated products/activities...
September 25, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28942227/case-report-breast-seroma-mimicking-breast-implants
#12
Amalie Sylvester-Hvid, Magnus B Avnstorp, Lene Wagenblast, Jørgen Lock-Andersen, Steen H Matzen
Introduction Breast seroma may be caused by a variety of factors including lymphatic disruption, continuous inflammation and foreign bodies such as breast implants. In cases of breast implants associated seroma the diagnosis of Anaplastic Large Cell Lymphoma (ALCL) should be investigated. Presentation of Case A 45-year-old Caucasian woman was referred with bilateral swelling of the breasts causing tension and pain. MRI showed accumulations compatible with bilateral silicone implants. Ultrasound-guided aspiration showed no malignancy or silicone...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28939618/an-airway-traffic-jam-a-plastic-traffic-cone-masquerading-as-bronchial-carcinoma
#13
Nicholas Denny, Usman Maqsood, Stephen Fowler, Mohammed Munavvar
Tracheobronchial foreign body (TFB) aspiration is a common occurrence in children compared with adults. Long-standing cases of TFB aspiration during childhood presenting in an adult have rarely been reported. We report the unique case of an endobronchial Playmobil traffic cone that went undetected for 40 years and presented as a suspected bronchogenic carcinoma. This was subsequently removed successfully with flexible bronchoscopy. To our knowledge this is the first case of a TFB that was overlooked this length of time...
September 21, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28904706/-when-the-denture-becomes-dangerous
#14
Nouzha Sadak, Laila Herrak, Leila Achachi, Mustapha El Ftouh
Although rare in adults, foreign body aspiration (FBA) is a serious accident which can be potentially life threatening or lead to significant sequelae. We report the case of a 50 year old patient without previous pathological history, presenting to the emergency department with chest pain, intermittent cough and exertional dyspnea occurring six days after the accidental aspiration of his plastic dental prosthesis during a meal. Clinical examination was unremarkable. Chest X-ray as well as abdominal x-ray requiring no prior preparation showed no abnormalities...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28895712/-recommendations-for-the-prevention-of-organic-foreign-bodies-aspiration
#15
Hugo Rodríguez, Giselle Cuestas, Darío Gregori, Giulia Lorenzoni, Susana Tortosa, Máximo Rodríguez D'Aquila, Juan A Rodríguez D'Aquila, Sandra Carrera, Desiderio Passali
Foreign body aspiration remains a common and potentially serious pediatric problem. Most aspirated foreign bodies are food. The education of parents and caregivers about choking hazards and how to avoid them is critical to reduce the incidence of these events. The pediatricians play a key role in promoting injury prevention. We indicate the main characteristics of hazardous food and we present recommendations on age-appropriate meals, adequate forms of food preparation and behavioral rules at mealtimes in order to reduce food choking...
October 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28892913/candida-albicans-infection-masquerading-as-a-soft-tissue-tumour-diagnosed-by-fine-needle-aspiration-cytology
#16
Krishnappa Amita, Abhishek Mandya Govind, Tony Pechiat, Sanjay Manchaih, Shivshankar Vijay Shankar
A 60-year-old male, diabetic presented with a soft tissue mass over the right forearm of 15 days duration. The swelling was 5 x 3 cm and a clinical diagnosis of neurofibroma was made. Fine Needle Aspiration Cytology (FNAC) was done using standard technique. Smears showed predominantly suppurative inflammation, foreign body giant cells, granulomas and fungal hyphae. KOH mount, culture and germ tube test was positive. Final diagnosis of fungal granuloma was made. Fungal infections should be included in the differential diagnosis of a soft tissue mass lesion...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28872495/dislocated-dental-prothesis-sitting-at-the-larynx-in-an-aphasic-patient-potentially-fatal-situation
#17
Bilge Türk, Özlem Ünsal, Kerem Sami Kaya, Berna Uslu Coşkun
INTRODUCTION: Foreign body in respiration tract is a life-threatening emergency and requires urgent treatment. The diagnosis and treatment requires awareness and suspicion of signs and symptoms of foreign body aspiration. CASE: A unique case of total dental prothesis aspiration of a 44-year-old aphasic patient is presented. The prothesis is completely removed from the larynx. DISCUSSION: Foreign-body aspiration is frequently suspected in children, it is rarely thought about in adults with subacute or chronic respiratory symptoms unless an evident history of an aspiration event is obtained...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28815616/predictors-of-complicated-airway-foreign-body-extraction
#18
Phayvanh P Sjogren, Tyler J Mills, Adrianna D Pollak, Harlan R Muntz, Jeremy D Meier, J Fredrik Grimmer
OBJECTIVES: To evaluate outcomes of foreign body aspiration (FBA) and to investigate surgeon and hospital volume as risk factors for a complicated course. STUDY DESIGN: Retrospective case series. METHODS: Children with FBA in a multihospital network were identified from January 2005 to September 2015. Demographic information, surgeon, and hospital location were reviewed. Mean operative time and hospital length of stay were recorded. Cases requiring intensive care unit admission, hospital stay greater than 24 hours, need for more than one bronchoscopy, operative time greater than 1 hour, or death were considered "complicated...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28802379/the-multivariate-analysis-of-indications-of-rigid-bronchoscopy-in-suspected-foreign-body-aspiration
#19
E Divarci, B Toker, Z Dokumcu, A Musayev, C Ozcan, A Erdener
OBJECTIVE: Foreign body aspiration (FBA) could be a serious life-threatening condition in children. Patients usually underwent bronchoscopy with suspicious of FBA alone. In this study, we aimed to determine which patients need to go to bronchoscopy based on pre-operative findings. METHODS: Retrospective analysis of patients underwent bronchoscopy between 1999 and 2015 was performed. Clinical symptoms, witnessed aspiration event (WAE), physical examination findings (PEFs) and radiological findings (RFs) were analyzed by multivariate analysis to evaluate the indications of bronchoscopy...
September 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28779997/the-bacterial-species-associated-with-aspirated-foreign-bodies-in-children
#20
Maayan Gruber, Graeme van Der Meer, Benjamin Ling, Colin Barber, Nikki Mills, Michel Neeff, Lesley Salkeld, Murali Mahadevan
OBJECTIVE: Inhaled foreign bodies in children are common and may be complicated by secondary airway tract infection. The inhaled foreign body may act as carrier of infectious material and the aim of this study was to explore the bacterial species associated with aspirated foreign bodies in a cohort of children. METHODS: Retrospective case series of 34 patients who underwent rigid laryngobronchoscopy because of foreign body aspiration. Each patient had a sample taken from tracheobronchial secretions during the procedure...
August 2, 2017: Auris, Nasus, Larynx
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