Occult Foreign Bodies in ENT
Main Article Content
Abstract
Introduction
Foreign bodies are common ENT emergencies. Histories are usually forthcoming from the patient himself or the relatives . Three occult foreign bodies are reported here, which were missed even by treating doctors, with discussion about steps to avoid such errors in future.
Case Series
Case 1: Though the history was apparent, the foreign body was removed only after 13 years from the Zygomatic region.
Case 2: The parents were aware of the foreign body but inadequate investigations led to a delayed diagnosis.
Case 3: The history clinched the diagnosis. Pre operative localization and separate incision to remove the foreign body saved the vital structures.
Discussion
A high index of suspicion, meticulous history and proper investigation like x-ray or CT scan or MRI of the diseased area may help in locating the hidden foreign bodies in the ENT region.
Article Details
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References
S Sarkar, A Roychoudhury, B K Roychoudhury. Foreign bodies in ENT in a teaching hospital in Eastern India, Indian J Otolaryngol Head Neck Surg 2010; 62:118-20.
Kirk AD, Bowers BA, Moylan JA, Meyers WC. Toothbrush Swallowing. Arch Surg. 1988;123:382-4
Faust J, Schreiner O. A Swallowed tooth brush. Lancet 2001; 357:1012
M Isa Kara, H B Polat, Sinan AY. Penetrated Shotgun Pellets: A Case ReportEuropean Journal of Dentistry 2008; 2:59-62.
James J. Grochowski, Brian Hynes: A toddler with a pharyngeal foreign body Canadian Family Physician 2008; 54:1695-6.
Chambers N, Hampson- Evans D, Murdoch L. Traumatic Aneurysm of the internal carotid artery in an infant: a surprise diagnosis. Pediatr Anaesth 2002; 12: 356-61