Migratory Foreign Bodies in the Neck: Possible Role for Endoscopic Surgery
Journal Title: Otolaryngology – Open Journal - Year 2017, Vol 3, Issue 2
Abstract
Foreign body ingestion is a common ENT emergency case among the pediatric population. Most of the ingested foreign bodies pass naturally through the gastrointestinal (GI) tract without any complications; however, in about 10% of these cases may require a non-operative intervention and less than 1% may require a surgical procedure. Sharp ingested foreign bodies may lodge in the base of the tongue, the palatine tonsil, the pyriform sinus, the vallecula, and the oesophagus. Only a small number of those lodged foreign bodies may perforate the pharynx or the oesophagus and even a smaller number may migrate extraluminally. Transversely oriented foreign bodies have a larger tendency to perforate the wall of the hypopharynx and the oesophagus. This happens due to a local inflammation plus the contractions of the hypopharynx muscles during deglutition which leads the foreign body to penetrate the wall. Most of these migratory foreign bodies are usually sharp objects like fish bone, chicken bone or metallic components.
Authors and Affiliations
Omar Ramadan
Keywords
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- EP ID EP546051
- DOI 10.17140/OTLOJ-3-138
- Views 159
- Downloads 0
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