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Laryngeal foreign bodies

Published online by Cambridge University Press:  29 June 2007

S. E. Kent*
Affiliation:
Birmingham
M. G. Watson
Affiliation:
Birmingham
*
S E Kent F.R.C.S. Consultant ENT SurgeonThe District GeneralLovely LaneWarringtonCheshire

Abstract

This paper presents our experience with four cases of impacted laryngeal foreign bodies. A review of the literature reveals that the condition is rare, but far more dramatic and life threatening than bronchial foreign bodies. The history may not indicate the diagnosis, especially in the ethnic minority races where there is a language barrier. Suspicion of the diagnosis by the causalty officer and the immediate attendance of an experienced otolaryngologist may be life saving.

Radiological examination is not necessary where the diagnosis is obvious. If the diagnosis is in doubt it must be remembered that many foreign bodies are not radio-opaque. The patient must be accompanied at all times by an otolaryngologist until the foreign body is removed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1990

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References

Cohen, S. R., Lewis, G. B., Herbert, W. I., Gellar, K. A. (1980) Foreign bodies in the airway. Annals of Otology, Rhinology and Laryngology, 89: 437442.CrossRefGoogle ScholarPubMed
Esclamado, R. M., Richardson, M.A. (1987) Laryngotracheal foreign bodies in children. American Journal of Diseases of Children, 141: 259262.CrossRefGoogle ScholarPubMed
Gay, B. B., Atkinson, G. O., Vanderzalm, T., Harmon, D., Porubsky, E. S. (1986) Subglottic foreign bodies in pediatric patients. American Journal of Diseases of Children, 140: 165168.Google ScholarPubMed
Kim, I. G., Brummitt, W. M., Humphry, A., Siomra, S. W., Wallace, W. B. (1973) Foreign body in the airway—A review of 202 cases. Laryngoscope, 83: 347354.CrossRefGoogle ScholarPubMed
Krejović, B., Cvetković, S., Popović, V., Krejović, S. (1981) Les Corps étrangers du larynx. Journal Francois d'oto-rhino-laryngologie, 30: 465468.Google ScholarPubMed
Mehta, R. M., Pathak, P. N. (1973) A foreign body in the larynx. British Journal of Anaesthesia, 45: 755756.CrossRefGoogle ScholarPubMed
Moskowitz, D., Gardiner, L. J., Sasaki, C. T. (1982) Foreign body aspiration. Potential misdiagnosis. Archives of Otolaryngology, 108: 806807.CrossRefGoogle ScholarPubMed
Nash, P. J. (1976) A foreign body in the larynx. British Journal of Anaesthesia, 48: 371372.CrossRefGoogle ScholarPubMed
Ponniah, R. D., Singh, G. (1976) Foreign bodies in the larynx in infancy. The Practitioner, 217: 789791.Google ScholarPubMed
Rothmann, B. F., Boeckman, C. R. (1980) Foreign bodies in the larynx and tracheobronchial tree in children. Annals of Otology, Rhinology and Laryngology, 89: 434436.CrossRefGoogle ScholarPubMed
Swensson, E. E., Rah, K. H., Kim, M. C., Brooks, J. W., Salzberg, A. M. (1985) Extraction of large tracheal foreign bodies through a tracheostomy under bronchoscopic control. Annals of Thoracic Surgery, 39: 251253.CrossRefGoogle ScholarPubMed