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Case Study Of ENT Fb

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Results A total of 1,013 patients with ENT FBs were examined and managed at the ENT Department of a tertiary referral hospital during the period of July 2014 to June 2016. Foreign bodies represented a large category among ENT emergencies (30% of all ENT emergencies). A total of 572 cases involved males (56.47%) and 441 involved females (43.53%).The age of the patients ranged from 1 to78 years, with a mean age of 12.5 years (mean � standard deviation [SD] ¼ 12.5 � 14.2). The major proportion of FB impactions (48.07%) were found in childrenyounger than 6 years of age, followed by children aged 7–12 years (28.33%). None of the patients had psychiatric disorders or intellectual disabilities. Among all of the FBs, swallowed FBs were the most …show more content…

The clinical features of these patients were mainly dysphagia for solids followed by throat pain, FB sensation inside the throat, odynophagia and pooling of saliva. The most common site of impaction was the hypopharynx, particularly at the cricopharyngeal sphincter, and it occurred in 370 (68.01%) patients. The other sites of FB impaction were the esophagus in 96 (17.65%) patients, and the oropharynx and oral cavity, both in 30 (5.51%) patients. Radiographs were performed when the FB could not be found to aid in the determination of the exact site of the FB. These were mainly plain X-ray neck lateral views, and, when necessary, chest and abdominal radiographs. About 450 (82.72%) FBswere radio opaque, and 64 (11.76%) FBs showed normal radiograph. In 30 (5.52%) cases, no X-ray was performed, because the FB was visible to the naked eye, as it was located in the oropharynx/oral cavity. Out of 544 swallowed FBs, 466 patients (with FBs in the hypopharynx and esophagus) had their FBs removed under GA via rigid endoscopy (hypopharyngoscopy/ esophagoscopy); 30 (5.52%) cases (with FBs in the tonsil/oropharynx, valeculla, base of the tongue) were removed with or without LA by grasping forceps after the tongue had been depressed with a tongue depressor under proper illumination with a head lamp or with head mirrors that directed light to the oropharynx. A total of 48 (8.82%) cases had no FBs

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