Infected laryngeal foreign body: A case report

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2021-01-15 DOI:10.18231/J.IJASHNB.2020.034

B. Trivedi, V. A. K.

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引用次数: 0

Abstract

Introduction: Foreign body aspiration is a major cause of accidental death in children. Laryngeal foreign bodies in some cases, especially when it is narrow cause little airway obstruction and may even present like upper airway infection. This can delay the diagnosis and even may be mis-treated as laryngitis. Case Report: A child presented to the department of ENT with throat pain and hoarseness of voice but gave a history of foreign body ingestion 1 week before. Though the child presented with laryngitis like symptoms, considering the foreign body ingestion history, diagnostic work-up was done to rule out foreign body in larynx. On X-ray, a radio-opaque foreign body was seen in the larynx above the glottis. He was taken to the operation theatre and under general anaesthesia, foreign body was seen and was piercing the posterior pharyngeal wall. It was carefully removed and pus was seen leaking from the removal site. After a course of antibiotics, the child was apparently normal then. Conclusion: A Laryngeal foreign body shows a wide variety of presentations depending on its size and shape. Hence, the children with laryngitis like symptoms should be investigated for foreign body aspiration irrespective of the symptoms if a history of foreign body ingestion was given. Keywords: Foreign body, Turban Pin, Laryngitis, Misdiagnosed.

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喉部异物感染1例

导读:异物吸入是儿童意外死亡的主要原因。喉部异物在某些情况下，特别是当喉部狭窄时，很少引起气道阻塞，甚至可能表现为上呼吸道感染。这可能会延误诊断，甚至可能被误诊为喉炎。病例报告:一名儿童以喉咙疼痛和声音嘶哑就诊于耳鼻喉科，但1周前有异物摄入史。虽然患儿表现出类似喉炎的症状，但考虑到异物摄入史，诊断检查排除喉部异物。x线片示声门上方喉部可见放射不透明异物。他被带到手术室，在全身麻醉下，发现异物刺穿咽后壁。它被小心地取出，脓液从取出的部位渗出。经过一个疗程的抗生素治疗后，孩子显然恢复了正常。结论:喉部异物根据其大小和形状表现出多种多样的表现。因此，对于有类似喉炎症状的儿童，如果有异物摄入史，无论症状如何，都应检查是否有异物吸入。关键词:异物，头巾针，喉炎，误诊。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.