进食致颈部异物2例

食管异物为耳鼻咽喉科常见急诊，但游走性异物则少见。2005年我科收治游走性食管异物患者2例，报告如下。例1患者，男，35岁。2005年6月21日晚进食鱼制品后，当时感觉右侧咽痛、吞咽痛，程度较轻，自行进食馒头等希望异物能下咽，但疼痛加重，饮食不受限。次日就诊我院，间接喉镜下未见异物，食管钡棉透视见食管入口右后壁有钡剂残留，考虑食管异物（鱼刺），表面麻醉下行硬质食管镜探查，未见钡棉及异物，当时考虑局部黏膜划伤，嘱随诊。     

气管异物误诊为食管异物1例

病人 ,男 ,5 0岁。因癫痫发作后 ,上排 4个连体假牙掉入喉部 ,胸痛不适来我院就诊。查体 :呼吸平稳 ,双肺呼吸音清 ,无发绀 ,咽无充血 ,间接喉镜检查未见异常。食道透视提示 :食道中段金属异物。于第 2天上午复查食道透视 ,异物位置无改变 ,遂于食道镜下行异物取出术 ,术中食道内未见异物 ,第 3次行食道钡透提示 :气管中段金属异物 ,同时做胸部CT扫描证实 :气管异物。用 4 0 0mm× 80mm规格气管镜观察 ,异物位于右支气管开口处 ,鳄鱼嘴钳钳紧后取出。次日复查胸片无异物发现 ,所见正常 ,病人痊愈出院。讨论 :食道异物的主要症状为吞咽疼痛 …     

自制简易鼻腔异物取出器

鼻腔异物好发于儿童,皆因好奇将异物塞入鼻孔,一旦越过鼻阈进入鼻腔即难以取出。对纸团、棉球等质软的异物,一般通过枪状镊即可取出,而对塑料珠、项链珠、玻璃珠、花生米、豆类及圆形金属类等质硬光滑的异物,用枪状镊和单钧异物钳取出较为困难。笔者自1992年以来采用自制简易鼻腔异物取出器,一次性取出异物219例。现报告如下。     

颅底异物1例

在颅脑异物盲管伤中,由于异物穿入颅腔,只有入口而无出口,患者病情的轻重往往与异物的长短和损伤的结构有关,以感染性并发症最常见。我院于2007年3月收治颅底异物患者1例,现报道如下。     

小儿气管支气管异物70例诊治体会

小儿气管支气管异物７０例诊治体会黄友棣１小儿气管支气管异物是小儿耳鼻喉科常见病，起病急，危险性大，处理不当或不及时，可能出现严重后果，甚至危及生命，我科１９８８年元月至１９９７年３月共收治小儿气管支气管异物１６１例，占门诊人数的１２％，现将记录完...     

成人巨大呼吸道异物二例

1998年8月与2003年1月我们收治2例吸毒患者吞食金属异物而致呼吸道异物．并成功取出，现报告如下。     

用异物钩取出支气管塑料喇叭类异物22例

近几年我院常常遇到支气管塑料喇叭类异物,有时用常规方法不能取出,为此,我们设计了一种异物钩,对22例患者,成功地取出支气管塑料喇叭类异物,手术方便顺利,无并发症发生,现报告如下。     

气管异物857例治疗体会

气管异物是耳鼻咽喉科危急重症，临床上稍有不慎即可导致严重并发症，甚至死亡。提高气管异物的治愈率，降低死亡率有重要意义。我院自1990-2004年治疗气管异物857例，现报道如下。     

气管异物的并发症及处理

气管异物是耳鼻喉科的急重症之一,也是6岁以下儿童意外死亡的最常见的病因之一。因此对气管异物患者进行合理的治疗和抢救,防止和妥善处理其并发症,一直为耳鼻喉科医生所重视。本文报告1987年7月～1992年3月经治的76例气管异物伴并发症患者的临床资料,以期探讨气管异物并发症的防止与处理措施。     

自制鼻腔异物钩取出鼻腔异物293例体会

1 资料与方法 1.1 临床资料 2001年7月至2006年10月,我科诊治鼻腔异物317例,324侧鼻孔。男173例,女144例;11个月～38岁,5岁以内304例,占95．90％,5～9岁12例,占3．79％,38岁1例。其中左侧鼻腔126例,占39．75％。右侧鼻腔184例,占58．04％。双侧鼻腔7例。异物位于中鼻道者271例,位于下鼻道者53例。     

Transcervical foreign body

The uncommon occurrence of acute retropharyngeal abscess in adults can be the result of a retained foreign body. A large piece of wood impacted in the neck in a road traffic accident and presenting as retropharyngeal and bilateral parapharyngeal abscesses is reported for its rarity and clinical interest.     

Laryngeal foreign bodies

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 casualty 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.     

Tracheobronchial foreign bodies

A retrospective review of 88 cases of foreign body aspiration was undertaken. The patients ranged in age from 5 months to 73 years; the peak incidences of foreign body aspiration occurred in children less than 3 years of age and in adults older than 50 years. Sixty-one of the 88 patients were male. Physical examination was abnormal in 61% of patients. The most common radiographic abnormality was inspiratory-expiratory abnormality, seen in 27% of patients. Rigid endoscopy under general anesthesia was the preferred method for removal of the aspirated material. Multiple foreign bodies were found in 5% of the patients. Tracheobronchial foreign bodies should, therefore, be strongly suspected in susceptible patient populations who present with a suggestive history, even when no physical or radiographic evidence can be seen. Patients should be carefully examined for multiple foreign bodies at the time of rigid endoscopic removal.     

Oropharyngeal foreign body

An unusual extremely benign course of an 8 cm long, rusting, metallic oropharyngeal foreign body that had entered post-aurally (penetration injury) four years previously to lie completely within the pharyngeal lumen has not yet been reported in the world literature. The need for additional investigations and special precautions to be taken during surgical extraction are highlighted.     

Tracheobronchial foreign bodies

Aspirated and ingested foreign bodies continue to present challenges to otolaryngologists. The major issues involve the accurate diagnosis and speedy, safe retrieval of the foreign body. The accurate diagnosis may allude physicians because often the initial choking incidents are not witnessed and the delayed residual symptoms may mimic other common conditions. The retrieval of foreign bodies has been facilitated by technical improvements with the rod lens telescope, video endoscopy, a broad range of a variety of sized forceps, and safer anesthesia. This article reviews the clinical presentation, diagnostic work-up, and appropriate management of foreign bodies in the aerodigestive tract.