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Saudi Med J 2020 Jul;41(7):715-719

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia. E-mail:.

Objectives: To analyze the data of patients with otorhinolaryngological foreign bodies and to evaluate the management and outcomes of foreign bodies to prevent complications.

Methods: A retrospective study was conducted over 8 years at Aseer Central Hospital to examine all admitted cases with foreign bodies in the ear, nose, throat, esophagus and bronchus during the period from January 2011 to January 2019. Patient demographic data, type of foreign body, and most common site were analyzed. Read More

Ear Nose Throat J 2020 May 12:145561320920510. Epub 2020 May 12.

Department of Ear, Nose, and Throat Surgery, Federal Medical Centre, Ido Ekiti, Nigeria.

Foreign bodies in the ear are relatively common in emergency medicine. However, attempts at removal made outside the healthcare setting by untrained persons can result in complications of varying degrees. We conducted a 3-year retrospective review of 123 cases of aural foreign bodies at our hospital in Nigeria. Read More

Ear Nose Throat J 2020 Apr 13:145561320908477. Epub 2020 Apr 13.

Department of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkiye.

Rhinoliths are petrified masses formed by accumulation of endogenous or exogenous salts around a nidus. Although rarely formed by the body, the most common cause is foreign bodies forgotten in the nose at childhood. Rhinoliths are rare and have been reported as a single case report in the literature. Read More

Turk Arch Otorhinolaryngol 2019 Dec 1;57(4):187-190. Epub 2019 Dec 1.

Department of Otorhinolaryngology Head and Neck Surgery, Health Science University Kayseri Training and Research Hospital, Kayseri, Turkey.

Objective: This study evaluates the characteristics of the foreign bodies removed from the nose, the treatment methods used, and the complications associated with the foreign body, and discusses the reports in the literature.

Methods: Age, gender, type of foreign body, side of nose, clinical symptoms, complaints, diagnosis and treatment methods were retrospectively evaluated in all 1724 pediatric patients with foreign bodies.

Results: Of the 1724 patients, 841 (48. Read More

Minerva Stomatol 2019 12;68(6):308-316

Unit of Otorhinolaryngology, Department of Neuroscience and Head and Neck, Infermi Hospital, Rimini, Italy.

Introduction: In the last few years the surgical treatment of patients with maxillary sinus disease has shifted from more invasive maneuvers to more conservative approaches in order to save intraoral mucosa. Recently, some authors have proposed a modification to the classical Caldwell-Luc's approach (CL) for the removal of dental implants displaced into the maxillary sinus. The modified approach involves a fenestrated approach to the maxillary sinus. Read More

Ear Nose Throat J 2020 Feb 13:145561320906329. Epub 2020 Feb 13.

Department of Otolaryngology Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY, USA.

We describe a novel and safe use of existing instrumentation in the removal of select foreign bodies in the upper aerodigestive tract to minimize health-care costs. A retrospective review of 4 cases involving visualized upper aerodigestive tract foreign bodies were identified via flexible laryngoscopy and extracted under local anesthesia from 2016 to 2018. All 4 patients were not in any airway distress and underwent successful removal of the foreign body, which included 2 fishbones, a sewing pin, and a wire bristle with a maxillary Heuwieser or giraffe instrument under flexible laryngoscopy visualizing using local anesthesia without complications. Read More

Ear Nose Throat J 2019 Dec 28;98(10):634-635. Epub 2019 Jan 28.

Department of Otolaryngology, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Chonbuk, Korea.

Ear Nose Throat J 2019 Dec 31;98(10):632-633. Epub 2019 Jan 31.

Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

Ear Nose Throat J 2019 Dec 9:145561319893164. Epub 2019 Dec 9.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.

Objectives: Foreign bodies (FBs) in external auditory canal (EAC) can occur at any age but are especially common in children and adolescents. The aims of the study were to evaluate the clinical characteristics of EAC FBs in children and adolescents and to discuss their proper management.

Methods: A retrospective medical chart review was performed on patients who were treated for EAC FBs in a tertiary referral center from January 2007 to December 2017. Read More

BMJ Case Rep 2019 Oct 25;12(10). Epub 2019 Oct 25.

Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

Rhinoliths are calcareous concretions of the nasal cavity formed around a nidus that may be endogenous (eg, dislodged tooth) or an exogenous foreign body (eg, plastic bead inserted by a child). Rhinoliths are often found incidentally on endoscopy or imaging to assess for other pathologies. The incidence is estimated to be 1 in 10 000 of all otolaryngology outpatient presentations, but this is likely to be an underestimate due to the often asymptomatic nature of this condition. Read More

BMJ Case Rep 2019 Oct 25;12(10). Epub 2019 Oct 25.

Department of Otolaryngology Head & Neck Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Foreign body impaction in the oesophagus is a common cause of acute dysphagia. Oesophageal impaction of sharp objects such as dentures can be life threatening due to the risk of oesophageal perforation. This condition requires urgent treatment, and therefore prompt diagnosis and management is vital to avoid complications. Read More

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019 Nov;62(11):1354-1361

Klinik für allgemeine Kinder- und Jugendmedizin, Zentrum für Kinder- und Jugendmedizin (Departement), Universitätsklinikum Freiburg, Mathildenstr. 1, 79106, Freiburg, Deutschland.

Background: Exposure of children under 5 years to button batteries may result in severe corrosive injury, especially when they get stuck in the oesophagus. The injury is caused by the discharge current of the batteries. An increasing number of button battery ingestions have been described worldwide. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Oct;54(10):776-777

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Beijing Key Laboratory for Pediatric Diseases of Otorhinolaryngology Head and Neck Surgery, National Center for Children's Health (NCCH), Beijing 100045, China.

Ear Nose Throat J 2019 Dec 9;98(10):NP147-NP148. Epub 2019 Oct 9.

Department of Pediatric Otolaryngology-Head and Neck Surgery, Nemours Children's Clinic, Jacksonville, FL, USA.

Optom Vis Sci 2019 10;96(10):802-807

Department of Ophthalmology and the Eye Institute, Eye and Ear, Nose, and Throat Hospital, Fudan University, Shanghai, People's Republic of China.

Significance: The cases illustrate an insidious cause of decreased visual acuity after cataract surgery.

Purpose: The purpose of this study was to identify cases of postoperative vision loss caused by slight intraocular lens (IOL) malpositioning after cataract surgery.

Case Reports: Three patients presented with visual acuity decreased after cataract surgery. Read More

Br J Hosp Med (Lond) 2019 Sep;80(9):546-547

Consultant Psychiatrist, Oxford Psychological Medicine Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford.

Indian J Ophthalmol 2019 09;67(9):1510-1512

K.J. Somaiya Medical College and Research Center, Mumbai, Maharashtra, India.

BMJ Case Rep 2019 Aug 12;12(8). Epub 2019 Aug 12.

East of England Deanery, UK.

An active 72-year-old man presented to the accident and emergency department (A&E) with odynophagia, dysphagia and haemoptysis 6 days after a minor operation and was discharged after treatment for an aspiration pneumonia. He presented to A&E 2 days later with worsening symptoms and was found to have dentures lodged in his larynx which were then removed in theatre. For 6 weeks after removal, he had periodic episodes of frank haemoptysis requiring multiple blood transfusions and, after extensive investigation, was found to have an erosion into an arterial vessel on his right parapharyngeal wall, just posterior to the glossopharyngeal sulcus. Read More

BMJ Case Rep 2019 Aug 10;12(8). Epub 2019 Aug 10.

Thoracic Surgery, Royal Victoria Hospital, Belfast, UK.

We present the complex and rare case of an inhaled stoma button causing proximal tracheal stenosis in a laryngectomy patient. The patient was unaware he had inhaled his button and presented with increasing shortness of breath and noisy breathing. In this case we discuss the challenging management of the stenotic tracheal segment above the impacted stoma button and the surgical approach to this difficult airway. Read More

BMJ Case Rep 2019 Jul 27;12(7). Epub 2019 Jul 27.

Department of Otorhinolaryngology, Head and Neck Surgery, Hospital de Braga, Braga, Portugal.

We report the clinical case of a female patient who presented to our emergency department due to a septal abscess caused by the displacement of a dental implant into the nasal septum. The patient underwent surgical treatment for endoscopic foreign body excision and septal abscess drainage. Despite the presence of septal cartilage destruction, the L-shaped structure was preserved and no reconstruction was required. Read More

Medicine (Baltimore) 2019 Jul;98(29):e16486

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Rationale: Esophageal foreign body is a commonly seen in China. However, pseudoaneurysm of the aortic arch caused by ingestion of fish bones is a rare, life-threatening condition.

Patient Concerns: A 71-year-old male was admitted to the Ear, Nose, and Throat department with a 4-day history of chest pain after eating fish. Read More

Clin Med Insights Ear Nose Throat 2019 1;12:1179550619858606. Epub 2019 Jul 1.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

A 35-year-old man with history of schizophrenia presented 3 weeks after placing a screw in his right nostril. Initial imaging showed a screw in the right ethmoid sinus with the tip penetrating the right cribriform plate. On exam, the patient was hemodynamically stable with purulent drainage in the right nasal cavity but no visible foreign body. Read More

J Otolaryngol Head Neck Surg 2019 Jul 5;48(1):30. Epub 2019 Jul 5.

Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, Hamilton Health Sciences, McMaster University, Hamilton, Canada.

Introduction: Ectopic sinonasal teeth are uncommon. The classic approach to removal of such foreign bodies was the Caldwell-Luc. In recent years however, endoscopic approaches have become increasingly utilized. Read More

Pathol Int 2019 Jun 18;69(6):360-365. Epub 2019 Jun 18.

Department of Microbiology, Meiji Pharmaceutical University, Tokyo, Japan.

A fungal ball of a maxillary sinus sometimes includes dental treatment-related foreign material because the sinus is close to the root of the upper teeth. We present a case of right maxillary sinus fungal ball with a gutta-percha point, a dental root canal filler. X-ray analysis of the foreign material in the paraffin section of the fungal ball successfully detected zinc, sulfur, and barium, all of which were constituents of the gutta-percha point. Read More

Br J Oral Maxillofac Surg 2019 09 14;57(7):706-707. Epub 2019 Jun 14.

Department of Cleft and Craniofacial Unit, St. Thomas Hospital, Malakkara, Pathanamthitta, Kerala, India. Electronic address:

Ear Nose Throat J 2019 Jun 30;98(5):253-254. Epub 2019 Jan 30.

1 Department of Otolaryngology Head and Neck Surgery, The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.

Aust J Gen Pract 2018 10;47(10):682-685

MBBS, Principal House Officer, Ear Nose and Throat Surgery, Toowoomba Base Hospital, Qld

Background: Patients with foreign bodies in their ear, nose or throat typically present to general practitioners. The safe and timely removal of foreign bodies ensures good patient outcomes and limits complications.

Objectives: The aim of this paper is to outline common foreign objects and review the associated anatomy that may make removal difficult. Read More

Int J Pediatr Otorhinolaryngol 2019 Sep 21;124:6-13. Epub 2019 May 21.

Department of Otorhinolaryngology (E.N.T.), Maulana Azad Medical College, New Delhi, India.

Objectives: This study aims to identify specific patterns of risk in order to contribute to the prevention of Foreign Body (FB) injuries by assessing FB injury characteristics in Indian children.

Methods: Single center case series are included in the worldwide registry on Foreign Bodies Injuries www.susysafe. Read More

Medicine (Baltimore) 2019 May;98(22):e15838

Department of Emergency Medicine, Seoul National University Hospital.

Foreign body (FB) injuries mainly occur in young children and may cause serious complications. The purpose of this study was to describe the epidemiological and clinical characteristics of FB injuries among children visiting the emergency department (ED) in South Korea and to compare the incidence and the ED results of FB injuries.Using data from the National Emergency Department Information System, FB injury-related ED visits among children (<7 years) between January 2010 and December 2014 were included. Read More

J Formos Med Assoc 2019 Sep 24;118(9):1290-1298. Epub 2019 May 24.

Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Background/purpose: This study performed a population-based analysis in the managements of adult ear, nose, and throat FBs in Taiwan.

Methods: The Taiwan Longitudinal Health Insurance Database 2000 were used, which comprises 1,000,000 beneficiaries randomly sampled in 2000 with a follow-up period from 2000 to 2013. Patients aged >18 years with ear, nose, or throat FB were identified according to the International Codes of Diseases. Read More

Implant Dent 2019 Jun;28(3):313-316

Professor of Chairman, Division of Medicine for Function and Morphology of Sensor Organs, Department of Dentistry and Oral Surgery, Faculty of Medicine, Osaka Medical College, Takatsuki, Japan.

We have encountered a rare case in which the subject underwent maxillary sinus floor elevation at another hospital, and a screw to fix the grafted bone substitute was forced into the maxillary sinus and intruded into the bone. Various different foreign bodies have been reported as being forced into the maxillary sinus due to dental treatment, and these foreign bodies are often retained on the maxillary sinus mucous membrane. However, no reports have described a screw forced in and intruded into the peculiar position in the bone, as seen in the present case, which we report here with additional discussion. Read More

J Am Anim Hosp Assoc 2019 Jul/Aug;55(4):e55404. Epub 2019 May 17.

From Animal Medical Center, New York, New York.

Read More

BMJ Case Rep 2019 Apr 29;12(4). Epub 2019 Apr 29.

Otorhinolaryngology Department, Queen Elizabeth University Hospital, Glasgow, UK.

Foreign bodies are commonly seen by the Ear, Nose and Throat emergency team with cotton wool being the most common aural foreign body seen in the adult population. Most complications secondary to aural foreign bodies described in the literature are minor and rarely require any surgical intervention. Here, we present two cases with impacted cotton wool as aural foreign bodies which resulted in suppurative labyrinthitis and osteomyelitis causing profound sensorineural hearing. Read More

Tierarztl Prax Ausg K Kleintiere Heimtiere 2019 Apr 23;47(2):84-96. Epub 2019 Apr 23.

Klinik für Kleintiere, HNO-Abteilung, Universitätstierklinikum Leipzig.

Objective: Retrospective evaluation of the diagnostic value of bacterial culture of nasal mucosal swabs and histopathologic assessment of nasal mucosal biopsies in dogs with nasal discharge.

Material And Methods: Medical records of dogs with the predominant clinical sign of nasal discharge that were referred to the ENT Unit of the Small Animal Department between January 2015 and December 2016 were reviewed.

Results: Data of 85 dogs were evaluated. Read More

J Emerg Med 2019 Jun 17;56(6):e115-e117. Epub 2019 Apr 17.

Division of Pediatric Otolaryngology, Department of Otolaryngology- Head and Neck Surgery, UPMC, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Background: Superabsorbent polymers (SAPs) are materials that can absorb large quantities of water. Small spherical SAPs are commonly marketed as toys for children.

Case Report: We report the case of a 4-year-old female who presented to a pediatric emergency department with a small, marble-sized SAP that was placed in her ear by herself during the course of play at daycare. Read More

Can J Rural Med 2019 Apr-Jun;24(2):65-68

Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada.

Ear Nose Throat J 2019 Jul 28;98(6):321-323. Epub 2019 Mar 28.

1 Department of Otorhinolaryngology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Oct 13;136(5):393-395. Epub 2019 Mar 13.

Dolphin west-Funabashi ENT clinic, 2-335-1 Katsushika, Funabashi-City, Chiba 273-0032, Japan.

Introduction: Penetrating craniofacial injuries caused by stick-like foreign bodies occur as a result of accidents particularly in children, and often lead to significant morbidity.

Case Summary: We describe a 5-year-old boy who sustained facial trauma after falling on a wooden stick which penetrated his left cheek. At the initial visit, his vital and neurological signs were normal. Read More

J Oral Implantol 2019 Jun 15;45(3):219-222. Epub 2019 Mar 15.

1   Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea.

Transnasal endoscopic removal of displaced dental implants in the maxillary sinus can be done easily under local anesthesia. However, very little is known regarding the precaution of this technique. In this report, we present the case of a 63-year-old man who visited the otolaryngologic department with a displaced dental implant in the maxillary sinus. Read More

Ir J Med Sci 2019 Nov 11;188(4):1401-1405. Epub 2019 Mar 11.

Emergency Department, Our Lady's Children's Hospital Crumlin, Drimnagh Road, Dublin 12, Ireland.

Background: Nasal foreign body(-ies) (FB) cause local irritation, inflammation, and mucosal erosion and carry a potential risk of aspiration. The aim is to describe the management of nasal FBs in our Emergency Department (ED).

Method: A retrospective study of 100 sequential suspected nasal FB presentations to a tertiary paediatric ED. Read More

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Otolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Necrotising otitis externa (NOE) is an infection originating in the soft tissues of the external auditory canal (EAC) spreading to the surrounding bone and rarely causing intracranial complications. It is usually caused by and has historically occurred in elderly patients with diabetes or immunodeficiency. EAC foreign body is a risk factor for otitis externa but has not been described in NOE. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Feb;33(2):181-182

Epidural epidural abscess is usually secondary to acute frontal sinusitis and osteomyelitis of the frontal bone. Nose-derived intracranial connplications are less common than otogenic ones, and infections caused by nasal and sinus trauma, foreign bodies and surgery are more common than those caused by inflammation alone. The frontal lobe abscess caused by frontal sinusitis is more common in brain abscess with nasal intracranial complications. Read More

Aesthetic Plast Surg 2019 04 6;43(2):557-558. Epub 2019 Feb 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, School of the Medicine, Necmettin Erbakan University, 42080, Meram, Konya, Turkey.

Anesth Prog 2018 ;65(4):259-260

Department of Anesthesiology, Showa University Koto Toyosu Hospital, Tokyo, Japan.

A 23-year-old healthy man was scheduled for extraction of his mandibular third molars under general anesthesia with nasotracheal intubation. Sudden sinus tachycardia up to 170 beats/min occurred when applying an epinephrine solution-soaked swab into the nasal cavity for preventing epistaxis during intubation. This was presumably evoked by submucosal migration of the swab into a false passage created because of the force applied during a prior failed attempt at nasal passage of the tracheal tube, and rapid epinephrine absorption by the traumatized mucosa. Read More

BMC Ophthalmol 2019 Jan 24;19(1):29. Epub 2019 Jan 24.

Department of Ophthalmology, the 2nd Xiangya Hospital, Central South University, Changsha, 410011, Hunan Province, China.

Background: Bone wax is the most widely used hemostatic bone sealant because of its availability, ease of use, immediate action, and minimal adverse effects. Several complications have been reported to be associated with the use of bone wax, such as infection, osteohypertrophy, pain, granuloma formation, allergic reaction, and thrombosis. Here, we present a rare complication, namely, bone wax migration, which developed after a craniotomy on a patient who had a frontal sinus abnormality. Read More

BMJ Case Rep 2019 Jan 14;12(1). Epub 2019 Jan 14.

ENT, Royal Victoria Hospital, Belfast, UK.

Int J Pediatr Otorhinolaryngol 2019 Mar 7;118:165-169. Epub 2019 Jan 7.

Department of Otorhinolaryngology, Head and Neck Surgery "Otto Koerner", Rostock University Medical Center, Rostock, Germany.

Objectives: Foreign body incorporation in children is often a serious situation. Attention deficit hyperactivity disorder (ADHD) could be a risk factor for self-insertion of foreign bodies. Large cohort analyses are missing. Read More

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):548-550

ENT Department, Ayub Medical Institution, Abbottabad, Pakistan.

Background: Children commonly present to outpatient department with foreign bodies in the nose. Sometimes the history is straightforward but not infrequently presentation is with a foul-smelling unilateral discharge and obstruction. Most of the foreign bodies are inert and do not cause any local tissue reaction but some of these can cause serious complications. Read More

Indian J Dent Res 2018 Nov-Dec;29(6):847-851

Department of Conservative Dentistry and Endodontics, Ragas Dental College, Chennai, Tamil Nadu, India.

Radiographic imaging is an important criteria in diagnosis, treatment planning, and follow-up of an endodontic treatment. When clinicians encounter with diagnostic difficulties and persistent symptoms, the need for advanced diagnostic aids, especially imaging methods, become imperative and essential. This paper reports a case, in which primary endodontic therapy having failed, the patient had persisting symptoms such as pain, swelling, and draining sinus along with signs and symptoms of maxillary sinusitis. Read More

Int J Pediatr Otorhinolaryngol 2019 Mar 4;118:15-20. Epub 2018 Dec 4.

Department of Otolaryngology, University of Pittsburgh Medical Center, 200 Lothrop Street Suite 500, Pittsburgh, PA, 15213, USA; Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, 4401 Penn Avenue #3, Pittsburgh, PA, 15224, USA.

Objective: 1.) Describe demographic and clinical characteristics of pediatric nasal septal perforations (NSP), 2.) Analyze efficacy of treatment modalities in symptom management and resolution of pediatric NSP, 3. Read More