An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 11 , ISSUE 2 ( May-August, 2019 ) > List of Articles

Case Report

Uncommon and Dangerous Foreign Body in an Infant\'s Larynx: An Interesting Presentation

Vinit K Sharma, Amit K Rana

Keywords : Bronchoscopy, Esophagoscopy, Foreign body, Laryngoscopy, Metallic body, Stridor,Airway

Citation Information : Sharma VK, Rana AK. Uncommon and Dangerous Foreign Body in an Infant\'s Larynx: An Interesting Presentation. Int J Otorhinolaryngol Clin 2019; 11 (2):49-51.

DOI: 10.5005/jp-journals-10003-1313

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Laryngeal foreign bodies are less common than bronchial foreign bodies. They pose a challenge sometimes because of subdued symptoms and therefore resulting in late diagnosis. Removal of such foreign bodies is challenging especially in infants, and one needs to be prepared for all sorts of variations on the OT table. We present an interesting case where an 8-month-old infant presented with a toe ring inside her larynx, which was peculiarly causing symptoms of both respiratory obstruction and pooling of saliva. The top flat part of the toe ring was seen to be covering the posterior half of the glottis and its ring was stuck inside the cricopharynx. This was a case of a single foreign body obstructing both the tracts at the same time. It was removed carefully with direct laryngoscopy and the patient recovered uneventfully after the procedure.


PDF Share
  1. Mundra RK, Agarwal R, Sinha R. Unusual foreign body aspiration in infants below 6 months of age. Indian J Otolaryngol Head Neck Surg Apr–Jun 2014;66(2):145–148. DOI: 10.1007/s12070-013-0668-0.
  2. Şentürk E, Şen S. An unusual case of foreign body aspiration and review of the literature.. Tüberküloz ve Toraks Dergisi 2011;59(2):173–177. DOI: 10.5578/tt.2134.
  3. Kent SE, Watson MG. Laryngeal foreign bodies. J Laryngol Otol 1990;104:131–133. DOI: 10.1017/S0022215100112058.
  4. Lima JA. Laryngeal foreign bodies in children: a persistent life threatening problem. Laryngoscope 1989;99:415–420. DOI: 10.1288/00005537-198904000-00011.
  5. Rothman BF, Boeckman CR. Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases. Ann Otol Rhinol Laryngol 1980;89:434–436. DOI: 10.1177/000348948008900512.
  6. Bakshi J, Mann SBS, Gupta AK. Unusual presentation of laryngeal foreign bodies- report of two rare cases. Indian J Otolaryngol Head Neck Surg Jul-Sep 2007;59:252–254. DOI: 10.1007/s12070-007-0072-8.
  7. Silvia AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998;107:834–838. DOI: 10.1177/000348949810701004.
  8. Midulla F, Guidi R, Barbato A, et al. Foreign body aspiration in children. Pediatr Int 2005;47:663–668. DOI: 10.1111/j.1442-200x.2005.02136.x.
  9. Steen KH, Zimmermann TH. Tracheobronchial aspirated of foreign bodies in children: a study of 94 cases. Laryngoscope 1990;100:525–530. DOI: 10.1288/00005537-199005000-00016.
  10. Ciftci A, Bingol-Kologlu M, Senocak ME, et al. Bronchoscopy for evaluation of foreign body aspiration in children. J Ped Surg 2003;38:1170–1176. DOI: 10.1016/S0022-3468(03)00263-X.
  11. Friedman EM. Tracheobronchial foreign bodies. Otolaryngol Clin North Am 2000;33:179–185. DOI: 10.1016/S0030-6665(05)70214-0.
  12. Black RE, Choi KJ, Syme WC, et al. Bronchoscopic removal of aspirated foreign bodies in children. Am J Surg 1984;148:778–781. DOI: 10.1016/0002-9610(84)90436-7.
  13. Manto PC, Tuggle DW, Tunell WP. An appropriate negative bronchoscopy rate in suspected foreign body aspiration. Am J Surg 1989;158:622–664. DOI: 10.1016/0002-9610(89)90208-0.
  14. Marquette CH, Martinot A. Foreign body removal in adults and children. In: Bolliger CT. Interventional Bronchoscopy. Basel: S. Karger AG; 2000. pp. 96–107.
  15. Baharloo F, Veyckemans F, Francis C. Tracheobronchial foreign bodies presentation and management in children and adults. Chest 1999;115:1357–1362. DOI: 10.1378/chest.85.3.452c.
  16. Nakhosteen JA. Tracheobronchial foreign bodies. Eur Respir J 1994;7:429–430. DOI: 10.1183/09031936.94.07030429.
  17. Swanson KL, Prakash UBS, Midthun DE. Flexible bronchoscopic management of airway foreign bodies in children. Chest 2002;121:1695–1700. DOI: 10.1378/chest.121.5.1695.
  18. Chen CH, Lai CL, Tsai TT, et al. Foreign body aspiration into the lower airway in Chinese adults. Chest 1997;112:129–133. DOI: 10.1378/chest.112.1.129.
  19. Uzaslan E, Ursavas A, Ediger D, et al. An unusual way of tracheal stoma cleaning could end up with foreign body aspiration in a laryngectomized patient. Tuberk Toraks 2005;53:61–64.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.