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Lost and found: surgical adventures in migratory foreign body cases

Published online by Cambridge University Press:  16 May 2024

G M Divya ,
Sanu P Moideen Open the ORCID record for Sanu P Moideen [Opens in a new window] ,
Razal M Sheriff  and
Amjad Khan
G M Divya
Affiliation:
Department of ENT, Head and Neck Surgery (CAP), Pariyaram Medical College, Kannur, Kerala, India
Sanu P Moideen*
Affiliation:
Centre for Advanced Care in ENT, Head and Neck Oncosurgery, Muvattupuzha, Kerala, India
Razal M Sheriff
Affiliation:
Centre for Advanced Care in ENT, Head and Neck Oncosurgery, Muvattupuzha, Kerala, India
Amjad Khan
Affiliation:
AIG Hospitals, Hyderabad, India
*
Corresponding author: Sanu P Moideen; Email: [email protected]
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Abstract

Objective

This observational study investigates migratory foreign bodies in the upper aerodigestive tract, emphasising clinical presentation, assessment and factors contributing to extraluminal migration.

Methods

Conducted across multiple medical centres in India, the study included 15 patients aged 11 to 70 years. Detailed observations, demographic information, clinical history, radiological findings and intra-operative outcomes were compiled.

Results

Fifteen patients presented with varied symptoms. Fish and chicken bones, along with metal wires, were common foreign bodies. Computed tomography scans played a crucial role in diagnosis, confirming extraluminal migration. Neck exploration successfully retrieved foreign bodies in most cases, with varied sites of impaction.

Conclusion

Migratory foreign bodies, although rare, pose significant challenges for otolaryngologists. Early recognition, thorough diagnosis and meticulous neck exploration, is crucial for effective management, preventing severe complications. This study adds valuable insights to the understanding of migratory foreign bodies, contributing to the existing literature in otolaryngology practice.

Keywords

deglutition disordersendoscopydeglutitionforeign bodiespharynx
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 11 , November 2024 , pp. 1086 - 1089
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sanu P Moideen takes responsibility for the integrity of the content of the paper

References

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