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Published on: September 11, 2018
Retained, incarcerated oropharyngeal foreign bodies
Nishi Sonkhya1, Ashok Luckwani, Prakash Mishra
1Department of ENT, SMS Medical College and Hospital, Jaipur, India.
Summary
Oropharyngeal foreign bodies can cause swallowing difficulties, even without a history of ingestion. Prompt medical attention is crucial for diagnosing these often-missed cases.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Gastroenterology
Background:
- Foreign body ingestion is common, with oropharyngeal impaction frequently observed.
- Symptoms like dysphagia and odynophagia warrant investigation, irrespective of ingestion history.
- Oropharyngeal foreign bodies can present insidiously, complicating diagnosis.
Purpose of the Study:
- To highlight the diagnostic challenges of incarcerated oropharyngeal foreign bodies.
- To emphasize the importance of considering foreign bodies in dysphagia, even without a clear history.
- To present case studies of patients with oropharyngeal foreign bodies and no reported ingestion.
Main Methods:
- Case report analysis.
- Clinical symptom evaluation.
- Diagnostic imaging review (if applicable).
Main Results:
- Two cases of incarcerated oropharyngeal foreign bodies were identified.
- Patients presented with symptoms of dysphagia and odynophagia.
- Neither patient initially reported a history of foreign body ingestion.
Conclusions:
- Oropharyngeal foreign bodies should be suspected in patients with dysphagia and odynophagia, even without a history of ingestion.
- Clinical vigilance is essential for accurate and timely diagnosis.
- Early recognition and intervention can prevent complications.
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