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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
Published on: January 21, 2018
Nasopharyngeal foreign body triggered by a blind finger sweep
1Department of Pediatric Emergency Medicine, Tokyo Toritsu Shoni Sogo Iryo Center, Fuchu, Tokyo, Japan.
Insights
A coin lodged in a child's airway caused choking. Emergency removal by an otolaryngologist was successful, with no complications.
Area of Science:
- Pediatrics
- Emergency Medicine
- Otolaryngology
Background:
- Foreign body ingestion is a common pediatric emergency.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A 1-year-old boy presented with choking and coughing after coin ingestion.
- Initial attempts at oral removal were unsuccessful.
- Chest X-ray revealed a nasopharyngeal foreign body.
Findings:
- The foreign body was located in the nasopharynx, not the esophagus as initially suspected.
- Procedural sedation facilitated emergency removal by an otolaryngologist.
Implications:
- Highlights the importance of accurate imaging in foreign body localization.
- Emphasizes the role of otolaryngology in managing pediatric airway foreign bodies.
- Successful emergency removal led to an uncomplicated discharge.
Abstract:
A previously healthy 1-year-old boy suddenly began choking and coughing after ingesting a coin. The child's mother attempted to extract the coin by inserting her fingers in his mouth and sweeping the oral cavity. The mother felt the object momentarily with her fingertips but was unable to retrieve it, and brought her son to a local hospital for assistance. The patient was referred to our emergency department (ED) for possible oesophageal obstruction by a foreign body based on the X-ray findings. On arrival at our ED, the child exhibited mild gagging but presented no respiratory symptoms and normal pulmonary examination. The chest X-ray revealed a nasopharyngeal foreign body. The patient was placed under procedural sedation and emergency removal was successfully completed by an otolaryngologist. Subsequently, the patient was discharged without complications.
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