Nasopharyngeal foreign body triggered by a blind finger sweep

Takaaki Mori1, Nobuaki Inoue1

  • 1Department of Pediatric Emergency Medicine, Tokyo Toritsu Shoni Sogo Iryo Center, Fuchu, Tokyo, Japan.

BMJ Case Reports
|September 9, 2016
PubMed

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.

Related Concept Videos

Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...