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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Foreign Bodies on Lateral Neck Radiographs in Adults: Imaging Findings and Common Pitfalls
Alba Castán Senar1, Laura E Dinu1, José M Artigas1
1From the Department of Radiology, Miguel Servet University Hospital, Paseo Isabel la Católica 1-3, 50009 Zaragoza, Spain.
Foreign-body ingestion in adults is often due to bones. Lateral neck radiographs (LNRs) are effective for detecting these foreign bodies, guiding diagnosis and avoiding further imaging.
Area of Science:
- Radiology
- Emergency Medicine
- Otolaryngology
Background:
- Foreign-body (FB) ingestion is less common in adults but presents unique diagnostic challenges.
- Common adult FBs include fish and chicken bones, often lodging in the oropharynx or cricopharyngeal region.
Purpose of the Study:
- To outline the diagnostic management of suspected foreign-body ingestion in adults.
- To emphasize the utility of lateral neck radiographs (LNRs) in emergency settings.
Main Methods:
- Initial evaluation with indirect or fiberoptic laryngoscopy for oropharyngeal FBs.
- Recommended use of anteroposterior and lateral neck radiographs (LNRs) with soft-tissue technique for suspected hypopharyngeal or upper cervical esophageal FBs.
Main Results:
- LNRs achieve 70%-80% detection rates for FBs in the hypopharynx and upper cervical esophagus.
- LNRs aid in determining FB presence, nature, location, and risk, potentially obviating the need for CT scans.
- Prevertebral soft-tissue swelling can be an indirect sign of radiolucent FBs or complications.
Conclusions:
- Proper interpretation of LNRs is crucial for accurate FB diagnosis in adults.
- A systematic approach using LNRs can optimize imaging choices and patient management.
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