Throat foreign body
Introduction
Introduction to throat foreign body When the foreign body of the throat is filled with foreign bodies or eats, suddenly speaking loudly or laughing and laughing, the foreign body is sucked into the throat. Most children under the age of 5, glottic fissure is the narrowest part of the respiratory tract. Once the foreign body is incarcerated, it immediately causes difficulty in breathing. If it is not rescued in time, it can quickly suffocate and die. There are many kinds of foreign bodies in the throat, and food, bone fragments, fruit cores, dentures, needles, nails, etc. can all remain in the throat. Larger foreign bodies can block the throat, which can cause difficulty breathing, cyanosis, and even suffocation. Smaller foreign bodies often have hoarseness, cough, hemoptysis, difficulty breathing, wheezing and pain. It can be removed with a foreign body clamp under an indirect laryngoscope or a direct laryngoscope. If there is a laryngeal obstruction, the tracheotomy should be performed urgently. After the difficulty in breathing is relieved, it is taken out under the laryngoscope. After the foreign body is removed, the observer should continue to be observed, so that the throat can be treated urgently. basic knowledge Probability ratio: 5% of specific population Susceptible people: good for children under 5 years old Mode of infection: non-infectious complication:
Cause
Throat foreign body cause
1. Children's mouth contains foreign bodies, and foreign objects fall when crying or falling.
2, eating rush, mistaken swallowing fish bones or bone fragments.
3, the elderly dentures loose and fall off.
4, mental patients, long-term bedridden patients.
5, iatrogenic foreign body.
6, parasitic infections.
7. Suicidal tendencies.
Prevention
Laryngeal foreign body prevention
For children under the age of 5, they should eat melon seeds and legumes under the care of their parents to avoid laughing and eating during eating. Before eating more prickly food such as fish, parents should first remove the fishbone to avoid incarceration in the throat. unit. Adults should avoid talking and laughing while eating, so that foreign objects such as fish bones can be invaded in the throat.
Disease care
After the foreign body in the throat is removed, no special treatment is required. If the cardine used in the throat is locally anesthetized, it is necessary to stop eating water for 1 hour to avoid coughing symptoms.
Complication
Laryngeal foreign body complications Complication
If the pharyngeal foreign body stays for a long time, it may cause tonsillitis or inflammation around the tonsils; foreign bodies in the throat may fall down into the esophagus or trachea; foreign bodies remaining in the neck tissue may cause neck infection, which may lead to mediastinal infection; A hard or sharp foreign body may move, puncture the throat or damage the recurrent laryngeal nerve, causing hoarseness; under special circumstances, the neck and chest aorta may be damaged, resulting in serious bleeding and life safety.
Symptom
Throat foreign body symptoms Common symptoms Laryngeal blockage dyspnea Sore throat hoarseness throat phlegm hemoptysis throat snoring
Larger foreign bodies can block the throat, which can cause difficulty breathing, cyanosis, and even suffocation. Smaller foreign bodies often have hoarseness, cough, hemoptysis, difficulty breathing, wheezing and pain.
1. When eating, crying or laughing, the food in the mouth is inhaled into the throat.
2, sudden severe cough, difficulty breathing and bruising, large foreign body blockage, can quickly suffocate and die.
3. Smaller foreign objects can stay in the throat due to paralysis of the throat, or sharp foreign objects stay in the throat, causing dumbness, pain, breathing and difficulty swallowing.
Examine
Laryngeal foreign body inspection
Laryngoscopy can detect foreign bodies in the throat. The flaky foreign body under the glottis is often in the anterior-posterior position, which is different from the coronal position in the esophagus.
Diagnosis
Diagnosis and differentiation of laryngeal foreign body
Patients generally have a clear history of foreign body intake, as well as a throat examination, to diagnose. However, the history of some cases is not typical and needs to be distinguished.
The patient had tingling symptoms at the beginning, but no foreign body was found during the physical examination, which may be caused by mucosal abrasions. Generally, foreign body scratches the pain caused by the mucous membrane and can be gradually relieved after 24 hours. However, continuous swallowing pain, even if physical examination does not find foreign bodies, should continue to closely observe or use electronic fiber laryngoscopy to determine the presence or absence of foreign bodies.
Electron fiber laryngoscope: A detailed examination is performed by taking the endoscope from the nasal cavity to the throat. Foreign body removal and biopsy can be performed if necessary. The advantages are clear vision and less trauma, and it has gradually become one of the commonly used examination methods in otolaryngology clinics. It plays an important role in the diagnosis and treatment of foreign bodies in the throat.
Metal foreign objects, such as dentures, can be clarified by X-ray examination.
Long-term retention of foreign bodies in the throat, granulation tissue growth in the puncturing area, foreign bodies have been covered, and diagnosis is difficult. Sometimes CT or MRI is needed to further confirm the diagnosis.
