[Show abstract][Hide abstract] ABSTRACT: Children swallow coins more than any other object. Many methods for removal of impacted coins at the upper end of the oesophagus are enumerated in literature, each having it's own merits and demerits. This retrospective study in 100 consecutive paediatric patients presents a magill forcep technique for removal of coins under inhalational anaesthesia using Mc-Intosch laryngoscope. Intubation and rigid endoscopy both were avoided, thereby minimizing hospital stay and cost of treatment. This also decreases the chances of complications. Moreover the technique was found to be at par with rigid endoscopy in term of efficacy and safety. However interestingly statistical analyses of the data by 'Chi SquareTest' (ξ(2)) revealed the technique to be more applicable in younger age group i.e. 0-6 years.
Indian Journal of Otolaryngology and Head & Neck Surgery 03/2009; 61(1):36-8. DOI:10.1007/s12070-009-0031-7 · 0.05 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Foreign body ingestion is not an uncommon problem in children. Children can ingest various foreign objects. One of such objects is safety pin, which is not widely reported in the literature. The purpose of this study is to consider the efficacy of Magill forceps for removal of safety pins from upper esophagus.
A retrospective chart review was conducted for all children admitted to our hospital with safety pin ingestion from 1995 to 2003. In 58 children who had been found to ingest safety pin, the attachment site was gastrointestinal tract. In 12 of the cases, safety pins were located in the upper end of the esophagus. In seven of the children safety pin extraction was achieved by using a Magill forceps with the assistance of a laryngoscope maintaining general anesthesia with mask inhalation.
Safety pins were successfully removed with Magill forceps without any complications in seven patients whom they were located in the upper esophagus. Upper esophageal safety pins in the other five patients were extracted with rigid esophagoscopy for they were not seen under direct laryngoscopy. There were no complications.
This is a preliminary report, but we believe that the Magill forceps technique for the removal of safety pin in the upper end of the esophagus is safe and minimally invasive method compared to rigid esophagoscopy.
International Journal of Pediatric Otorhinolaryngology 10/2004; 68(9):1189-91. DOI:10.1016/j.ijporl.2004.04.012 · 1.32 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The vast majority of oesophageal foreign bodies pass through the gastrointestinal tract without causing complications: only in a few cases is endoscopic or surgical treatment required. A very unusual oesophageal foreign body is described herein, namely a clam shell, treated in a multidisciplinary setting and successfully removed using rigid endoscopy. The peculiarity of this case concerns the shape and location of the foreign body, the age of the patient and the absence of specific adult risk factors.
Acta otorhinolaryngologica Italica: organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale 03/2007; 27(1):38-40. · 1.44 Impact Factor
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