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Foreign bodies of the larynx

Objects that can be foreign bodies of the larynx are very diverse - from a fallen tooth and food items to small metal objects. They can lie freely or penetrate the soft tissue of the larynx.

There are differences in the clinic of foreign bodies depending on their location. Foreign bodies of the upper floor of the larynx, including the vestibular folds and the organisms of the ventricle, mainly lead to swelling of the mucosa, stenosis is rare here, only in the case of the development of laryngeal tonsillitis. A foreign body, located at the level of the glottis, can lead to acute stenosis due to spasm of the vocal muscles and closure of the vocal folds. This is especially common in children, since they have a narrowing in the sub-vocal space and the foreign body cannot fall into the trachea, as in adults. The outcome of a foreign body of the larynx as of the pharynx can be natural rejection as a result of coughing, vomiting, or exhaling sharply, and, if necessary, using indirect or direct laryngoscopy.
In other cases, the foreign body is swallowed if it enters the esophagus or enters the trachea, bronchi. In this case, death may occur as a result of asphyxiation. We had to observe two deaths of children aged 5 and 8 years, one - as a result of getting a piece of sausage in the larynx, the other - watermelon seeds. In both cases, the parents delivered the children to the hospital dead, emergency assistance was ineffective.

If a foreign body has failed in the trachea, then the immediate danger of asphyxiation, as a rule, does not arise. The danger here is the possible clogging of the pulmonary or lobar bronchi, followed by lung atelectasis. Foreign bodies of the trachea and bronchi are removed through tracheobronchoscopy, which is described in the corresponding section.
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Foreign bodies of the larynx

  1. Foreign bodies of the larynx
    Meat and fish bones, needles, pins, buttons, eggshells, dentures, coins, small parts of toys usually enter the larynx from the mouth, less often from the stomach when vomiting. Such foreign bodies are much less common, such as parts of broken surgical instruments, tissue removed during surgery (adenoids, palatine tonsil, polyp), as well as living foreign bodies (leeches, roundworms,
  2. Foreign bodies of the larynx
    Foreign bodies of the larynx, trachea and bronchi are more common in children. They enter the respiratory tract if the child inadvertently eats and adults do not control the behavior of children. Among foreign bodies, sunflower seeds, watermelon, pumpkin, pieces of carrots, coins, pins, parts of fountain pens, toys, etc. are more common. In adults, foreign bodies enter the respiratory tract with careless and inattentive
  3. Foreign bodies in the mouth, pharynx, larynx, trachea, esophagus, stomach and intestines
    Foreign bodies can be sharp, damaging and obstructing (clogging) the pharynx, larynx and esophagus. In case of suffocation, an urgent tracheotomy is necessary. The dog is fixed in the dorsal position, the hair is quickly removed from the ventral surface of the anterior third of the neck, twice the skin is lubricated with a 3% alcohol solution of iodine. Through a needle inserted strictly along the midline of the ventral surface
  4. Foreign bodies
    Foreign bodies of the ear, nose, pharynx, and less commonly, the larynx, trachea, and bronchi, are more common. Foreign bodies of the ear are more common in children (paper, pencils, fruit bones), in adults - foreign bodies with sharp edges (fragments of matches) and insects. Rinsing with water is contraindicated during perforation of the tympanic membrane and complete obstruction of the lumen by a foreign body. Insects are killed before removal,
  5. Alien bodies of the digestive tract
    Foreign bodies of the pharynx Foreign bodies almost always enter the pharynx with food. Hasty food, lack of teeth, diseases of the masticatory apparatus, sudden cough, laughter, talking with food contributes to their ingestion. In addition, foreign bodies can enter the pharynx through the nose, as well as from the larynx and esophagus. Of particular danger are large foreign bodies. They are stuck in the larynx.
  6. FOREIGN BODIES AND DAMAGE TO THE THROAT
    Foreign bodies fall into the throat when breathing or when swallowing and are countless diverse objects. The outcomes of a foreign body staying in the pharynx are different: it can be coughed up, expelled with an exhalation, spit out, lie freely in the pharynx without injuring the mucous membrane, advance further and become a foreign body of the larynx, trachea and bronchi, the esophagus, and finally, injure the mucous membrane and
  7. Foreign bodies of the trachea and bronchi
    Most often, foreign bodies of the respiratory tract are found in young children. This is because children, learning the world around them, take various objects into their mouths, and their protective reflexes are not sufficiently developed. The frequency of predominant localization of foreign bodies in the respiratory tract is as follows: in the larynx - 13%, in the trachea - 22%, in the bronchi - 65% (Rokitsky M.R., 1978). Other authors
  8. Foreign bodies of the pharynx
    Foreign bodies of the pharynx are quite common. They can be of various nature and shape: fish bones, metal objects (nails, pins), pieces of wood, shells of cereals, pieces of fruit, etc. Often in the throat pieces of unhealed food get stuck, dentures, etc. The reasons for the ingestion of foreign bodies in the throat are inattentive food intake, conversation, laughter with food. Children left
  9. Foreign bodies of the nose
    Clinical picture Foreign bodies of the nose are more common in children who, during the game, inject various small objects into their nose (beads, buttons, sunflower seeds, peas, berry seeds, coins, pieces of paper, etc.). Foreign bodies can get into the nose during combat and industrial injuries of the face (shell fragments, bullets, pieces of glass, stones, molten metal), as well as with vomiting
  10. Foreign bodies
    Foreign bodies in the throat Cause Foreign bodies often fall into the throat with food. It can be fish and meat bones, glass fragments, pieces of plastic, large pieces of food. Foreign objects can also get into the mouth - pins, nails, buttons, dentures. Foreign bodies enter the mouth as a result of rapid absorption of food, sudden laughter or coughing during meals, and
  11. Foreign bodies of the pharynx
    Foreign bodies of the pharynx often come with food (fish and meat bones, glass fragments, pieces of wire, pieces of meat, lard). Foreign bodies can also be objects that accidentally fall into the mouth (pins, nails, buttons), dentures. Less common are living foreign bodies (leeches, roundworms). The ingestion of foreign bodies in the throat can be caused by such predisposing moments as fast food,
  12. Foreign bodies of the respiratory tract
    Foreign bodies of the larynx and trachea are one of the most common causes of instant asphyxia in children. ETIOLOGY AND PATHOGENESIS The nature of foreign bodies is diverse: seeds, grains, berry seeds, meat and fish bones, small objects, in infants food masses with improper feeding. CLINICAL PICTURE The clinical picture depends on the location of the foreign body and the degree of obstruction of the respiratory
  13. FOREIGN BODIES OF THE EAR
    Foreign bodies in the external auditory canal are more common in children who, during games, put various small objects (buttons, beads, seeds, small bones, balls, pebbles, peas, beans, paper, parts from toys, grains, etc. into their ears. ) In adults, foreign bodies may have fragments of matches, pencil rods, pieces of cotton, stuck in the ear canal at the time of the toilet
  14. ASPIRATION OF A FOREIGN BODY
    Definition Foreign body aspirated into the respiratory tract. Etiology Foreign body aspirated by a child. Entry into the trachea of ​​teeth displaced during manipulations in the upper respiratory tract. Surgical material remaining in the respiratory tract after surgery. Typical cases In children aged 7 months to 4 years: foreign body aspiration
  15. Foreign bodies in the airways
    When a foreign body enters the respiratory tract of a child, a cough immediately appears, which is an effective means of removing a foreign body, an attempt to stimulate it is a first aid. In the absence of cough and its inefficiency with complete obstruction of the respiratory tract, asphyxia quickly develops and urgent measures are needed to evacuate a foreign body. DIAGNOSTICS Basic
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