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J Laryngol Otol. 2010 Oct;124(10):1132-5. doi: 10.1017/S0022215110000708. Epub 2010 Apr 29.

Paediatric aerodigestive foreign bodies: remember the nasopharynx.

Author information

1
Division of Otolaryngology, Department of Surgery, University of British Columbia, Vancouver, Canada.

Abstract

INTRODUCTION:

Nasopharyngeal foreign bodies are relatively uncommon, compared with other aerodigestive sites. They may mimic a lower airway location, or may be coughed up into the nasopharynx prior to endoscopic evaluation.

OBJECTIVE:

To describe our experience with nasopharyngeal foreign bodies mimicking a more distal airway location.

METHOD:

Case series from a tertiary referral children's hospital.

RESULTS:

We present a series of four children who were initially thought to have a lower aerodigestive tract foreign body (three respiratory, one oesophageal), but who were finally diagnosed with nasopharyngeal foreign body. The concept of panendoscopy at all foreign body removals is suggested as a means to avoid a missed nasopharyngeal foreign body.

CONCLUSION:

Although nasopharyngeal foreign bodies are uncommon, their rare ability to mimic distal sites mandates a thorough endoscopic approach to ensure that all sites (i.e. larynx, lungs, oesophagus and nasopharynx) are evaluated endoscopically.

PMID:
20426888
DOI:
10.1017/S0022215110000708
[Indexed for MEDLINE]

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