Accidental ingestion of coins by children: management of the ENT Department of João XXIII Hospital

Revista Brasileira de Otorrinolaringologia

Vieira, João Penna Martins¹  T-Ping, Cheng¹  Borges, Tanner José Arantes¹  Guimarães, Gabriel Rabelo¹  Nunes, Cassimiro Afonso¹  Hospital Felício Rocho¹  Weckx, Luc Louis Maurice¹  Hospital João XXIII¹  UNIFESP¹ 

关键词: foreign body;    children;    cricopharynx;    esophagoscopy;    esophagus;    coins.;   

DOI  :  10.1590/S0034-72992006000400007

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

The ingestion of foreign bodies by children is frequently seen in emergency departments. ENTs can manage those lodged in the esophagus but experience is important for a successful intervention. AIM: Describe seven cases of children that ingested coins, managed at the ENT Department of João XXIII Hospital. STUDY DESING: Clinical/prospective. MATERIAL AND METHODS: We describe seven cases (gender, age, family status, coin size and treatment/evolution). RESULTS: Age ranged from one to nine years. Two patients were only children and five were the youngest in their families. Coins sizes ranged from 1.9 to 2.5 cm. After eight hours of observation, three cases were treated in the surgery room because the foreign body was lodged in the cricopharynx. Four cases resolved spontaneously. CONCLUSION: The ENT department has good results removing coins lodged in the upper esophagus using forceps and laryngoscopy; and also using rigid esophagoscopy for the lower esophagus. In this study it was not possible to establish the importance of coin size and patient age in attempting to predict spontaneous resolution, nor if the child being an only child or the youngest in the family may have some predisposition in this kind of accident.

【 授权许可】

Unknown