Ingested foreign bodies: Patient-guided localization is a useful clinical tool

A. A P Connolly, M. Birchall, G. P. Walsh-Waring, V. Moore-Gillon

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

We prospectively studied the latest 60 patients who presented to the ENT Departments of St Mary's and St George's Hospitals with ingested foreign bodies. Localization of the foreign body by the patient was compared to the actual site of the foreign body at removal and graded accordingly, Localization was better the higher the object. When compared with objects above the cricopharyngeus muscle items impacted below this level were poorly localized (P < 0.0001) and lateralized (P < 0.0001). This suggests that for a patient who is able to lateralize a presumptive foreign body within the cervical region, then that object is likely to be above cricopharyngeus and on the side indicated. Further, it is likely to be visible on indirect laryngoscopy and amenable to removal in the casualty department. We hypothesize that the pharyngeal innervation by the vagus and glossopharyngeal nerves provides better sensation than in the oesophagus which is innervated less densely by the vagus and cervical sympathetic nerves.

Original languageEnglish (US)
Pages (from-to)520-524
Number of pages5
JournalClinical Otolaryngology and Allied Sciences
Volume17
Issue number6
StatePublished - 1992
Externally publishedYes

Fingerprint

Foreign Bodies
Pharyngeal Muscles
Glossopharyngeal Nerve
Laryngoscopy
Vagus Nerve
Esophagus

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Connolly, A. A. P., Birchall, M., Walsh-Waring, G. P., & Moore-Gillon, V. (1992). Ingested foreign bodies: Patient-guided localization is a useful clinical tool. Clinical Otolaryngology and Allied Sciences, 17(6), 520-524.

Ingested foreign bodies : Patient-guided localization is a useful clinical tool. / Connolly, A. A P; Birchall, M.; Walsh-Waring, G. P.; Moore-Gillon, V.

In: Clinical Otolaryngology and Allied Sciences, Vol. 17, No. 6, 1992, p. 520-524.

Research output: Contribution to journalArticle

Connolly, AAP, Birchall, M, Walsh-Waring, GP & Moore-Gillon, V 1992, 'Ingested foreign bodies: Patient-guided localization is a useful clinical tool', Clinical Otolaryngology and Allied Sciences, vol. 17, no. 6, pp. 520-524.
Connolly AAP, Birchall M, Walsh-Waring GP, Moore-Gillon V. Ingested foreign bodies: Patient-guided localization is a useful clinical tool. Clinical Otolaryngology and Allied Sciences. 1992;17(6):520-524.
Connolly, A. A P ; Birchall, M. ; Walsh-Waring, G. P. ; Moore-Gillon, V. / Ingested foreign bodies : Patient-guided localization is a useful clinical tool. In: Clinical Otolaryngology and Allied Sciences. 1992 ; Vol. 17, No. 6. pp. 520-524.
@article{b8e34a2dd73e4700b3605510c0963f6b,
title = "Ingested foreign bodies: Patient-guided localization is a useful clinical tool",
abstract = "We prospectively studied the latest 60 patients who presented to the ENT Departments of St Mary's and St George's Hospitals with ingested foreign bodies. Localization of the foreign body by the patient was compared to the actual site of the foreign body at removal and graded accordingly, Localization was better the higher the object. When compared with objects above the cricopharyngeus muscle items impacted below this level were poorly localized (P < 0.0001) and lateralized (P < 0.0001). This suggests that for a patient who is able to lateralize a presumptive foreign body within the cervical region, then that object is likely to be above cricopharyngeus and on the side indicated. Further, it is likely to be visible on indirect laryngoscopy and amenable to removal in the casualty department. We hypothesize that the pharyngeal innervation by the vagus and glossopharyngeal nerves provides better sensation than in the oesophagus which is innervated less densely by the vagus and cervical sympathetic nerves.",
author = "Connolly, {A. A P} and M. Birchall and Walsh-Waring, {G. P.} and V. Moore-Gillon",
year = "1992",
language = "English (US)",
volume = "17",
pages = "520--524",
journal = "Clinical Otolaryngology",
issn = "1749-4478",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Ingested foreign bodies

T2 - Patient-guided localization is a useful clinical tool

AU - Connolly, A. A P

AU - Birchall, M.

AU - Walsh-Waring, G. P.

AU - Moore-Gillon, V.

PY - 1992

Y1 - 1992

N2 - We prospectively studied the latest 60 patients who presented to the ENT Departments of St Mary's and St George's Hospitals with ingested foreign bodies. Localization of the foreign body by the patient was compared to the actual site of the foreign body at removal and graded accordingly, Localization was better the higher the object. When compared with objects above the cricopharyngeus muscle items impacted below this level were poorly localized (P < 0.0001) and lateralized (P < 0.0001). This suggests that for a patient who is able to lateralize a presumptive foreign body within the cervical region, then that object is likely to be above cricopharyngeus and on the side indicated. Further, it is likely to be visible on indirect laryngoscopy and amenable to removal in the casualty department. We hypothesize that the pharyngeal innervation by the vagus and glossopharyngeal nerves provides better sensation than in the oesophagus which is innervated less densely by the vagus and cervical sympathetic nerves.

AB - We prospectively studied the latest 60 patients who presented to the ENT Departments of St Mary's and St George's Hospitals with ingested foreign bodies. Localization of the foreign body by the patient was compared to the actual site of the foreign body at removal and graded accordingly, Localization was better the higher the object. When compared with objects above the cricopharyngeus muscle items impacted below this level were poorly localized (P < 0.0001) and lateralized (P < 0.0001). This suggests that for a patient who is able to lateralize a presumptive foreign body within the cervical region, then that object is likely to be above cricopharyngeus and on the side indicated. Further, it is likely to be visible on indirect laryngoscopy and amenable to removal in the casualty department. We hypothesize that the pharyngeal innervation by the vagus and glossopharyngeal nerves provides better sensation than in the oesophagus which is innervated less densely by the vagus and cervical sympathetic nerves.

UR - http://www.scopus.com/inward/record.url?scp=0027099960&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027099960&partnerID=8YFLogxK

M3 - Article

C2 - 1493629

AN - SCOPUS:0027099960

VL - 17

SP - 520

EP - 524

JO - Clinical Otolaryngology

JF - Clinical Otolaryngology

SN - 1749-4478

IS - 6

ER -