• Title/Summary/Keyword: Foreign bodies

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Ingestion and surgical retrieval of an endodontic file: a case report

  • Devon Marta Ptak;Elinor Alon;Robert Bruce Amato;Julia Tassinari;Adrian Velasquez
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.32.1-32.8
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    • 2023
  • Ingestions and aspirations of foreign bodies are rare, but do occasionally occur during dental treatment. Although reports exist, few include photos demonstrating the extensive surgical intervention that may be necessary to manage such events. Perhaps this lack of visualization, and associated lack of awareness, is one of the reasons some clinicians still provide nonsurgical root canal therapy (NSRCT) without a rubber dam. This case report outlines the medical treatment of a 30-year-old male who initially presented to a general dentist's office (not associated with the authors) for NSRCT of their mandibular right first molar. A rubber dam was not used for this procedure, during which the accidental ingestion of an endodontic K-file occurred. The patient was subsequently hospitalized for evaluation and treatment, consisting of numerous imaging studies, endoscopic evaluation, and surgical removal of the file from his small intestine. The ingestion of foreign bodies, and the associated complications, can be reduced through the routine use of a rubber dam, which is considered the standard of care for NSRCT. This case graphically illustrates the potential consequences associated with deviating from the standard of care and should remind clinicians that a rubber dam is necessary for all cases of NSRCT.

Ultrasonographic Diagnosis of Subcutaneous Wooden Foreign Body (피하 조직에 발생한 나무 이물의 초음파 진단)

  • Choi, Ji-Hye;Keh, Seo-Yeon;Kim, Sung-Soo;Kim, Hye-Jin;Jang, Jae-Young;Choi, Hee-Yeon;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.28 no.1
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    • pp.163-172
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    • 2011
  • Subcutaneous foreign body causes recurrent problems such as chronic soft tissue swelling and discharge. Wooden foreign body is one of the most common foreign bodies found in subcutaneous region including face, interdigit, and thoracic or abdominal area. This report demonstrated three dogs with wooden foreign body located in subcutaneous region of thoracic wall, abdominal wall and upper eyelid, respectively. Three dogs showed prominent soft tissue swelling adjacent the foreign body. A sinus or drainage tract was developed in two of these dogs. Ultrasonography revealed that hyperechoic linear structure accompanied acoustic shadow in all dogs, and which was diagnosed as a subcutaneous foreign body. Anechoic or hyperechoic fluid and hypoechoic tissue circumscribed the foreign body. A subcutaneous foreign body in case 3 was removed by clamp under ultrasound-guide with sedation. Sinography was performed in case 1 and clarified that the wooden foreign body did not perforate the thoracic wall and there was no direct communication into thoracic cavity. Ultrasonography and sinography can be used to identify the subcutaneous foreign body and evaluate the inflammatory reaction and relationship between foreign body and adjacent structures.

Arthroscopic Retrieval Analysis for Intra-articular Foreign Body of the Knee Joint (슬관절내 이물질에 대한 관절경적 제거술식의 분석)

  • Lee, Byung-Ill;Choi, Hyung-Suk;Jo, Joo-Hyoung;Kwon, Sai-Won
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.211-216
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    • 2008
  • Purpose: The frequency of foreign body in the knee joint is not as high, but it sometimes required wide or multiple arthrotomy in order to remove, which can baffle the surgeon in some ways. Our study is to evaluate for effectiveness of arthroscopic retrieval for intra-articular foreign body in the knee joint. Materials and Methods: The 22 patients(16 males, 6 females) had received arthroscopic foreign body retrieval in the knee joint from March 1983 to September 2006. The causes of foreign bodies of the knee joint were 7 of trauma (31.9%) related cases, 13 of surgery related cases (59.0%), 2 found during follow up after operation (8.1%) in pathologies of foreign body. Results: There were 15 of metal showed the most percentage (68.1%), 7 of non-metal (31.9%) in types of foreign bodies, and others included bullet, suture material, pencil lead, broken wire etc. All cases were used by arthroscopic techniques. All foreign bodies were removed easily and were showed no complication such as postoperative joint stiffness. Conclusion: Arthroscopic foreign body retrieval in the knee joint is effective surgery in terms of easy access to foreign body and less postoperative complication.

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Evaluation of Experimentally Induced Lumbar Spinal Cord Injury by Somatosensory Evoked Potentials(SEPs) in Dogs (개에서 Somatosensory Evoked Potentials (SEPs)을 이용한 척수기능장애의 평가)

  • Lee, Joo-Myoung;Jeong, Seong-Mok;Kweon, Oh-Kyeong;Nam, Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.315-323
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    • 2001
  • Changes in somatosensory evoked potentials (SEPs) which accompanied by insertion of foreign body in spinal canal were evaluated with clinical signs and positive contrasted myelography in dogs. Foreign bodies occupied 20∼50% of spinal canal. Foreign bodies occupying about 50% of spinal canal were inserted into the animals of group II and III for 1 week and 2 days, respectively. Foreign bodies occupying about 20% of spinal canal were inserted into the animals of group IV, V, and for 1 week, 2 days, and 8 weeks, respectively. in group I (control group), sham operation (lateral laminectomy) was performed. Group III, IV and V did not severely affect on SEPs latencies and clinical signs. Group VI affects on SEPs latencies but not on clinical signs. After foreign body removal, SEPs latencies showed similar recovery patterns with clinical signs. However, group II induced severe abnormalities in SEPs latencies and clinical signs. In group III, IV and V, thoracic potentials (TN1) were abnormally recorded after foreign body insertion and firstly/normally recorded on the 6th 9.5th and 3.5th day after foreign body (removal following) insertion. In group VI, TN1 was abnormally recorded after foreign body insertion and firstly recorded on the 7.7th day and normally recorded on 34th day after foreign body insertion. In group I, TN1 was not recorded from the 3rd day after foreign body insertion and until the 8th week after foreign body removal. In group I, TN1 was firstly recorded on the 1st day after laminectomy.

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Intracardiac a Aortic Foreign Body (심장 및 대동맥내 이물 치험 1례)

  • 방정희;편승환
    • Journal of Chest Surgery
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    • v.30 no.9
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    • pp.932-935
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    • 1997
  • A 50-year-old male patient was admitted due to right ventricular & aortic foreign bodies with ascending aortic pseudoaneurysm. The patient had a history of Kirschner wire fixation of right sternoclavicular joint 3 months ago. Under cardiopulmonary bypass, two K-wires were removed and injured pulmonary valve leaflet and aortic wall were repaired successfully The postoperative course was uneventful and the patient was discharged on the 14th postoperative day.

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Report of A Case of Bronchial Foreign Body (기관지이물 1례)

  • 박용수;안원모;김정태;윤희로;서병도
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.10.1-10
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    • 1979
  • Foreign bodies in the air and food passages are perhaps considered as one of the most frequently observed accidental case in the fields of otolaryngology, and interestingly enough, its mechanism of occurence is well reflected upon our environment and way of daily living. Recently, we experienced a case of foreign body in the right main bronchus of 3 year-old boy, which was successfully removed bronchoscopically.

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A Case of Foreign Body in the Ethmoid Sinus (사골동 이물 1 증례)

  • 이경신;조순흠;구승룡;정채식;고광련
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.17.3-17
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    • 1983
  • Foreign bodies in the paranasal sinuses are not commonly observed. Recently, we have observed an interesting case of metalic foreign body (a fragment of bullet) which remained in the posterior part of the left ethmoid sinus for about 30 years, and report here now with a review of literature.

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A Case of Gold Ring Lodged in Esophagus for 2 Months (2개월간 식도에 체류하였던 백일 금반지 1례)

  • 김중환;오경균;정완교;이상기;김정배;길동석;서정하
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.6.1-6
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    • 1983
  • Foreign bodies in esophagus occur unexpectedly in environment, and in most cases they get removed without delay. However, because of patron's ignorance, patient's age and lack of physician's eagerness in examination, the possible presence of the foreign body is overlooked. Recently the authors had experienced a case (5 months aged male infant) of the foreign body which had been lodged at a level of the second esophageal constriction portion for 2 months.

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Primary tooth aspiration during conscious sedation with N2O: foreign body removal with rigid bronchoscopy

  • Yeeun Jo;Kyungmin Rim;Dohyun Kwon;Jaemyung Ahn;Jun-Young Paeng
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.3
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    • pp.205-211
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    • 2024
  • A 7-year-old girl visited the Samsung Medical Center emergency room for primary tooth aspiration during primary tooth extraction under conscious sedation with N2O. The patient showed no signs of respiratory complications. Chest radiography and CT revealed a tooth in the right bronchi. Foreign body removal using rigid bronchoscopy was performed on the day of aspiration. With close monitoring of the airway in the pediatric ICU, extubation was performed the next day, and the patient was discharged the same day. The primary objective of this case report was to highlight the potential risk of aspiration associated with the use of N2O gas for conscious sedation.

A Study of the Effects of Use upon RGP Contact Lens Surface Ultrastructure (RGP Contact Lens 표면 미세구조에 대한 사용 효과의 연구)

  • Kim, Douk-Hoon;Sung, A-Young;Crossman, Stanley
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.1
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    • pp.71-75
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    • 2006
  • The aim of this study was to analyze the surface ultrastructure of RGP contact lenses post-use The RGP contact lenses, to investigate, were selected after one month, six months and one year of wear by the subjects. The anterior and posterior surfaces of these RGP contact lenses were inspected by a scanning electron microscope. The results were the following: 1. After one month of RGP contact lens use the anterior and posterior surfaces appeared clean and clear as originally. 2. After six months the anterior surface had several scars, dips, cracks and scratches. Upon the posterior surface appeared several foreign bodies and microorganisms. 3. After one year there was large scale damage and many foreign bodies were observed. Therefore, extended use of RGP contact lenses has shown increasing physical damage and extensive foreign body accumulation upon the ultrastructure of the lens surface.

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