• 대한기관식도과학회지
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• 제3권1호
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• pp.84-93
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• 1997

The bronchoscopy is usually performed in the patients who present symptoms of wheezing, hemoptysis, signs of airway obstruction, unexplained long-term chronic cough with or without radiologic features of pneumonia, emphysema or atelectasis. The symptoms and signs of cases of suspected airway foreign body are of often cofused with those of asthma pneumonia and other respiratory tract disease. The ventilating bronchoscopy will be helpful for removal of certain foreign bodies as well as alleviating medically-unresponsive bronchopulmonary conditions via removing abnormal secretions or merely improving ventilation. The authors have performed clinical analysis of 59 patients who were suspected of airway foreign bodies and treated by ventilating bronchoscopy from September 1985 to February 1995. The results were as follows: 1) Among the 59 cases of bronchoscopy, 51 cases(97%) were under the age of 3. The ratio of male and female was 2.69:1 2) Most common presenting symptom was coughing(84.7%) followed by dyspnea, fever, wheezing and anterior chest pain. 3) Among 39 cases of identified foreign bodies, abnormal findings in the chest X-ray films were found in 33 cases(84.6%) and most common abnormal radiologic feature was pneumonia in 10 cases(25.6%) followed by combination of pneumonia and emphysema, or emphysema alone. All the 20 cases of absent foreign body presented abnormal radiologic features and common findings were pneumonia and atelectasis. 4) Vegetable foreign bodies were the most common form of removed airway foreign bodies(69.2%) followed by metallic foreign bodies(12.8%) and plastic foreign bodies(7.7%). 5) By distribution of the location of foreign bodies, 29 cases(74.4%) were located in the main bronchus( 16 cases of right side and 13 cases of left side), 8 cases were in the trachea and 2 cases were found at the cordal level. 6) By duration of foreign body lodgement in the airway, 9 cases(23.1%) were removed within 7 to 30 days, 10 cases(5.6%) within 3 days and 5 cases(12.8%) were enlodged over 30 days. 7) In the cases of absent foreign bodies, common bronchoscopic findings were mucopurulent or thick mucoid discharge in the main bronchi, erythema or edema of bronchial mucosa and all the cases were improved after ventilating bronchoscopy with concomitant medical management.

• 대한기관식도과학회지
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• 제8권2호
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• pp.36-42
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• 2002

Aspirated and ingested foreign bodies continue to present challenges to otolaryngologists. The major discussions were the accurate diagnosis and speedy, safe removal of foreign body. Many diagnostic tools have been tried and removal of foreign bodies has been facilitated by technical improvements with rod lens telescope, video endoscope, flexible fiberoendoscope and safer anesthesia. In spite of these advances, more than 3000 children's death occur per year in the world because of foreign bodies and untold number of parients survive with variable sequelae. In these study, 59 consecutive cases of children and adults with tracheobronchial foreign bodies were reviewed from 1992 to 2001. We studied the history, symptoms, ausculatory radiologic, bronchoscopic finding and post operative complications. 71% (42 cases in 59 cases) of patients had foreign body aspiration history or choking crisis. In 64% (38cases) cough was observed. 81% (48cases) had abnormal finding in chest auscultation and 78% in chest X-ray. Computed tomography was done in 12 cases, all were founded foreign body shadow. Main site of foreign body was right main bronchus (41%, 24cases) and most frequent foreign body was peanut (36% , 21cases) . 4 experienced ICU(intensive care unit) care. 2 cases were failed to remove foreign. In these cases 1 cases was improved by steroid therapy and physical therapy and the other was treated with thoracotomy. We concluded the morbidity and motality were much correlated with speedy decision making and experienced skill of operator.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.79-79
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• 1993

식도 및 기도이물은 이비인후과 영역에서 비교적 흔히 볼 수 있는 질환의 하나로 이물은 대부분 돌발적 사고와 부주의에 의해 발생하며, 이물의 종류, 빈도, 성격 등은 일상생활과 밀접한 관계를 가지고 연령, 성별, 민족 등에 따라 다양하다. 식도 및 기도이물은 내시경적 방법으로 쉽게 치유되지만 진단과 치료가 지연되거나 기도 이물인 경우 심각한 합병증을 일으킬 수 있으므로 응급을 요하는 경우가 많고 이물의 종류, 개재부위, 이물의 상태 등에 따라 수술적 방법이 요구되는 경우도 있어 이비인후과 영역에서 중요한 질환으로 여겨져 왔으므로 이에 관하여 많은 문헌이 발표되었다. 저자들은 1980년 11월부터 1992년 10월까지 만 12년간 강남성모병원 이비인후과에서 경험한 식도 및 기도이물 285례를 대상으로 임상적 통계적 고찰을 시행하였다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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• pp.87.4-88
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• 1976

본 의료원 개원이래 1971년 11월부터 1976년 3월말까지 만 4년 5개월간 경희대학교 부속병원 이비인후과에 내원한 식도이물환자 73례, 기도이물환자 8례, 총 81례에 대한 통계적 고찰을 하여 다음과 같은 결론을 얻은바 기왕의 보고와 비교관찰 하면서 문헌적 고찰과 함께 보고하는 바이다. 결론은 다음과 같다. 1) 식도이물의 빈도는 총례 73례중 주화(61례 : 83.6%) 골편 (6례 : 8.2%) 식괴(3례 ; 4.1%) 디스크 나른 금속들의 순이었고, 기도이물 총 8례중 석괴(3례 ; 37.5%) 금속편(2례 ; 25%), 플라스틱제 연필뚜껑, 나무조각, 플라스틱제반지의 순서였다. 2) 성별비는 남자가 51례(62.9%) 여자가 30례(37.1%)이며 남녀비는 약 1.7:1로 남자에 많았다. 3) 연령별로는 5세이하가 총 81례중 69례(85.2%)였으며 특히 주화는 5세이하가 61례중 59례(96.7%)였으며 최고 연령은 8세 최저연령은 11개월이었다. 기도 이물은 8례 중 7례(87.5%)가 10세이하의 어린이었다. 4) 식도이물과 기도이물의 비는 식도이물 73례, 기도 이물 8례로 약 9:1로 식도이물이 많았으며, 부위별로는 식도이물에서 66례(90.4%)가 제1협착부에, 5례(6.9%)가 제2협착부에, 그리고 2례(2.7%)가 제3협착부에 있었다. 기도이물에서는 5례(62.5%)가 기관에, 2례가 후두에 그리고 1례는 기관지에 있었다. 5) 잔류기간에 있어서 식도이물은 24시간이내가 63례(86.3%)였으며 1례는 16일동안 잔류하였다. 기도 이물은 24시간이내가 4례(50%)였으며 1례는 18일동안 잔류하였다. 6) 치료에 있어서 식도이물에서 37례(50.7%)는 후두경을 이용한 상부식도경술로, 33례(45.2%)는 국소마취하에 식도경술로, 3례(4.1%)는 전신마취하에 식도경술로 적출하였다. 주화의 경우 총 61례중 8례(13.1%)는 검사도중에 위속으로 내려갔다. 기도이물에서 후두이물 2례는 국소마취하에 후두경으로, 기관이물 5례중 2례(40%)는 국소마취하에 기관절개술과 함께 기관지경술로, 3례(60%)는 전신마취하에 기관지경술로 적출하였으며 기관지이물 1례는 흉부외과에서 전신마취하에 개흉술로 적출하였다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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• pp.88.2-89
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• 1976

식도 및 기도이물은 연령, 성별, 민족에 관계없이 가끔 발생하는 이비인후과 질환으로 주위환경과 생활양식에 따라 중류나 발생기전이 다를 수 있다. 대부분의 경우 내시경적 방법으로 용이하게 제거할 수 있지만 경우에 따라 수술을 요하는 경우도 있고 사망례도 있다. 저자들은 1972년 1원 1일부터 1976년 3월 31일까지 4년 3개월 동안 한강성심법원 이비인후과에 내원했던 식도 및 기도이물 환자 205례에 대한 통계적 고찰을 하여 다음과 같은 결과를 얻었다. 1) 총 205례중 식도이물이 200례(97.6%로 대부분이고 기도이물은 5례이었다. 2) 종류 식도에서는 주화가 가장 많았고 (90%), 기도에서는 콩, 땅콩, 빨래집개, 플라스틱조각, 옥수수알 등이 있었다. 3) 이물의 부위는 식도의 제 1 협착부가 가장 많았다. (96.5%). 4) 남녀 발생빈도를 비교해보면 식도에서 1.4 : 1, 기도에서 3:2로 큰차이는 없었다. 5) 개재시간은 식도이물에서 3일 이내에 87%가 내원했고 기도이물에서는 1일 이내에 모두 내원했다.

• 대한기관식도과학회지
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• 제3권1호
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• pp.115-121
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• 1997

We have clinico-statically analysed the 235 cases of esophageal foreign body during the period the past 12 years from March InS to December 1996 at the Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Guro Hospital. The results were as follow : 1) Coin was the most frequent foreign body in the esophagus(172 cases : 73.2%). Bone was the next frequent foreign body (21 cases 8.8%). 2) In sex distribution, 124 cases(52.8%) of patients were the female and 111 cases(47.2%) were the male, so the sex ratio was 1:1.12. 3) In the age distribution, 134 cases(56.9%) were under 5 years of age, coin was the most frequent materials in this age group(111 cases 47.2%). 4) The most common symptom was vomiting(136 cases : 57.9%). The next common symptom was dysphagia and odynophagia was 41 cases(17.4%) 5) The most prevalent site of lodgement was the first narrowing(181 cases : 77.0%), the third narrowing(31 cases : 13.2%) and the second narrowing of esophagus(23 cases 9.8%) in order. 6) In duration of lodgement, 207 cases(88.1%) were lodged for one day. 7) The foreign bodies of esophagus were removed successfully by esophagoscopic procedure under local or general anesthesia. There were 3 cases of complication, one case of esophageal bleeding and two cases of esophageal rupture.

• 대한기관식도과학회지
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• 제1권1호
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• pp.116-121
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• 1995

The foreign bodies in the ENT field are very common disease. The kind of foreign bodies are closely related with our life style and was represented according to culture, habit, and economical status. We analyzed retrospectively 272 cases with foreign bodies in the upper aerodigestive tract and the external auditory canal which were diagnosed and managed at the Department of Otolaryngology Chungbuk National University from Jan. 1992 to Dec. 1994. We could divided 272 cases to the three groups; Group I was 212 cases(77.9%) that the patients had foreign bodies in the external auditory canal, nasal cavity, and pharynx which didn't need to be admitted, Group II was 57 cases(22%) that the patients had esophageal foreign bodies, and Group III was 3 cases(1.1%) that the patients had bronchial foreign bodies. The most prevalent age group was under 5 years old(32.3%). The overall ratio of male and female was 1.24 : 1, and the overall ratio of urban and rural ratio was 2.31 : 1. The ratio of esophageal foreign bodies and bronchial foreign bodies was 19 : 1. The incidence of sorts of foreign bodies in Group I was fish bone(41.07%), insect(25.9%), plastic bullet(8.0%), in order of frequency. The locations of foreign bodies in Group I was external auditory canal(36.8%), the tonsil(26.9%), nasal cavity(17.0%), tongue base(10.4%) in order of frequency. The incidence of sorts of foreign bodies in Group II was coin(49.1%), chicken bone(17.5%), fish bone(15.8%), in order of frequency. The main location of foreign bodies in Group II was the first narrowing(78.9%). In the Group III, the foreign bodies were corn, peanut, and apple. One patient who was arrived too late was died.

• Tuberculosis and Respiratory Diseases
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• 제38권2호
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• pp.116-118
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• 1991

Foreign body aspiration occurs uncommonly in adults. A review of recent reports reveals only a few case reports on this topic. We have experienced 8 cases of endobronchial foreign bodies in adults from June 1988 to February 1991 which were removed successfully with fiberoptic bronchoscope and biopsy forceps. Only one of them had the primary disorder predisposing aspiration. Foreign bodies were located in right lower lobe (3 cases), right intermediate (2 cases), left lower lobe (2 cases) and left upper lobe bronchus (1 cases). Removal of endobronchial foreign boides in adult would be accomplished by fiberoptic bronchoscopy successfully.

• Journal of Trauma and Injury
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• 제28권1호
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• pp.51-54
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• 2015

The incidence of foreign body insertion in the anorectum is rare, however, it is increasing, especially in urban populations. Foreign objects in the anorectum can be of different sizes, shapes and materials. Frangible objects like glass or beakers, and sharp foreign bodies that may easily injure the bowel mucosa are particularly dangerous. Physicians have to consider more innovative options on how to extract these foreign bodies without inciting injury; and, if injury would occur, consider different techniques to repair it, whether transanally or transabdominally, and opt for primary repair, or resection with either anastomosis or stoma creation. Here, I introduce our cases with colorectal foreign bodies and present several literatures to help physicians decide when presented with cases like these.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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• pp.3.2-3
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• 1978

이물에 의한 식도천공은 매우 희유하며 대부분은 날카로운 금속성이물과 골편에 의하며 드물게는 이물의 장기잔류에 의하여 초래할 수 있다. 저자등은 1976년 1월부터 1977년 12월까지 충남대학교 의료대학 부속병원 이비인후과에 내원한 식도이물 48례중 식도천공을 일으킨 5례 즉 구부러진 철사 2례, 안전핀 l례, 낚시바늘 1례, 골편 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.