Foreign body in ENT region is an age-old problem. Introduction of foreign body in ear, nose and throat is specially seen in children. There are many types of foreign body seen in the ear, nose and throat. They can aspirate into larynx, trachea and bronchus. How to manage the removal of foreign body in ear, nose and throat had been discussed in a nutshell. General practitioners should be skilled enough to remove foreign body with their limited resources and they should know when to send the cases to an ENT specialist or to a hospital.
Out of 36511 patients attending the ENT OHD of R. G,. Aur Medical Callege & Hospital. Kolkata, in one year 0.08% patients were found tuning naspharyngeal mass. 30 cases of nasopharyngeal mass were studied. The peak incidence of nasopharyngeal mass was in the age group between II to 20 years (40%). The incidence in males (73%) was more than females(27%). The maximum ineldence was found among students (74%). Commonest ntuopharyngeal nuns teas antrochoanal polyp (30%). Next commlon masses were adenoids (23%)Juvenile angwfibroma(20%) and nasophartngeal carcinoma (13%). Nasal obstruction was the main presenting symptom(83%) followed by epistaxis (40%).
100 patients with hoarseness of voice were studied with the help of microlaryngoscopy along with other conventional methods. The peak incidence of the laryngeal diseases was in the age group between 21 to 30 years (28%). The incidence in males (56%), was more than females (44%). Maximum incidence was found among house-wives (29%). 72% patients had a history of vocal abuse. Commonest disease was vocal nodule (30%). The ratio of unilateral and bilateral affection was near about 5 : 4. Hoarseness of voice due to vocal nodules, Reinke’s oedema, vocal polyps or fibroangioma was cured in 88%–100% of the cases by microlaryngeal surgery.
An extremely rare case of bilateral antrochoanal polyp in an otherwise fit 12-year-old girl is reported. The antrochoanal polyps were removed by bilateral Caldwell-Luc operation. Histopathological examination showed them to be of benign inflammatory nature.
A 39-year-old male presented with a mass arising from the nasal columella for last 8 months. The mass was lobulated, dark red in colour, firm in consistency and approximately 3 cm in diameter. It was attached to the columella of the nose by a narrow stalk. The mass was excised completely under general anaesthesia and histopathological examination suggested it to be a case of capillary haemangioma.
Inhalation of foreign body is a serious event. A very small proportion of foreign bodies get impacted in the larnyx. Any [foreign body in the larynx presents usually as a respiratory (emergency, when urgent recognition is required to prevent disaster. Two cases of fish bone impacted in the larynx, one in anteroposterior and another in coronal disposition are presented here along with a brief review of literature.
A penetrating foreign body (Metallic arrow) involving the ethmoidal air cells nose and nasopharynx is being reported.
Three cases of Safety pins in the aerodigestive tract have been presented here with a brief review of litereture.
A Hamartoma of the Nose is being reported.