Pharyngeal foreign body removal

The foreign body of the pharynx has the most fishbone, and can be inserted into the tongue root, the tonsil, the pharyngeal side wall, the epiglottic valley, etc., and should be taken out in time. Treatment of diseases: throat foreign body pharyngeal foreign body Indication The foreign body of the pharynx has the most fishbone, and can be inserted into the tongue root, the tonsil, the pharyngeal side wall, the epiglottic valley, etc., and should be taken out in time. Contraindications 1 There are contraindications for endoscopy. 2 It is estimated that foreign matter outside the digestive tract may have been worn in whole or in part. 3 A sharp or irregular foreign body at the intersection of the second narrow aortic arch and the bronchus of the esophagus, or a longer time in the esophagus, and the foreign body has been wrapped by the esophageal mucosa. 4 huge foreign body in the stomach, it is estimated that the person can not pass the door; or the foreign body in the duodenum can not pass the pylorus. Preoperative preparation Learn more about the medical history, check the oropharynx, throat and throat, and identify the location of the foreign body puncture, in order to use the foreign body forceps with different jaws. Surgical procedure Use different methods depending on where the foreign body stays. (1) Foreign bodies in the oropharynx often stay on the tonsils, and should be carefully observed during the examination before they can be found. Use a tongue depressor to press the tongue down and see the foreign body and remove it with a snot or tonsil hemostatic forceps. (2) The foreign body in the throat and throat stays in the epiglottis, the base of the tongue, the pear-shaped fossa, the laryngeal wall or the posterior cartilage. Spraying 1% tetracaine on the throat and the base of the tongue requires the disappearance of pharyngeal reflex after topical anesthesia. After carefully checking the foreign body with the indirect laryngoscope, the surgeon selects the appropriate foreign body forceps according to the direction of the foreign body. Then the patient pulls the tongue toward the front and the bottom. The operator holds the indirect laryngoscope on the left and the foreign body forceps on the right hand. Put it down and take it out close to the foreign body. If the foreign body in the deep part of the pear-shaped nest cannot be taken out under the indirect laryngoscope, it can be taken out under the direct laryngoscope. complication Esophageal and pharyngeal mucosal abrasions may not be treated after surgery. Some cases may be given oral mucosal protective agents. There are no serious complications such as major bleeding, perforation and adjacent organ damage in this group.

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