Nasopharyngeal foreign body

Introduction Nasopharyngeal foreign body is one of the symptoms of pharyngeal foreign body. Clinical manifestations: 1. Nasopharyngeal foreign body: less common. More common in children, trauma or surgery accidents. The medical history is unknown, often has nasal obstruction symptoms, nasal odor and odor, may have unexplained fever and other symptoms, can be accompanied by eustachian tube inflammation, otitis media, etc., the examination is easy to neglect and missed diagnosis. 2. Oropharyngeal foreign body: common. Foreign bodies remain in the tonsils, tongue roots or epiglottis, often small foreign bodies, which can easily penetrate into tissues or hide in places that are difficult to detect. Symptoms vary depending on the type of foreign body and the site of penetration. Often, the throat is tingling, and it is intensified when swallowed. It is more difficult to turn the neck. The patient can indicate the location of the pain. 3. Throat and throat foreign bodies: more common in the pear-shaped fossa or ring. Symptoms are the same as oropharyngeal foreign body. Because of foreign body, it is difficult to swallow. It can irritate the laryngeal mucosa, it may have itching, coughing, and even cause laryngeal mucosal edema, hematoma, etc., such as blocking the throat entrance, there may be a risk of suffocation. Sometimes foreign bodies are spit out or swallowed by coughing, swallowing, or vomiting. complication: Trauma caused by foreign body or failure to remove in time should lead to laryngeal edema, swallow, neck abscess, subcutaneous abscess, aspiration pneumonia, mediastinal inflammation, sepsis, major bleeding and other serious complications.

Cause

1. Inadvertent diet, swallowing unchewed food or fish bones, bones, and nucleus mixed in food.

2. Children play, put small toys, coins, etc. into the mouth, crying, laughing, falling and falling into the throat.

3. The sensation of the pharynx in the elderly is poor, the teeth are detached, and chewing is not sufficient, which is prone to this disease.

4. Psychosis, coma, drunkenness, seizures, pharyngeal spasm, suicide, and anesthesia can be swallowed when foreign bodies are not awake.

5. When the head and neck are injured, foreign matter such as shrapnel remains in the pharyngeal cavity.

6. In the operation, hemostatic gauze, cotton ball, sewing needle, etc. are mistakenly left in the nasopharynx and tonsil.

an examination

Related inspection

Otolaryngology CT examination mammography

an examination:

Oral laryngoscopy or indirect laryngoscopy can be used to detect foreign bodies. Foreign bodies staying in the nasopharynx for a longer period of time can be seen in the nasal cavity with purulent sputum, mucous membrane congestion or pus in the posterior part of the lower jaw, such as foreign body penetration, Puncture of the pharyngeal tissue may have blood stasis, hematoma, etc., and the surrounding tissues at the piercing site often have inflammatory manifestations over a long period of time. Larger oropharynx and laryngeal foreign bodies often smash out of the neck to the obvious tender area. If the throat or trachea is pushed toward this area, the pain is aggravated.

Detailed medical history and analysis of symptoms can be initially diagnosed. Most patients have a history of foreign body swallowing and foreign bodies are found during physical examination. Some patients start to have stinging. No foreign body is seen during the examination. It may be caused by mucosal abrasions. This symptom usually lasts for a short time. For the painful part, there is a foreign body in the pharynx, and the patient will appear after several days.

Neck fluoroscopy, radiography and swallowing examination can determine the presence or absence of foreign bodies and the presence of the disease.

Differential diagnosis

Turbinate atrophy: one of the symptoms of atrophic rhinitis.

(1) Dryness of the nose and nasopharynx: This is due to the atrophy of the glands of the nasal mucosa and the decrease of secretions.

(B) nasal congestion: purulent sputum block the nasal cavity can cause nasal congestion, or because the nerves of the nasal mucosa are slow, even if the purulent sputum is removed, the air is not easy to detect, and mistaken for nasal congestion.

(3) Nasal secretions: often in the form of massive, tubular purulent sputum, not easy to sputum, when forced out of dryness, there is a small amount of nosebleeds.

(4) Olfactory disturbance: the sense of smell is reduced or disappeared. This is caused by atrophy of the olfactory mucosa or obstruction of dryness.

(5) Breathing odor: As the bacteria grow and grow under the purulent sputum, the protein in the purulent sputum is decomposed and decomposed, resulting in a foul odor, called the stinky nose.

(6) Headache, dizziness: Due to atrophy of the turbinate, the nasal cavity lacks the effect of temperature regulation and heat preservation. Inhalation of cold air stimulates the nasal mucosa and the stimulation of purulent sputum can cause headache and dizziness.

Nasopharyngeal stenosis: Nasopharyngeal (nasopharynx) refers to the part above the plane of the stern, passing through the nasal passage through the nasal passage. Behind the side wall facing the lower turbinate, there is a phary-ngeal opening of the auditory tube, which passes through the middle ear tympanic cavity. In the front, upper and rear of the eustachian tube, there is a curved bulge called a tubal torus. The longitudinal deep fossa between the posterior and the posterior pharyngeal wall of the eustachian tube is called the pharyngeal recess, which is a good site for nasopharyngeal carcinoma. In the mucosa of the upper wall of the nasopharynx, there is a rich lymphoid tissue called pharyngeal tonsil, which is more developed in early childhood. After 6 to 7 years old, it began to shrink, and it was almost completely degraded after 10 years old.

Distant metastasis of nasopharyngeal carcinoma: The distant metastasis rate of nasopharyngeal carcinoma is between 4.8% and 27%. Distant metastasis is one of the main reasons for the failure of nasopharyngeal carcinoma treatment. The common metastatic sites are bone and lung. Multiple organs such as the liver are more common at the same time. Nasopharyngeal carcinoma has a higher degree of malignancy, and cervical lymph node metastasis can occur in the early stage.

Mouth and nose sores: After the person gets angry, the clinical symptoms are: red eyes and swelling, mouth and nose sores, sore throat, acute gastroenteritis, dysentery, etc., easy to accumulate toxins in the body, the symptoms are relieved after taking antibacterial drugs, but The side effects are large and easy to relapse.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.