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Article
Management of Esophageal Foreign Bodies, retrospective study.

Authors: Uday H.Juma محمود هادي --- Abdulameer M.Hussein --- Mohammed H. Nemat
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2011 Volume: 53 Issue: 1 Pages: 35-39
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Foreign body impaction in the esophagus is a common problem. Our Objective is to draw conclusions from a retrospective over viewing a number of cases to assess current methods of management and to come out with recommendation from collected experience.Patient and method: A retrospective study of (62) patients admitted to the Department of Thoracic and Cardiovascular Surgery at Medical City Teaching Hospital from January 2002 to December 2004 with history of foreign body swallowing and impaction. Six patients excluded from the (62) patients after having negative esophgoscpic findings. On presentation, history about type and time of ingestion, associated signs and symptoms were recorded, x- ray was taken. Rigid esophagoscopy or direct laryngoscopy and Magill forceps has been used. After the procedure completion, type and site of the foreign body and state of esophageal mucosa at the site of impaction were recorded. Chest X-ray done postoperatively in certain patients when we had peroperative findings of bleeding, suspicion of perforation. All patients except 2 were discharged within 24 hours after the procedure.Results: The results showed that the commonest age group was among children between 1-10 years (27) patients, and 77% of the patients presented with dysphagia as the most common presenting symptom, site of impaction mostly in upper third of esophagus 68%, and 68% of the FB were radiopaque. Types of the FB were versatile but 50% of them were metalic objects.Conclusion: Esophageal FB is a common problem especially among children; it requires urgent intervention because of its deleterious complications if left untreated.Suspecion is enough indication especially in children. Management requires good experience in using the appropriate tools like Magill forceps, which is safe and quick in good hands.Keywords: Foreign body, esophagus

Keywords

Foreign body --- esophagus


Article
Foreign Bodies Inhalation

Author: Abdulameer M. Hussain
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2010 Volume: 52 Issue: 3 Pages: 254-257
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: foreign bodies Inhalation still a common problem in Iraq, occurring in both lay and professional segments of our society. Their successful removal is based on a collected experience of our thoracic surgical teams.
Patients&Methods: A prospective study of two hundred forty eight patients referred to the department of thoracic surgery of the surgical subspecialties hospital of the medical city teaching complex during the year (2007) due to witnessed or suspicion of foreign body inhalation. Patients were grouped into group 1 with definite history of foreign body inhalation and group 2 with no such history.
Results: In group 1, out of 203(81.85%) patients, about 169(83.25%) patients were proved to have foreign body inhalation by rigid bronchoscopy, while in group 2,foreign body inhalation were proved in 14(31.11%) patients out of 45(18.14%) patients. The commonest age group of foreign body Inhalation was 6 months - two years (63.93%), and males to female ratio was 1.8:1. The highest peaks were encounter in July and August. The results of chest X-ray were normal in (53.55%) of cases and the most common radiological abnormality was pneumonic consolidation which was seen in (15.84%) of cases. Organic foreign bodies were representing (86.3%), the commonest organic foreign body was watermelon seed (48.65%), and the common site of foreign body lodgment was the right main bronchus.
Conclusion: The mere suspicion of a foreign body Inhalation is a justification for bronchoscopy. A negative bronchoscopy is better than to leave it inside with its serious sequels.

Keywords

Foreign body --- FB --- Bronchoscopy


Article
Esophageal Foreign Bodies

Author: M. F. Abdul Ghani محمد فوزي عبد الغني
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2009 Volume: 51 Issue: 3 Pages: 232-235
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary Background: The removal of an impacted foreign body in the esophagus is still a common practice in the Thoracic Department of the Medical City Hospital .The objective of this study is to cast a light on this rather a common phenomenon in our country , its risks and its management.Patients and Methods: This is a retrospective study of 120 patients with foreign bodies in the esophagus managed successfully in our department during five years period 1998 – 2002 inclusive .The study included 65 males and 55 females . Their ages range between I year and 75 years. The most common age group was less than 10 years , which constitutes about 30% of our patients .Varieties of foreign bodies were encountered ,their ways of presentation , clinical findings and radiological appearances will be prescribe .Results: Successful removal of the foreign bodies was done in most of the cases .In 4patients esophageal dilatation was done for an area of stricture on which the foreign body was impacted. Surgery was necessary in two patients for the removal of foreign bodies which were impossible to be removed endoscopically .Conclusion: Rigid esophagoscopy under general anesthesia is the procedure of choice for foreign body removal and nearly all the cases could be considered preventable.Key words: Foreign body (FB), Esophagoscopy


Article
Nasal Foreign bodies: Review of 195 patients

Authors: Aws Adel AL-HUSSONA --- Saddam Sahib ATSHAN
Journal: JOURNAL OF THI-QAR SCIENCE مجلة علوم ذي قار ISSN: 19918690 Year: 2018 Volume: 6 Issue: 4 Pages: 106-108
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Objectives: To assess the characteristics of 195 cases with nasal foreign bodies regarding the sex , age , types , site and complain at presentation. Materials and Methods : One hundred ninety five patients with nasal foreign bodies , their age range of 1-12 years old visiting the private clinic from March 2010 – June 2015 retrospectively analyzed. Results : The nasal foreign bodies mostly presented with males , the most common age group from 1-6 years and the most common foreign bodies were beads and plastic toys. Conclusions : Nasal foreign bodies one of the most common otolaryngological emergencies in pediatric practice , although it is not life threatening , it still need special care to prevent complications.


Article
Accidental penetration of screw driver in the cranial cavity

Authors: Mohammed Saeed --- Ali K. Al-Shalchy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2010 Volume: 52 Issue: 2 Pages: 239-240
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: penetrating foreign body is a common problem but penetration by screw driver is very uncommonPatient & method: A nine years old boy presented with penetrating screw driver through the medial canthus of the eyeResult: the foreign body removed under GA with good result.Conclusion: minimal invasive procedure are preferred when we have penetrating head injury.


Article
Foreign Body Aspiration in Children

Authors: Firas Shakir Al-Fahham1 --- Khalid Khaleel Al–Araji2 --- Hasan Mohammed Ridha AL- Qazzaz
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2014 Volume: 7 Issue: 1 Pages: 1771-1779
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: foreign bodies aspiration in children is a common emergency condition especially in less than 3 years old, comprising an important proportion of accidental deaths. Usually, there is a suggestive history of choking. The evolution of foreign body aspiration can lead to variable degrees of respiratory distress, serious respiratory complications, and even death. Early rigid bronchoscopy is a very effective procedure for definite diagnosis and removal of aspirated foreign body with fewer complications.Aim of study: To discuss causes and types of foreign body aspirationand effectiveness of bronchoscopy in children.Patients and Method: In Al-Hussein Medical City Hospital, bronchoscopy had been performed to 254 patients with the diagnosis of foreign body aspiration (from 2005 to 2012). Of which, 152 (59.85%) were males and 102 (40.15%) were females. Their ages ranged from 6 months to 10 years. Diagnosis had been established depending on history, physical examination, radiological studies and bronchoscopy.Results & Discussion: Foreign bodies (FBs) were removed by rigid bronchoscope. The sites of FBs were distributed in the following pattern: at the right main bronchus in 129 (50.79%) patients, at the left main bronchus in 55 (21.65%) patients, at the trachea in 38 (14.96%) patients, at the larynx in 16(6.3%) patients, and both bronchi in 4 (1.57%) patients. No foreign body could be found in 12 (4.73%) cases. The majority of the FBs were seeds 155 (61.02%). Pneumonia occurred in only 8(3.14%) patients.Foreign body aspiration is frequently encountered in pediatric practice. the condition is often not diagnosed immediately because there are no specific clinical manifestations. the ages 1 to 3 years were predominantly affected. The most common foreign body inhaled, Symptoms, most frequent age, and type of inhaled foreign body are different from region to region across the world. Foreign body aspiration was misdiagnosed by physician as pneumonia, asthma, bronchiectasis and bronchiolitis. Their definite diagnosis and treatment were provided by bronchoscopy, which was resorted to after unresponsiveness to previous treatment.Conclusion: Rigid bronchoscopy is very effective procedure to remove aspirated FBs with fewer complications.


Article
Lidocaine Spray to Prevent Laryngospasm in Air Ways Surgeries

Authors: Adil Hadi Salihy --- Wissam Kadhum Abdel Amer --- Malath Azeez Al-Saadi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 3 Pages: 728 -730
Publisher: Babylon University جامعة بابل

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Abstract

Laryngospasm is life threatening event that complicate airway surgeries requiring especial attention to prevent. To evaluate the advantage of pre intubation lidocaine spray to the laryngeal mucosa to prevent extubation laryngospasm.80 patients of both sexes below 9 years old admitted for adenoidectomy or rigid bronchoscope foreign body removal included in this study. All patients were from risk groups to develop laryngospasm.At induction stage, before intubation and bronchoscope introduction 10%lidocain sprayed to the laryngeal mucosa . The incidence of laryngospasmis noticed after removal of endotracheal tube and bronchoscope.All patients included in this study for both types of surgical procedures not develop any type of laryngospasm whether partial or complete after extubation Lidocaine spray can prevent laryngospasm in risk patients.

Keywords

Lidocaine --- spray --- laryngospasm --- foreign body


Article
Analysis of Ear Foreign Bodies in Adult Patients

Author: Abdulhusein Mizhir Almaamuri
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 3 Pages: 197-200
Publisher: Babylon University جامعة بابل

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Abstract

Background: Foreign bodies (FBs) in the ear are frequently encountered by an otolaryngologist. Certain types of ear FBs in our adult patientsmay reflect negative phenomena in our community. Objectives: This study was carried out to analyze the main types of adult aural FBs andto highlight the increasing frequency of already known types and more interesting newly known type of FB. Materials and Methods: Thisis a prospective descriptive study of adult patients with aural FB seen in the ENT Department in Al‑Mahawil Hospital for the 2 years – 2015and 2016. The clinical presentation, type of FB, and management outcome were analyzed. Results: Two hundred and thirty‑two patientsaged 18–82 years were evaluated. Cotton wool (of the earbuds) was the most common FB with 93 (40%) patients (male: 54, female: 39)aged 21–82 years; the insect FB with 78 (33.7%) patients (male: 32, female: 46) aged 18–58 years; and garlic with 36 (15.5%) patients (male:15, female: 21) aged 25–74 years; the newly known interesting FB put by the students into their ears during the examination was Bluetoothdevice in 15 (6.5%) patients (male only) aged 18–23 years; and miscellaneous FBs such as paper, broken matchstick and clinics were found in10 (4.3%) patients (male: 7, female: 3) aged 35–60 years. All the FBs were unilateral and removed successfully without anesthesia, except fourcases removed under general anesthesia. Complications did occur such as otitis externa: 8, bleeding and laceration: 6, and abrasion: 10. Thecomplications were mainly due to previous unsuccessful trials and delayed referral. Conclusion: The increased abuse of earbuds causes moreincidence of FB in the ears. We have seen more garlic in the ears because of misunderstanding of some traditional thoughts. Moreover, recently,we observed new FB, Bluetooth device objects in the ears of students. Health education of the general population is necessary for prevention.

Keywords

Adult --- ear --- foreign body --- types


Article
Tracheobronchial Foreign Bodies Inhalation In Al-Anbar Government
الأجسام الغريبة في ألرغامي والقصبة الهوائية

Author: Mohammed T. Dagash * FICMS – CTVS , Instructor , Al-Anbar medical college. الدكتور محمد طفش مدرس/ كليه طب الانبار
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2010 Volume: 13 Issue: 2 Pages: 247-261
Publisher: University of Kufa جامعة الكوفة

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Abstract

AbstractBackground:Aspirated tracheobronchial foreign bodies in infants , children & adults occur throughout the world . Objective : To determine the type of foreign bodies , common site , procedure for removal of foreign bodies. Materials& methods:This is a descriptive study was done Over a period of 2 years in Al_Anbar government in the period of From January 2008 to December 2009, 100 case were referred to the department of thoracic & cardiovascular surgery of Al-Ramadi teaching hospital & Al-Fallujah General hospital in Al-Anbar government because of suspected aspiration of tracheobronchial foreign bodies. The data collected were included age ,gender , history of foreign bodies inhalation from the patients or from their relatives. In 75 instances, a definite history of foreign body inhalation was obtained & confirmed at bronchoscopic examination, the remaining 25 patients, about whom such information was unobtainable, where treated for some time as if they had a chest infection, at bronchoscopic study, however, a foreign body was found in 15 cases.Results: The youngest patient was 5 months old ,& the accident was most prevalent in children between the ages of 1-5 Years in 73 patients with or suspected foreign bodies inhalation in trachea or bronchus ,with nearly equal in female & male 51%,49% respectively. Metallic foreign bodies in 29% of cases & seeds in 28% ,67% of foreign bodies arrested at right main bronchus & watermelon in 35.8% in right bronchus .No radiological finding in 32 % ,& 64% without significant complication with rigid or flexible bronchoscopy, while laryngeal edema in 23% of complication treated conservative.Rigid bronchoscopy in 87 cases while flexible in 15 cases recently admitted to Al-Fallujha General hospital .Lastly 75 cases with history of foreign body inhalation & 25 cases with no clear history. Conclusion & Recommendation:1. In Al-Anbar as other part of Iraq ,the prevalence of tracheobronchial aspiration of foreign bodies in children is high than adults.2. The complication rate increases as the time to the diagnosis and extraction of the object exceeds 24 hours.3. Bronchoscopy ( rigid & flexible ) can be both diagnostic & therapeutic .4. Thoracic surgeons are familiar with both techniques , the rigid & the flexible types in diagnosis & therapy ,while chest physicians are allowed to practice flexible bronchoscopy for diagnostic procedure .5. Bronchoscopy is a simple & safe procedure but when an accident occur ,serious complication may arise with devastating rapidity .6. Theoretically ,the prevention of foreign bodies is simple ; in practice ,it is almost impossible .7. Holding an infant's head downwards in the hope that it will come out should never be attempted ; for ,if the foreign body is free in trachea or one of the bronchi ,it is then apt to be displaced & become impacted in subglottic region resulting in asphyxia & sudden death .8. Heimlich maneuver, may be successfully treated in acute choking, with respiratory failure associated with tracheal or laryngeal foreign body obstruction.

الخلاصةالخلفية : دخول الأجسام الغريبة في ألرغامي والقصبة ألهوائيه في الأطفال والبالغين يحدث في كافة إنحاء العالم.الهدف: لمعرفة أنواع الأجسام الغريبة و مكان وجودها وطرق إزالة الأجسام الغريبة من ألرغامي والقصبة الهوائية.طريقة العمل: دراسة وصفية أجريت على 100 مريض أحيلوا إلى مستشفى الرمادي التعليمي ومستشفى الفلوجه العام في الفترة الزمنية من كانون الثاني 2008 لغاية كانون الأول 2009 مصاب بوجود أو اشتباه وجود جسم غريب في ألرغامي أو القصبة الهوائية . النتائج: كان اصغر مريض يبلغ عمره 5 أشهر وكانت أكثر حالات استنشاق الأجسام الغريبة بين 1-5 سنوات في70 مصاب بوجود أو اشتباه بوجود جسم غريب في ألرغامي أو القصبة الهوائية وبنسبة متساوية تقريبا بين الإناث والذكور 51% و 49% على التوالي , وكانت الأجسام الغريبة 29% معدنية و28% بذور (فاكهة الرقي والحبوب الأخرى) وكانت الأجسام الغريبة في القصبة الهوائية اليمنى الأعلى بنسبة 67% وكان حب الرقي منها بنسبة 35.8% في القصبة الهوائية اليمنى وكانت 32% من الحالات لا يوجد اثر في أشعة الصدر, وكانت 64% حالة بدون مضاعفات ما بعد إجراء ناظور القصبات سواء الصلب أو المرن بينما كانت وذمة الحنجرة تشكل 23% من المضاعفات عولجت تحفظيا مع مضاعفات أخرى بنسبة اقل, وكان ناظور القصبات الصلب في 87 حالة و15 حالة بواسطة ناظور القصبات المرن. وكان 75 حالة مع تاريخ مرضي باستنشاق جسم غريب و25 حالة بدون تاريخ مرضي واضح باستنشاق جسم غريب. الاستنتاج والتوصيات:1. نسبة حدوث استنشاق الأجسام الغريبة في الانبار عالية في الأطفال من البالغين مماثلة لما موجود في باقي إنحاء العراق. 2. صعوبة رفع الأجسام الغريبة واختلاطات وجود الأجسام الغريبة تزداد بعد 24 ساعة من عدم رفع الأجسام الغريبة.3. ناظور القصبات الصلب والمرن كلاهما يمكن أن يكون تشخيصي وعلاجي.4. جراحي الصدر هم أفضل من يقوم بإجراء ناظور القصبات الصلب العلاجي ويمكن الاعتماد على أطباء الصدر في إجراء ناظور القصبات المرن التشخيصي. 5. ناظور القصبات أجراء بسيط وأمن ولكن عند حدوث حادث ممكن أن يودي إلى اختلاطات ربما تودي إلى الموت.6. نظريا يمكن منع حدوث استنشاق الأجسام الغريبة بكل بساطة ولكنه شبة مستحيل عمليا.7.مسك الطفل ورأسه إلى الأسفل على أمل إن الجسم الغريب يخرج من القصبة الهوائية أجراء خاطئ ربما ينزل الجسم الغريب إلى أسفل المزمار مما يودي إلى الاختناق والموت المفاجئ. 8. مناورة هملخ يمكن إن تعالج وبنجاح انسداد مجرى التنفس الناتج من انسداد القصبة الهوائية والحنجرة بالأجسام الغريبة.

Keywords

Foreign body --- inhalation --- AL-Anbar --- Iraq .


Article
Risk factors for retinal detachment after intraocular

Author: Faiz Al- Shakarchi
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 2 Pages: 36-39
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objective: To evaluate the risk factors for late retinal detachmentoccurrence after successful posterior segment intra‐ocular foreign bodiesremoval.Method: This prospective cases series study included subjects presented toone vitro‐retinal surgeon at vitrectomy clinic/ Ibn Al‐Haetham Teaching EyeHospital from January 2007 to January 2012 with retained posterior segmentintra‐ocular foreign bodies. Ocular complications related to the trauma wererecorded. Extractions of foreign bodies were done through standard threeportvitrectomy technique. Nature and sizes of the foreign bodies werenoted. Post operative occurrence of retinal detachment was recorded,regarding possible risk factors. Follow‐up time was at least 6 months aftersurgeries.Results: 51 subjects with posterior segment intra‐ocular foreign bodies wereincluded. Most important mechanism of injury was shell injuries (43.1%).Majority of foreign bodies were metallic (82.4%), with mean average size of4.6 mm3. Ocular complications at presentation were; vitreous hemorrhage(76.5%), lens injury (52.9%), retinal detachment (21.6%), siderosis bulbi (3.9%),endophthalmitis (3.9%), and increased intraocular pressure (2.0%). Latepostoperative retinal detachment developed in 18 subjects (35.3%); 16 cases(88.9%) were due to formation of proliferative vitreo‐retinopathy, while 2cases (11.1%) occurred in eyes with siderosis bulbi. Ten cases had posttraumatic retinal detachment, and 6 of them had large foreign bodies (sizewas 10 mm3 or more).Conclusion: After successful posterior segment intra‐ocular foreign bodies’removal late retinal detachment can occur mainly due to development ofproliferative vitreo‐retinopathy which was related to presence of posttraumatic retinal detachment and large foreign bodies.

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