Foreign bodies of pharynx
In modern ENT - practice, foreign bodies of the pharynx are often encountered. They can be of the most varied nature and form: cereal shells, pieces of fruit, fish bones, pieces of wood, metal objects, dentures, etc. Due to the wearing of dentures, the sensitivity of the mucosa of the soft and hard palate is significantly reduced, so foreign bodies can get into pharynx imperceptibly.
Depending on the size and shape, foreign bodies of the pharynx can get stuck between the amygdala and palatine arch, in the lacunae of the palatine tonsils, and sometimes penetrate into the thickness of the tissue (especially the tonsils). Also, there are cases when the foreign body is stuck in the area of the lingual tonsil, in the pear-shaped sinus, in the lateral cushion, in the valleculus. It is possible to get into the throat and live foreign bodies: insects, beetles, leeches (when drinking water or bathing in a natural body of water)
Symptoms depend on the location, shape and size of the foreign body of the pharynx. The main symptoms include: the sensation of the presence of a foreign object in the throat, worse when swallowing stitching in the throat, choking of the throat, coughing, possibly salivation. In the event that the foreign body is large enough, breathing is greatly hampered, speech is broken, possibly asphyxiation. If the foreign body was in the throat for a long enough period of time, at the site of its introduction, there may be inflammation of the soft tissues, sepsis and bleeding.
The final diagnosis is established on the basis of a visual examination of the pharyngeal sections. In some controversial cases, an X-ray examination
Treatment consists in removal of a foreign body from the throat with the help of tweezers, clamps and guttural forceps. In some cases, anteriorly anesthetize the pear-shaped pockets, the mucosa obol. posterior pharyngeal wall and tongue root with a 10% solution of lidocaine. In the event that after removal of the foreign body at the site of its introduction, the wound surface remains - this area is lubricated with a 5% solution of iodine (Lugol's solution), followed by the administration of rinsing with a weak solution of potassium permanganate or a solution of furacilin. For five to seven days it is forbidden to take rough food, which can cause irritation.
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