How much does pharyngeal foreign body take out art?

summary

How much does pharyngeal foreign body take out art? Indications for pharyngeal foreign body removal: fishbone is the most common foreign body in pharynx, which can penetrate into tongue root, tonsil, pharyngeal lateral wall, epiglottis Valley, etc. There are two kinds of laryngopharyngeal foreign body forceps: front and back, left and right. To select the foreign body forceps with different opening directions, we need to know the history of the disease, check the oropharynx and laryngopharynx, and determine the location of the foreign body. If there is secondary infection when the foreign body is punctured into the tissue, antibiotics and 1 ∶ 5000 Furacilin Solution can be used as appropriate after the foreign body is removed. It depends on whether to use anesthesia. If the position is too deep to take, general anesthesia is needed. The cost of anesthesia and medicine is about 2000 + and the cost of operation is 500

How much does pharyngeal foreign body take out art?

Because of the different location of the foreign body, it is difficult to remove the foreign body with surgical forceps. If the foreign body stays in the oropharynx and tonsil, it can be removed smoothly without anesthesia. The foreign body staying at the base of the tongue and the lateral wall of the pharynx has deep penetration, and the pharyngeal reflex is often sensitive. 1% tetracaine should be sprayed for 2-3 times of topical anesthesia, and then forceps should be taken after proper anesthesia.

The foreign bodies in laryngopharynx mostly stay in the valley of epiglottis, the base of tongue, pyriform fossa, lateral wall of laryngopharynx or behind arytenoid cartilage. 1% tetracaine was sprayed on the laryngopharynx and the base of tongue, and the pharyngeal reflex disappeared after surface anesthesia. After carefully seeing the foreign body with the indirect laryngoscope, the operator selected the appropriate foreign body forceps according to the direction of foreign body penetration, and then the patient pulled out the tongue forward and downward. The operator held the indirect laryngoscope with his left hand, and put the foreign body forceps with his right hand along the base of the tongue, gradually close to the foreign body, and then took it out (). For the foreign body deep in the pyriform fossa, if it can not be taken out under the indirect laryngoscope, it can be taken out under the direct laryngoscope.

If the main complaint of the patient is obvious, and no foreign body is found, it can be treated as mucosal abrasion temporarily and followed up in outpatient department. If there is secondary infection when the foreign body is punctured into the tissue, antibiotics and 1 ∶ 5000 Furacilin Solution can be used as appropriate after the foreign body is removed.

matters needing attention

Avoid foreign body slipping and choking into trachea when checking and removing foreign body. The foreign bodies in the pharynx should be examined patiently and carefully. The foreign bodies may be covered by saliva. Some foreign bodies may penetrate between the tonsil and the retropharyngeal column. Some foreign bodies may penetrate deep into the crypt of tonsil. The foreign bodies in the epiglottis Valley may be covered by the epiglottis and are not easy to be exposed. The tissues can be pushed aside by nasal forceps or foreign body forceps and examined carefully.