Foreign Bodies inpharynx &oesophagus
Foreign Bodies in pharynx & oesophagus
FB inPharynxCommonFBsfish bones, small sticks in foodgrain, steel woolMostcommonsitestonsils, base of tongue, valleculapyriformfossa
FB in Pharynx • Common FBs fish bones, small sticks in food grain, steel wool • Most common sites tonsils, base of tongue, vallecula, pyriform fossa
TreatmentTonsils - tongue depressor&forcepsBase of tongue - indirectlaryngoscopy & angled forcepsVallecula/ pyriform fossa-hypopharyngoscopy under GA
Treatment • Tonsils – tongue depressor & forceps • Base of tongue – indirect laryngoscopy & angled forceps • Vallecula / pyriform fossa – hypopharyngoscopy under GA
FBinOesophagusApplied anatomy of oesophagusextends fromlowerborderof C6vertebra / cricoid cartilage tocardiac opening at 11th thoracicvertebraCervical and thoracic part25 cm long in adults
FB in Oesophagus Applied anatomy of oesophagus • extends from lower border of C6 vertebra / cricoid cartilage to cardiac opening at 11th thoracic vertebra • Cervical and thoracic part • 25 cm long in adults
ofConstrictionsoesophagusCricopharyngeal junction - upperend,15cmfrom upper incisor,most narrow part of oesophagus Cardiac sphincter - lower end, 40cm from upper incisor, anothernarrow partAortic arch and left mainbronchuscross at23and 25cm
Constrictions of oesophagus • Cricopharyngeal junction – upper end, 15cm from upper incisor, most narrow part of oesophagus • Cardiac sphincter – lower end, 40 cm from upper incisor, another narrow part • Aortic arch and left main bronchus cross at 23 and 25 cm