頸部外切開で摘出した咽頭食道異物症例の検討  [in Japanese] Foreign Bodies in the Pharynx and Esophagus Removed by the Transcervical Approach  [in Japanese]

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Author(s)

Abstract

頸部外切開で摘出した咽頭食道異物13例について検討し,典型例2症例を提示した。魚骨6例,義歯5例でその他針1例,腕時計1例であった。部位は食道入口部5例,頸部食道3例,下咽頭腔外3例,頤舌骨筋内1例,椎前筋膜内1例であった。魚骨6例中2例に膿瘍形成を認めたが,異物の嵌在期間との関係はなかった。義歯異物症例すべてに精神疾患を認めており,このような患者に対しては義歯作製時より誤飲を想定した対応が必要と考えられた。

We reviewed 13 cases of foreign body in the pharynx or esophagus that were removed by an external incision of the neck. Fish bones were found in 6 cases, dentures in 5 cases, a needle in 1 case and a wrist watch in 1 case. The foreign body was arrested at the entrace of the esophagus in 5 cases, the cervical esophagus in 3 cases, the extra hypopharynx in 3 cases, and was found penetrating the geniohyoid muscle in 1 case and the anterior vertebra fascia in 1 case. In 2 patients with a fish bone foreign body, an abscess formation was found. However, no relation was found the length of stay time the fish bones had been present. As all of patients with denture foreign bodies had mental disease, careful management of dentures against the misswallowing is strongly recommended.

Journal

  • Nihon Kikan Shokudoka Gakkai Kaiho

    Nihon Kikan Shokudoka Gakkai Kaiho 53(3), 250-255, 2002-06-10

    The Japan Broncho-esophagological Society

References:  16

Cited by:  8

Codes

  • NII Article ID (NAID)
    10008579587
  • NII NACSIS-CAT ID (NCID)
    AN00187474
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00290645
  • Data Source
    CJP  CJPref  J-STAGE 
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