Inadvertent Ingestion of Orthodontic Wire Impacted in the Esophagus, Mistaken for a Chicken Bone.

Accidental ingestion of foreign bodies frequently necessitates emergency department visits, with many cases requiring surgical consultation. Although most ingested items pass through the gastrointestinal tract uneventfully, orthodontic components, such as wires, present a specific risk due to their shape and material properties. This report describes a rare case of a 13-year-old male adolescent whose initial presentation suggested ingestion of a chicken bone.

The role of cross-sectional imaging in suspected nasopharyngeal carcinoma.

Introduction: Nasopharyngeal carcinoma is a rare neoplasm in the UK. The current gold standard for detection is endoscopic examination under anaesthesia of the nasopharynx with biopsy. Many clinicians are now advocating cross-sectional imaging as the primary investigation.

Risk of asphyxiation from Vernagel ingestion.

Vernagel (sodium polyacrylate) is a powder commonly used in hospitals worldwide for the management and disposal of body fluids. It reacts with fluids to form a semisolid gel. Its main use is to reduce spillages.

Clinical outcomes of total laryngectomy for laryngeal carcinoma.

Background: Controversy exists as to the management of advanced laryngeal carcinoma. In general primary radical surgery is favoured.

Objective: The aim of this study was to analyse the clinical outcome of patients having total laryngectomy for cancer of larynx.

Vocal fold paralysis: role of bilateral transverse cordotomy.

Objective: Although modern endoscopic laser techniques aim to avoid a permanent tracheostomy by augmenting the glottic aperture in cases of bilateral vocal fold palsy, loss of tissue from the posterior glottis risks compromising voice quality and swallowing function. The objective of this study was to describe our experience with bilateral transverse posterior cordotomy.

Methods: This was a retrospective analysis of functional outcomes in a series of consecutive patients undergoing a simple modification of the classical laser cordectomy procedure, which avoids tissue loss.

Long-term results with a simple technique of stoma creation after laryngectomy.

Stomal stenosis after laryngectomy has a major impact on patient rehabilitation. The major contributory factor is the operative technique. The goal is to achieve a widely patent stoma.

Adult laryngeal rhabdomyosarcoma: report of a case and literature review.

Rhabdomyosarcoma is relatively seen in the pediatric age group with the head and neck region as the commonest site. To the best of our knowledge, few cases of laryngeal involvement in adult have been described in the literature. Biologically, rhabdomyosarcoma is different from squamous cell carcinoma, which is the commonest tumor of the larynx.

The quality of operative note taking: an audit using the Royal College of Surgeons Guidelines as the gold standard.

To assess the quality of operative note keeping and compare the results with the Royal College of Surgeons (RCS) of England guidelines 'Good Surgical Practice' as the gold standard. ENT Department at Hull Royal Infirmary, University Hospital. A hundred consecutive operative notes were selected between November 2005 and January 2006.