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Abstract：
OBJECTIVE: This study was designed to explore the clinical application of video laryngoscopy in the diagnosis and treatment of throat foreign bodies (FBs).
METHODS: In total, 1572 patients diagnosed with throat FBs at the Department of Otolaryngology of Nanjing Drum Tower Hospital were retrospectively analysed. The covariables collected were the time from FB ingestion to admission, age, sex, duration of admission, and site of impaction.
RESULTS: The most common FBs were fish bones, which accounted for 1446 (91.98%) of 1572 FBs. Among all 1572 FBs, 1004 (63.87%) were successfully removed by video laryngoscopy without complications. A shorter duration of admission was associated with a higher diagnostic rate under video laryngoscopy. The diagnostic rate of sharp FBs was significantly higher than that of non-sharp FBs. The most common sites of throat FBs were the tongue root (42.29%), epiglottic vallecula (19.40%), tonsil (18.21%), and piriform fossa (10.65%).
CONCLUSIONS: Video laryngoscopy is a powerful tool for the diagnosis and treatment of throat FBs, allowing for identification of rare locations of FBs as well as refractory FBs.
METHODS: In total, 1572 patients diagnosed with throat FBs at the Department of Otolaryngology of Nanjing Drum Tower Hospital were retrospectively analysed. The covariables collected were the time from FB ingestion to admission, age, sex, duration of admission, and site of impaction.
RESULTS: The most common FBs were fish bones, which accounted for 1446 (91.98%) of 1572 FBs. Among all 1572 FBs, 1004 (63.87%) were successfully removed by video laryngoscopy without complications. A shorter duration of admission was associated with a higher diagnostic rate under video laryngoscopy. The diagnostic rate of sharp FBs was significantly higher than that of non-sharp FBs. The most common sites of throat FBs were the tongue root (42.29%), epiglottic vallecula (19.40%), tonsil (18.21%), and piriform fossa (10.65%).
CONCLUSIONS: Video laryngoscopy is a powerful tool for the diagnosis and treatment of throat FBs, allowing for identification of rare locations of FBs as well as refractory FBs.
摘要：
目的：本研究旨在探讨视频喉镜在咽喉异物（FBs）诊断和治疗中的临床应用。
方法：总共，回顾性分析南京鼓楼医院耳鼻咽喉科1572例咽喉FBs患者的临床资料。收集的协变量是从FB摄入到入院的时间，年龄,性别,入院时间,和撞击部位。
结果：最常见的FB是鱼骨，占1572个FB中的1446个（91.98%）。在所有1572个FB中，通过视频喉镜成功切除1004例（63.87%），无并发症。较短的入院时间与较高的视频喉镜诊断率相关。尖锐FBs的诊断率明显高于非尖锐FBs。咽喉FBs最常见的部位是舌根(42.29%),会厌谷(19.40%)，扁桃体(18.21%),梨状窝(10.65%)。
结论：视频喉镜检查是诊断和治疗咽喉FBs的有力工具，允许识别FBs和难降解FBs的稀有位置。
方法：总共，回顾性分析南京鼓楼医院耳鼻咽喉科1572例咽喉FBs患者的临床资料。收集的协变量是从FB摄入到入院的时间，年龄,性别,入院时间,和撞击部位。
结果：最常见的FB是鱼骨，占1572个FB中的1446个（91.98%）。在所有1572个FB中，通过视频喉镜成功切除1004例（63.87%），无并发症。较短的入院时间与较高的视频喉镜诊断率相关。尖锐FBs的诊断率明显高于非尖锐FBs。咽喉FBs最常见的部位是舌根(42.29%),会厌谷(19.40%)，扁桃体(18.21%),梨状窝(10.65%)。
结论：视频喉镜检查是诊断和治疗咽喉FBs的有力工具，允许识别FBs和难降解FBs的稀有位置。
