42809 Removal of foreign body from pharynx

Name of the Procedure:

Removal of Foreign Body from Pharynx

Summary

In simple terms, this procedure involves the removal of an object that is stuck in the throat (pharynx). It is typically performed by a healthcare professional using specialized instruments to safely extract the foreign object.

Purpose

This procedure is done to address the presence of a foreign object in the pharynx, which can cause pain, discomfort, difficulty in swallowing, or breathing difficulties. The goal is to remove the object to relieve symptoms and prevent further complications, such as infection or airway obstruction.

Indications

• Symptoms like difficulty swallowing (dysphagia), choking, or pain in the throat
• Observed or suspected foreign body ingestion
• Notable obstruction in the airway or esophagus on diagnostic imaging

Preparation

• Patients may be advised to fast for a few hours prior to the procedure, especially if sedation or anesthesia is planned.
• A physical examination and possibly imaging tests (like X-rays or CT scans) are performed to locate the foreign object.
• Patients should inform the healthcare provider of any medications they are taking and any existing health conditions.

Procedure Description

1. The patient is positioned appropriately to assist in visualizing the pharynx.
2. Local anesthesia or sedation may be administered to minimize discomfort.
3. The healthcare provider uses tools such as a laryngoscope or endoscope equipped with a camera for visibility.
4. Forceps or a specialized retrieval device is used to carefully grasp and remove the foreign object.
5. The area is checked to ensure no other objects remain and there are no injuries.

Duration

The procedure usually takes between 15 and 30 minutes, depending on the complexity and location of the foreign body.

Setting

This procedure is typically performed in a hospital emergency department, outpatient clinic, or occasionally in a surgical center.

Personnel

• An otolaryngologist (ENT specialist) or emergency physician usually performs the procedure.
• Nurses assist with patient preparation and monitoring.
• An anesthesiologist may be present if sedation is used.

Risks and Complications

• Minor bleeding
• Infection
• Injury to the surrounding tissues in the throat
• Rarely, airway obstruction or perforation requiring further intervention

Benefits

• Immediate relief from pain and discomfort
• Prevention of more serious complications like infection or airway blockage
• Typically quick recovery with minimal aftereffects

Recovery

• The patient is usually observed for a brief period post-procedure to ensure stability.
• Pain relief medications may be prescribed.
• The patient should follow any dietary restrictions and activity limitations as advised by the healthcare provider.
• A follow-up appointment might be scheduled to ensure complete recovery.

Alternatives

• Observation if the foreign body is not causing severe symptoms and is expected to pass naturally.
• Advanced endoscopic procedures or surgery may be considered if initial attempts are unsuccessful.

Patient Experience

• The patient might experience anxiety or discomfort before and during the procedure, especially if awake.
• Mild soreness in the throat can be expected post-procedure.
• Pain management includes over-the-counter pain relievers and dietary modifications to softer foods.
• Patients are encouraged to report any unusual symptoms, such as severe pain or difficulty in breathing, to their healthcare provider immediately.