TY - CHAP M1 - Book, Section TI - Foreign Bodies A1 - Tenenbein, Milton A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert Y1 - 2019 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Endobronchial and esophageal foreign bodies are marked by three clinical stages—an initial symptomatic stage of coughing, choking, and discomfort and a stage of relative amelioration of symptoms followed by a stage of complications due to obstruction and infection.The gold standard for the diagnosis of an endobronchial foreign body is bronchoscopy.An asymptomatic or mildly symptomatic child with a coin in the esophagus can be observed for 8 to 16 hours because the coin will spontaneously pass into the stomach in 25% to 30% of these children.A useful method for removal of most intranasal foreign bodies is a balloon-tipped catheter such as a Foley or the commercially available Katz Extractor®.A useful initial method for removal of most foreign bodies from the external auditory canal is irrigation. This technique requires very little patient cooperation.An immobile battery, for example, in the esophagus, nose, or ear, requires emergent removal to prevent perforation at the site of impaction and subsequent infection.Two or more rare-earth magnets in the gastrointestinal tract or on both sides of the nasal septum require emergent removal because of the potential of erosion and perforation of the tissue between the two adherent magnets. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/04 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155167744 ER -