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Prophylaxis





Category: FOREIGN BODIES IN THE AIR AND FOOD PASSAGES
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

If one put into his mouth nothing but food, foreign
body accidents would be rare. The habit of holding tacks, pins and
whatnot in the mouth is quite universal and deplorable. Children are
prone to follow the bad example of their elders. No small objects such
as safety pins, buttons, and coins should be left within a baby's
reach; children should be watched and taught not to place things in
their mouths. Mothers should be specially cautioned not to give nuts
or nut candy of any kind to a child whose powers of mastication are
imperfect, because the molar teeth are not erupted. It might be made a
dictum that: No child under 3 years of age should be allowed to eat
nuts, unless ground finely as in peanut butter. Digital efforts at
removal of foreign bodies frequently force the object downward, or may
hook it forward into the larynx, whereas if not meddled with digitally
the intruder might be spat out. Before general anesthesia the mouth
should be searched for loose teeth, removable dentures, etc., and all
unconscious individuals should be likewise examined. When working in
the mouth precautions should be taken against the possible inhalation
or swallowing of loose objects or instruments.

[126] Objects that have lodged in the esophagus, larynx, trachea, or
bronchi should be endoscopically removed.





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