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ENT Miscellaneous ENT 073653a7

False regarding the foreign body of oropharynx is

A
Impacted foreign bodies most often lodge in the soft tissue at the base of tongue
B
Food paicles are the most common oropharyngeal foreign bodies in children
C
Clinical hypopharyngeal foreign bodies are amenable to clinical examination
D
Endoscopy and MDCT are used in the diagnosis
High-Yield Explanation
Children are most often affected. Nearly 80% are below 5 years. They have a tendency to put anything in the mouth. Playing while eating is another factor. Education of parents is impoant to prevent such accidents in toddlers and young children. 2. Loss of protective mechanism. Use of upper denture prevents tactile sensation and a foreign body is swallowed undetected Loss of consciousness, epileptic seizures, deep sleep or alcoholic intoxication are other factors. 3. Carelessness. Poorly prepared food, improper mastication, hasty eating and drinking. 4. Narrowed oesophageal lumen. Pieces of food may be held up in cases of oesophageal stricture or carcinoma. The first symptom of carcinoma oesophagus may be sudden obstruction from a foreign body such as a piece of meat, fruit or vegetable. 5. Psychotics. Foreign body may be swallowed with an attempt to commit suicide. Ref: Dhingra 7e pg 397.

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