09-09, 15:30–16:00 (Europe/Istanbul), Pediatric Otolaryngology 1
Foreign bodies of the esophagus in children still represent one of the emergency situations in ENT. They are most common between the ages of 2 and 7. These can be a wide variety of objects that a child swallows by right or involuntarily. Most often, these are metal coins and parts of toys, and less often pieces of food.
The paper presents a retrospective analysis of 83 rigid esophagoscopies that were performed in the ENT Clinic of the UKC RS Banjaluka in a fifteen-year period (2009-2024), and due to suspicion of a foreign body in the esophagus in patients with an average age of about 3.38 years. The diagnosis was made on the basis of heteroanamnesis, clinical picture, clinical ENT examination, lung X-ray, EGD X-ray, and rigid esophagoscopy, which was also a therapeutic method. The leading symptom in the largest number of cases (62) was dysphagia. The most frequently extracted foreign body was a metal foreign body with rounded edges (coins) localized at the height of the first physiological constriction. In all patients, a rigid esophagoscopy was performed under general endotracheal anesthesia, and after esophagoscopy and foreign body extraction, antibiotic therapy was prescribed, and in 10%, corticosteroid therapy. Out of the total number of esophagoscopies, we had complications in 4 patients in the form of a lesion of the back wall of the esophagus.
Esophageal foreign bodies in children still represent one of the emergency situations in ENT, and they require special attention because they are mostly young children. For classic
esophagoscopy, endoscopic instruments and a skilled endoscopist are necessary, because after all, we are talking about small children with a delicate and narrow lumen of the esophagus, so the very attempt to remove a foreign body means a possible danger for mucosal lesions, which can lead to more serious consequences.The prevention of aspiration of foreign bodies in the esophagus in children is important and must be continuous, and includes education of parents, especially in the first two years of life by pediatricians and family medicine doctors.
Dear Sir,
I want to present the results of my long-term clinical research related to the problems and complications of foreign bodies of the esophagus in children.
I believe that this topic is always relevant, because foreign bodies in children's age still represent one of the urgent conditions in ENT and require special attention, and regardless of the surgical skills and experience of the surgeon, there is a possibility of complications, and in some cases it can even lead to death.
Date of birth: 11.07.1972.
Address: Nedeljka Čabrinovića 18, 78 000 Banja Luka, Bosnia and Herzegovina
Phones: +387 51 342 650 (business) Mobile +387 65 534 651
Education and training:
1987-1991 Srbac: Gymnasium
1991-1997 University of Banja Luka, Faculty of Medicine: Doctor of Medicine
May 2005, Banjaluka: Passed the specialist exam in otolaryngology
May 2015, Banjaluka: Passed the subspecialist exam in head and neck dissection surgery
October 2013, University of Banja Luka, Faculty of Medicine: Defended the master's thesis entitled "Contribution to the study of the morphology of the human hyoid bone"
2017-2020, University of Novi Sad, Faculty of Medicine: completed doctoral studies; currently in preparation of a doctoral dissertation entitled "Prognostic significance of the expression of interleukin 6, 10 and transforming factor beta 2 in squamous cell carcinoma of the larynx"
Work experience
1998 – 2000: Doctor of Medicine in the Emergency Medical Unit. Health center Banja Luka
2000 – 2005: Resident in otorhinolaryngology. ENT Clinic, UKC RS Banjaluka
2005 – 2014: Assistant at the Department of Otorhinolaryngology with Maxillofacial Surgery, University of Banja Luka, Faculty of Medicine
2005 – 2015: Otorhinolaryngologist specialist. Department physician at the ENT Clinic, UKC RS Banjaluka, at the Department of Laryngology and Head and Neck Surgery, member of the Oncology Council for Head and Neck Tumors
2015-present: Subspecialist in head and neck surgery at the ENT Clinic , UKC RS Banjaluka
