• Sohail Ahmad Malik Ayub Teaching Hospital Abbottabad
  • Ihsan Ahmad Qureshi ATH
  • Raza Muhammad ATH


Back ground:  Detection of foreign body esophagus has always been a challenge for the otolaryngologists. Among different investigations available X -ray is valuable for detection of foreign bodies as it is readily available, inexpensive and easy to operate. However, this still remains to be decided that how accurate it is?Objective; To determine the diagnostic accuracy of plain X ray lateral neck in the diagnosis of foreign bodies in cervical esophagus keeping esophagoscopy as the gold standard Materials and MethodsThis descriptive study was conducted at the outpatient department of ENT, Ayub Medical Institute (AMI) Abbottabad, from Mar to Sep 2016. A total of 290 patients were included in this study and all the patients had X –ray lateral view of neck, followed by endoscopy (gold standard). Diagnostic accuracy of plain X – ray lateral view of neck was detected by determining sensitivity, specificity and accuracy.Results: The sensitivity, specificity and accuracy of plain X – ray lateral view of neck was 91.7%, 80%, and 89.7%, respectively.Conclusion: X – Ray lateral view of neck is a reliable investigation and should be advised among all the patients with history of foreign body ingestion

Author Biographies

Sohail Ahmad Malik, Ayub Teaching Hospital Abbottabad

ENT ATH Abbottabad

Ihsan Ahmad Qureshi, ATH

ENT ATH Abbottabad

Raza Muhammad, ATH



Shivakumar AM, Naik AS, Proshanth KB, Hongal GF, Chaturvedy G. Foreign bodies in upper digestive tract. Indian J Otolaryngol Head Neck Surg 2006;58:63-68.

Adhikari P, Shrestha BL, Baskota DK, Sinha BK. Accidental Foreign Body ingestion: analysis of 163 cases. Intl Arch Otorhinolaryngol 2007;11:267-270.

Pelucchi S, Bianchini C, Ciorba A, Pastore A. Unusual foreign body in the upper cervical oesophagus: case report. ACTA otorhinolaryngologica italica 2007;27:38-40.

Weisberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007;84:1854-1857.

Naidoo RR, Reddi AA. Chronic retained foreign bodies in the esophagus. Ann Thorac Surg 2004;77:2218-2220.

Ashraf O. Foreign body in the esophagus: a review. Sao Paulo Med J 2006;124:346-349.

Khan MA, Hameed A, Chaudary AJ. Management of foreign bodies in esophagus. J Cp; Physician Surg Pak 2004;14:218-220.

T-Ping C, Nunes CA, Guimaraes GR, Vieira JP, Weekx LL, Borges TJ. Accidental ingestion of coins by children: management at the ENT department of Joao XXIII Hospital. Vraz J Otorhinolaryngol 2006;72:470-474.

Han S, Kayhan B, Dural K, Kocer B, Sakinci U. A new technique for removing cervical esophageal foreign body. Turk J Gastroenterol 2006;16:108-110.

Degghani N, Ludemann JP. Ingested foreign bodies in children: BC Children Hospital Emergency Room Protocol. BC Med J 2008;50:257-262.

Karnwal A, Ho EC, Hall A, Molony N. Lateral soft tissue neck X-rays: are they useful in management of upper aero-digestive tract foreign bodies? J Laryngol Otol 2008;122:845-847.

Wu IS, Ho TL, Chang CC, Lee HS, Chen MK. Value of lateral neck radiography for ingested foreign bodies using the likelihood ratio. J Otolaryngol Head Neck Surg 2008;37:292-296.

Laguna D, González FM. Calcification of the posterior cricoid lamina simulating a foreign body in the aerodigestive tract. Eur Radiol 2006;16:515-517.

Saki N, Nikakhlagh S, Tahmasebi M. Diagnostic accuracy of conventional radiography for esophageal foreign bodies in adults. Iran J Radiol 2008;5:199-204.

Hussain G, Iqbal M, Ihsanulla, Hussain M, Ali S. Esophageal foreign bodies: an experience with rigid esophagoscop. Gomal Journal of Medical Sciences 2010;8:218-220.

Saki N, Nikakhlagh S, Safai F, Peyvasteh M. Esophageal foreign bodies in children. Pak J Med Sci 2007;23:854-856.

Gilyoma JM, Chalya PL. Endoscopic procedures for removal of foreign bodies of the aerodigestive tract: The Bugando Medical Centre experience. BMC Ear, Nose and Throat Disorders 2011;11:2.

Iseh KR, Oyedepo OB, Aliyu D. Pharyngo-oesophageal Foreign Bodies: Implications for Health Care Services in Nigeria. Annals of African Medicine 2006;5:52-55.

Türkyilmaz A, Aydin Y, Yilmaz O, Aslan S, Eroğlu A, Karaoğlanoğlu N. Esophageal foreign bodies: analysis of 188 cases. Ulus Travma Acil Cerrahi Derg 2009;15:222-227.



Most read articles by the same author(s)