False regarding the foreign body of oropharynx is
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.
Impacted foreign bodies most often lodge in the soft tissue at the base of tongue
Food paicles are the most common oropharyngeal foreign bodies in children
Clinical hypopharyngeal foreign bodies are amenable to clinical examination
Endoscopy and MDCT are used in the diagnosis
Miscellaneous ENT